Immigrants to the United
States are more likely to be diagnosed with human immunodeficiency virus (HIV)
infection compared with native-born persons. Navigating access to healthcare in
the United States can be challenging for foreign-born persons, and HIV
treatment outcomes may be suboptimal for these persons. We compared
characteristics of and assessed disparities in clinical outcomes of
foreign-born persons in care for HIV in the United States.
The Medical
Monitoring Project is a complex sample, cross-sectional survey designed to be
nationally representative of HIV-infected adults receiving medical care in the
United States. Using data from 2009, 2010, and 2011, we conducted descriptive
analyses and multivariable logistic regression to assess associations between
foreign-born status and antiretroviral therapy (ART) prescription, and between
foreign-born status and viral suppression.
In all, 13.4% of HIV-infected persons
were self-identified as foreign-born; the most common regions of birth were
Central America and Mexico (45.4%) and the Caribbean (16.0%). Nearly 90% of
foreign-born persons were diagnosed with HIV after entry into the United
States. Compared with US-born persons, foreign-born persons were more likely to
be younger, Hispanic, less educated, and uninsured. The prevalence of ART
prescription (prevalence ratio 1.00; 95% confidence interval 0.98-1.02) was not
significantly different between foreign-born and US-born persons. A higher
percentage of foreign-born persons achieved viral suppression compared with
US-born persons (prevalence ratio 1.05; 95% confidence interval 1.00-1.09).
No
major disparities in ART prescription and viral suppression were found between
foreign-born and US-born HIV-infected persons receiving medical care, despite
higher percentages being uninsured.
Full article at: http://goo.gl/nQgurr
By: Myers TR1, Lin X, Skarbinski J.
- 1From the Division of Healthcare Quality and Promotion (TRM); and Division of HIV/AIDS Prevention (XL, JS); and Epidemic Intelligence Service (XL), Centers for Disease Control and Prevention, Atlanta, GA.
- Medicine (Baltimore). 2016 Mar;95(11):e3051. doi: 10.1097/MD.0000000000003051.
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