Minority Health Archive

ETHNIC DIFFERENCES IN HIV DISEASE PROGRESSION: A COMPARISON OF ASIAN/PACIFIC ISLANDERS AND WHITES LIVING IN HAWAII

Shimizu, Sheri M. and Chow, Dominic C. and Katz, Alan R. and Richmond-Crum, Suzanne and Miller, F. DeWolfe (2006) ETHNIC DIFFERENCES IN HIV DISEASE PROGRESSION: A COMPARISON OF ASIAN/PACIFIC ISLANDERS AND WHITES LIVING IN HAWAII. Ethnicity & Disease, 16 (1). pp. 262-267. ISSN 1049-510X

Full text not available from this repository.

Abstract

Objective: To characterize the association of demographic factors with the relative hazards (RH) of developing AIDS or death among HIV-infected individuals of Asian/Pacific Islander (API) ethnicity and Whites. Design: Cohort study Setting: Hawaii State Health Department database of HIV-infected individuals Patients or Participants: Hawaii Sero-Positivity and Medical Management (HSPAMM) program participants from January 1989 to November 2002 Interventions: None Main Outcome Measures: Differences in the time to develop AIDS or death among HIV-infected individuals who reported being on highly active antiretroviral treatment (HAART) were examined by ethnicity, income, and CD4+ cell counts at HAART initiation by using Kaplan-Meier survival analysis and Cox proportional hazard analyses. Results: The study was based on 516 HIVinfected individuals, who were primarily White (61.0%) and API (21.7%). Whites had a significantly higher CD4+ cell count (P,.01) and income (P,.01) than APIs at enrollment into HSPAMM. Lower income levels and CD4+ cell counts at HAART initiation were strongly associated with an increased RH of developing AIDS or dying. Despite having significantly lower incomes and CD4+ cell counts at enrollment, individuals of API ethnicity do not have an increased RH of developing the outcomes compared to Whites. Conclusion: Lower income and CD4+ cell counts at HAART initiation significantly increased the RH of developing AIDS or dying among HIV-infected individuals. Asian/Pacific Islander (API) ethnicity was not a predictor of developing AIDS or dying.


Export/Citation:EndNote | BibTeX | Dublin Core | ASCII (Chicago style) | HTML Citation | OpenURL | Reference Manager
Social Networking:

Item Type: Article
Additional Information: After clicking link, scroll down the page to find the article.
Uncontrolled Keywords: Asian Pacific Islanders; Ethnicity; HIV Disease Progression; Socioeconomic Factors
Subjects: Health > Disparities
Health > Public Health
Health > Public Health > Chronic Illness & Diseases > HIV/Aids
Research > studies
Related URLs:
Depositing User: Users 141 not found.
Date Deposited: 22 Dec 2008
Last Modified: 01 Jun 2011 11:05
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1266

Actions (login required)

View Item