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首页> 外文期刊>International Journal of Environmental Research and Public Health >Disparity in Retention in Care and Viral Suppression for Black Caribbean-Born Immigrants Living with HIV in Florida
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Disparity in Retention in Care and Viral Suppression for Black Caribbean-Born Immigrants Living with HIV in Florida

机译：佛罗里达州携带艾滋病毒的加勒比裔黑人移民在护理和病毒抑制方面的保留差异

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(1) The study aim was to assess disparities in non-retention in HIV care and non-viral suppression among non-Hispanic Black Caribbean immigrants living with HIV in Florida. (2) We analyzed cases involving individuals, aged ≥13, who met CDC HIV case definition during 2000–2014. Chi square test was used to evaluate differences in non-retention and non-viral suppression by country of origin/race/ethnicity. Multilevel logistic regressions with three referent groups [US-born Blacks, Hispanics, and non-Hispanic Whites (NHWs)] were used to estimate adjusted odds ratios (aOR). (3) Caribbean-born Blacks were less likely to be retained in care or be virally suppressed than US-born Blacks, Hispanics, and NHWs. Bahamians, Haitians, and Trinidadians and Tobagonians had increased odds of non-retention (aOR 3.13, 95% confidence interval [CI] 2.40 –4.10; aOR 1.52, 95% CI 1.40–1.66; aOR 2.30, 95% CI 1.38–3.83), and non-viral suppression (aOR 3.23, 95% CI 2.48–4.21; aOR 1.82, 95% CI 1.68–1.98; aOR 1.76, 95% CI 1.06–2.90) compared with NHWs. (4) Caribbean-born Blacks living with HIV infection are less likely than other racial/ethnic groups to be retained in care and/or achieve viral suppression. Further research is urgently needed to determine social, cultural, and biological factors that contribute to this disparity.
机译：（1）研究的目的是评估佛罗里达州感染艾滋病毒的非西班牙裔黑人加勒比移民在保留艾滋病病毒和非病毒抑制方面的差异。 （2）我们分析了2000年至2014年间符合CDC HIV病例定义的年龄≥13岁的病例。卡方检验用于评估按原籍/种族/民族划分的国家在非保留和非病毒抑制方面的差异。使用三个参照物组[美国出生的黑人，西班牙裔和非西班牙裔白人（NHWs）]进行多级logistic回归来估计调整后的优势比（aOR）。 （3）与美国出生的黑人，西班牙裔美国人和NHWs相比，出生于加勒比海的黑人受护理或受到病毒压制的可能性较小。巴哈马，海地人，特立尼达和多巴哥尼亚人的未保留机率增加（aOR 3.13，95％置信区间[CI] 2.40 –4.10; aOR 1.52，95％CI 1.40–1.66; aOR 2.30，95％CI 1.38–3.83） ，以及非病毒抑制（aOR 3.23，95％CI 2.48-4.21; aOR 1.82，95％CI 1.68-1.98; aOR 1.76，95％CI 1.06-2.90）。 （4）与其他种族/族裔群体相比，感染艾滋病毒的加勒比出生的黑人被保留在护理机构和/或实现病毒抑制的可能性较小。迫切需要进一步研究以确定造成这种差异的社会，文化和生物学因素。

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