Racial/Ethnic Disparities in Failure to Initiate HIV Care: Role of HIV Testing Site, Individual Factors, and Neighborhood Factors, Florida, 2014-2015.
Racial/Ethnic Disparities in Failure to Initiate HIV Care: Role of HIV Testing Site, Individual Factors, and Neighborhood Factors, Florida, 2014-2015.
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DOI：
10.1353/hpu.2018.0085
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发表时间：
2018
影响因子：
1.4
通讯作者：
Niyonsenga T
中科院分区：
文献类型：
--
作者：
Trepka MJ;Sheehan DM;Fennie KP;Mauck DE;Lieb S;Maddox LM;Niyonsenga T
延迟启动人类免疫缺陷病毒（HIV）治疗会影响疾病进展。为了确定艾滋病毒检测点和邻里和个人层面的因素在种族/民族差异的护理启动的作用，我们检查了佛罗里达人口为基础的艾滋病毒/艾滋病监测系统的记录。我们进行了多水平泊松回归，计算调整后的患病率（APR）的非启动护理的种族/民族调整艾滋病毒检测点类型和个人和社区水平的特征。在2014-2015年的最终数据集中，8，913人被诊断患有艾滋病毒，其中18.3%在诊断后三个月内没有得到治疗。相对于非西班牙裔白人，非西班牙裔黑人未开始治疗的APR为1.57（95%置信区间[CI] 1.38-1.78），在血浆/捐献中心检测的APR相对于门诊为2.45（95% CI 2.19-2.74）。测试地点和个人变量有助于种族/民族差异，在不启动艾滋病毒护理。联系程序，特别是血浆/献血中心的联系程序，需要改进。
Delayed initiation of human immunodeficiency virus (HIV) care affects disease progression. To determine the role of HIV testing site and neighborhood- and individual-level factors in racial/ethnic disparities in initiation of care, we examined Florida population-based HIV/AIDS surveillance system records. We performed multilevel Poisson regression to calculate adjusted prevalence ratios (APR) for non-initiation of care by race/ethnicity adjusting for HIV testing site type and individual- and neighborhood-level characteristics. Of 8,913 people diagnosed with HIV during 2014-2015 in the final dataset, 18.3% were not in care within three months of diagnosis. The APR for non-initiation of care for non-Hispanic Blacks relative to non-Hispanic Whites was 1.57 (95% confidence interval [CI] 1.38-1.78) and for those tested in plasma/donation centers relative to outpatient clinics was 2.45 (95% CI 2.19-2.74). Testing site and individual variables contribute to racial/ethnic disparities in non-initiation of HIV care. Linkage procedures, particularly at plasma/blood donation centers, warrant improvement.
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DOI：
10.1097/qai.0b013e3182a90112
发表时间：
2013-11-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
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10.1097/qai.0b013e3181b563e7
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影响因子：
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影响因子：
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