152564 A Survival Comparison between HIV positive U.S. Born Hispanics and Foreign-Born Hispanics in Houston, Texas 1990 - 2001

Monday, November 5, 2007: 9:00 AM

Raouf Arafat, MD, MPH , Houston Department of Health and Human Services, Houston, TX
Adebowale Awosika-Olumo, MD, MS, MPH , Bureau of Epidemiology, City of Houston, Department of Health and Human Services, Houston, TX
James Gomez , Houston Department of Health and Human Services, Bureau of Epidemiology, Houston, TX
Marcia Wolverton, MPH , Bureau of Epidemiology, Houston Department of Health and Human Services, Houston, TX
Lydwina Anderson , Houston Department of Health and Human Services, Bureau of Epidemiology, Houston, TX
OBJECTIVE: To examine the survival profile of human immunodeficiency virus (HIV) infection of U.S. born Hispanics in comparison to Foreign-born Hispanics with respect to basic demographic characteristics in Houston, and factors associated with early mortality.

Method: We analyzed from the Adult and Adolescent Spectrum HIV Diseases Project (1990-2001) of a cohort of 876 patients of Hispanic origin. The statistical analysis was performed using Kaplan-Meier, Log Rank test, and Cox proportional regression analysis.

RESULTS: By Kaplan Meier analysis early death was associated with U.S. Born Hispanics (log rank test p = .0015). A Cox proportional regression analysis, in which gender, age, and social risk factors were introduced as controls, drug/alcohol abuse were shown to be predictors to a less favorable survival experience (Hazard Ratio [HR] = 1.3, 95% confidence interval [CI] : 1.1 1.6). In addition, from 1990 to 1995, higher increases in the occurrences of opportunistic infections were observed among U.S. born compared to Foreign-born Hispanics.

CONCLUSION: The findings of this study lend support to other investigations which have suggested that factors such as acculturation, coupled with a loss of support systems, may explain a negative survival outcome for U.S. born Hispanics in comparison to those that are foreign-born.

Learning Objectives:
To examine the survival profile of human immunodeficiency virus (HIV) infection of U.S. and foreign born Hispanics. To compare U.S. and Foreign-born Hispanics with respect to basic demographic characteristics in Houston, and factors associated with early mortality

Keywords: Mortality, HIV/AIDS

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.