OBJECTIVES: To examine the HIV care needs and hospital admission patterns of HIV-positive Haitian-born blacks (Haitians) and compare them with those of US-born blacks (Blacks). METHODS: We abstracted the medical records of 635 Blacks and Haitians consecutively admitted to the adult HIV Service at Jackson Memorial Hospital during 2004 for information on demographics, use of antiretroviral therapy, CD4 cell counts, primary and secondary diagnoses at admission, and substance use. The probability of being prescribed highly active antiretroviral therapy (HAART) was examined by country of origin. RESULTS: There was no statistically significant difference between the groups in likelihood to be prescribed HAART. In controlled analyses, however, Haitians were 76% more likely than Blacks to have a CD4 count <51 cells/mm3 and tended to be more recently diagnosed with HIV Moreover, tuberculosis was the most prevalent opportunistic infection for Haitians compared with candidiasis for Blacks. CONCLUSIONS: Findings suggest that barriers to medical care may exist for Haitians at an early stage of the access continuum and that prevention efforts among the Haitian HIV-positive population should be directed at promoting the need for timely use of health services.
OBJECTIVES: To examine the HIV care needs and hospital admission patterns of HIV-positive Haitian-born blacks (Haitians) and compare them with those of US-born blacks (Blacks). METHODS: We abstracted the medical records of 635 Blacks and Haitians consecutively admitted to the adult HIV Service at Jackson Memorial Hospital during 2004 for information on demographics, use of antiretroviral therapy, CD4 cell counts, primary and secondary diagnoses at admission, and substance use. The probability of being prescribed highly active antiretroviral therapy (HAART) was examined by country of origin. RESULTS: There was no statistically significant difference between the groups in likelihood to be prescribed HAART. In controlled analyses, however, Haitians were 76% more likely than Blacks to have a CD4 count <51 cells/mm3 and tended to be more recently diagnosed with HIV Moreover, tuberculosis was the most prevalent opportunistic infection for Haitians compared with candidiasis for Blacks. CONCLUSIONS: Findings suggest that barriers to medical care may exist for Haitians at an early stage of the access continuum and that prevention efforts among the Haitian HIV-positive population should be directed at promoting the need for timely use of health services.
Authors: Gilbert Saint-Jean; Lisa Metsch; Orlando Gomez-Marin; Colbert Pierre; Yves Jeanty; Allan Rodriguez; Robert Malow Journal: AIDS Care Date: 2011-04
Authors: Jessy G Dévieux; Michèle Jean-Gilles; Anne Frankel; Jennifer Attonito; Anshul Saxena; Rhonda Rosenberg Journal: J Immigr Minor Health Date: 2016-02
Authors: Lisa R Metsch; Christine Bell; Margaret Pereyra; Gabriel Cardenas; Tanisha Sullivan; Allan Rodriguez; Lauren Gooden; Nayla Khoury; Tamy Kuper; Toye Brewer; Carlos del Rio Journal: Am J Public Health Date: 2009-04-16 Impact factor: 9.308