Individual and Neighborhood Determinants of Late HIV Diagnosis Among Latinos, Florida, 2007–2011

Diana M. Sheehan, Mary Jo Trepka, Kristopher P. Fennie, Guillermo Prado, Purnima Madhivanan, Frank R. Dillon, Lorene M. Maddox

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


The objective of this study was to examine individual and neighborhood determinants of late HIV diagnosis by gender and birthplace among Latinos. Florida HIV surveillance data for 2007–2011 were merged with American Community Survey data to estimate the odds of late HIV diagnosis (AIDS within 3 months of HIV diagnosis). Of 5522 HIV-positive Latinos, 26.5 % were diagnosed late. The odds ratio (OR) for late diagnosis was 1.39 times higher for males than females [95 % confidence interval (CI) 1.14–1.69]. Neighborhood-level factors associated with late diagnosis included residing in the 3 highest quartiles of neighborhood unemployment for males. The OR was 1.22 times higher for foreign- than US-born Latinos (95 % CI 1.07–1.40). Among foreign-born, residing in areas in the 2nd and 3rd quartiles of unemployment, in rural areas, and areas with <25 % Hispanic/Latino population were associated with late diagnosis. Population-based HIV testing campaigns may require tailoring to ensure that they effectively reach male Latinos in areas with high unemployment and foreign-born Latinos in rural and predominantly non-Latino areas.

Original languageEnglish (US)
Pages (from-to)825-834
Number of pages10
JournalJournal of Immigrant and Minority Health
Issue number4
StatePublished - Aug 1 2017
Externally publishedYes


  • Acquired immune deficiency syndrome
  • Foreign-born Latinos
  • Human immunodeficiency virus
  • Late diagnosis
  • Latinos

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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