Factors Associated with late HIV Testing for Latinos Diagnosed with AIDS in Los Angeles

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Date(s) - Feb 5, 2009
12:00 PM - 1:00 PM

St. Anne’s Conference Center


Presented by: 

Amy R. Wohl, Ph.D.

Chief Epidemiologist Los Angeles County Department of Public Health, HIV/Epidemiology Program


Hosted by the Los Angeles Collaborative HIV/AIDS Public Health Research Center :

Latinos are more likely to test late for HIV infection compared to other racial/ethnic groups in the United States. A population-based interview study was used to examine factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles County (LAC) to develop more effective HIV testing outreach strategies. Latinos testing for HIV within one year of an AIDS diagnosis were considered late testers, while those diagnosed with AIDS more than one year after an HIV diagnosis were defined as non-late testers. After adjusting for age, education, country of birth and injection drug use in a logistic regression analysis, completion of the interview in Spanish was the main factor associated with late testing. Latinos testing late for HIV were also more likely to test due to illness and less likely to test as part of a clinical screening. Late testers were more likely to receive their first positive HIV test as a hospital inpatient and less likely to test positive at a community health center or public clinic. To accomplish widespread and timely HIV testing for Latinos in LAC, Spanish-language social marketing campaigns are needed and Spanish-speaking patients should be offered HIV testing in all clinical settings.

Dr. Wohl will address the relevance of these findings to the priority populations and risk factors in the 2009-2013 Los Angeles County HIV Prevention Plan.