Trends and Racial Disparities of Late-Stage HIV Diagnosis: Hawaii, 2010-2016

To examine racial/ethnic disparities in Hawaii in stage 3 classification at HIV diagnosis and trends in such disparities from 2010 through 2016. We analyzed data including patients' demographic information, behavioral risk factors, residential county at HIV diagnosis, and type of facility where...

Full description

Saved in:

Bibliographic Details
Published in:	American journal of public health (1971) 2018-11, Vol.108 (S4), p.S292-S298
Main Authors:	Li, Fenfang, Juan, Brandi K, Wozniak, Michelle, Watson, Stuart K, Katz, Alan R, Whiticar, Peter M, McCormick, Timothy, Qiu, Yuanshan Sandy, Wasserman, Glenn M
Format:	Article
Language:	eng
Subjects:	Acquired immune deficiency syndrome African Americans AIDS AJPH Open-Themed Research Asian cultural groups Classification Cultural differences Diagnosis Disease control Documentation Drug use Epidemiology Ethnicity Health Promotion Hispanic Americans HIV HIV/AIDS Human immunodeficiency virus Infections Islands Lesbian/Gay/Bisexual/Transgender Persons Lymphocytes Medical diagnosis Medical tests Mental health services Minority & ethnic groups Native North Americans Other Infections Other Race/Ethnicity Pacific Islander people Population Public health Race Race factors Racial inequality Risk analysis Risk factors Risk taking Statistical analysis Trends
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To examine racial/ethnic disparities in Hawaii in stage 3 classification at HIV diagnosis and trends in such disparities from 2010 through 2016. We analyzed data including patients' demographic information, behavioral risk factors, residential county at HIV diagnosis, and type of facility where HIV was diagnosed. Multivariable logistic regression modeling was used to examine racial/ethnic disparities in late-stage diagnoses after adjustment for known or possible confounders. About 30% of HIV diagnoses were classified as late-stage (stage 3) diagnoses, and there were significant racial/ethnic disparities in stage 3 classification at diagnosis. Relative to Whites, the odds of being diagnosed at stage 3 were 3.7 times higher among Native Hawaiians and other Pacific Islanders (NHPIs; odds ratio [OR] = 3.69; 95% confidence interval [CI] = 1.89, 7.22) and more than twice as high among Asians (OR = 2.46; 95% CI = 1.16, 5.20). Older age and being diagnosed in an inpatient setting were associated with stage 3 classification. Targeted preventive services need to be strengthened for Asians and NHPIs in Hawaii.
ISSN:	0090-0036 1541-0048