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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
5013.0: Wednesday, December 14, 2005 - Board 5

Abstract #105057

Determinants of a short HIV-to-AIDS interval among Hispanics—32 States, 2002

Lorena Espinoza, DDS, MPH1, Irene Hall, PhD2, R. Selik, MD3, and Sherry Hu, MS1. (1) DHAP-HICSB, CDC, 1600 Clifton Rd, NE, MS E-47, Atlanta, GA 30333, 4046392063, lee6@cdc.gov, (2) DHAP HICSB, CDC, 1600 Clifton RD NE MS E-47, Atlanta, GA 30333, (3) DHAP-HICSB, CDC, Atlanta, GA, 1600 Clifton Rd, NE, Mailstop E47, Atlanta, GA 30333

BACKGROUND: A short interval (£ 12 months) between HIV diagnosis and AIDS diagnosis may indicate late testing or inadequate antiretroviral therapy, and has been shown to be more common among Hispanics than other racial/ethnic groups. We analyzed the characteristics of Hispanics with a short HIV-to-AIDS interval. METHODS: We examined cases of HIV diagnosed among Hispanics in 2002 from 32 states with mature name-based HIV reporting; data were adjusted for reporting delays and cases reported without a known risk factor for HIV. Short interval associations were examined with multivariable logistic regression analysis. RESULTS: An estimated 4,820 Hispanics were diagnosed with HIV infection during 2002 in the 32 states; the majority (80%) were men. Overall, 43% had a short interval. After adjustment for all variables examined, a short interval was more common among men (AOR;1.6 [95% CI = 1.3–1.9]) than among women; and increased with age at diagnosis (P< 0.001). Compared with Hispanics born in the U.S., a short interval was more common among those born in Mexico (AOR;1.9 [95% CI = 1.6–2.2]) and Central or South America (AOR;1.4 [95% CI = 1.1–1.6]), but was the same as among those born in Cuba and Puerto Rico. DISCUSSION: A short HIV-to-AIDS interval affected more than 40% of Hispanics with HIV, increased with age, and was more common among men, and those born in Mexico and Central or South America. Culturally sensitive HIV prevention programs should be expanded to facilitate earlier diagnosis and entry into care for Hispanics and Hispanic subgroups.

Learning Objectives:

Keywords: HIV/AIDS, Hispanic

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Race and Gender: HIV/AIDS within Vulnerable Communities

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA