Disparities in HIV-treatment Responses between Haitians, African Americans, and Hispanics Living in Miami-Dade County, Florida

Colasanti, Jonathan; Nguyen, Linda; Kiem, Jo Ann Tjin Kon; Deeb, Khaled; Jayaweera, Dushyantha

doi:10.1353/hpu.2012.0004

Cited by 6 publications

(4 citation statements)

References 29 publications

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“…Although HIV is now a treatable chronic disease, Haitians are less likely than other groups to succeed in HIV treatment and often experience suboptimal outcomes (Colasanti et al, 2012). Due to the stigmatization of both HIV and cancer in the Haitian community, existing barriers to cervical cancer screening are likely compounded for Haitian women living with HIV (Kobetz et al, 2009; Saint-Jean, Metsch, & Gomez-Marin, 2011).…”

Section: Introductionmentioning

confidence: 99%

Human Papilloma Virus and Cervical Cancer Education Needs among HIV-Positive Haitian Women in Miami

Kenya

Carrasquillo

Fatil

et al. 2015

Women's Health Issues

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Background Haitian Immigrant women, the largest growing Black ethnic group in Miami, experience the highest rates of cervical cancer and account for one of the largest populations diagnosed with HIV/AIDS in South Florida. Using community-based participatory research methods, we conducted a pilot study to examine HPV/cervical cancer knowledge and identify intervention preferences among HIV positive Haitian women. Methods Community health workers (CHWs) conducted three focus groups with 21 HIV-positive Haitian women. All sessions were conducted in Haitian Kreyol, digitally recorded, and later interpreted and transcribed into English. The first focus group assessed HPV/Cervical Cancer Knowledge; the second session explored HPV/Cervical Cancer considerations specific to HIV positive women, and the third focus group discussed HPV/Cervical Cancer screening and intervention preferences. Data analysis was guided by a grounded theory approach. Findings Our sample had limited HPV/Cervical Cancer knowledge. Misconceptions about screening, transmission, and treatment were common. Participants felt stigma by providers negatively impacted the care they received and stigma by the community diminished social support. Strong support for culturally-tailored interventions to improve HPV/Cervical Cancer knowledge was expressed. Although no participants had previously participated in research, all were willing to participate in future trials. Conclusions There is critical need for culturally relevant interventions to improve HPV/Cervical Cancer knowledge among HIV-positive Haitian women.

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Section: Introductionmentioning

confidence: 99%

Human Papilloma Virus and Cervical Cancer Education Needs among HIV-Positive Haitian Women in Miami

Kenya

Carrasquillo

Fatil

et al. 2015

Women's Health Issues

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“…Our clinic serves a diverse minority Black population ranging from African Americans to immigrant women from Haiti, Jamaica, and other Caribbean islands. Haitians account for one of the largest foreign-born Black populations diagnosed with HIV/AIDS in the United States 26 and are less likely to achieve viral suppression compared with African Americans and Hispanics after receiving cART 27 . The Haitian population carries a higher burden of HPV, with a prevalence as high as 20.7%, with oncogenic strains (13.2% of the total Haitian population) accounting for most of these infections 28 .…”

Section: Discussionmentioning

confidence: 99%

“…Haitians account for one of the largest foreign-born Black populations diagnosed with HIV/AIDS in the United States 26 and are less likely to achieve viral suppression compared with African Americans and Hispanics after receiving cART. 27 The Haitian population carries a higher burden of HPV, with a prevalence as high as 20.7%, with oncogenic strains (13.2% of the total Haitian population) accounting for most of these infections. 28 As a result, the Haitian population experiences a high rate of cervical cancer, occurring in 38/100,000 women, 4 times higher than the rate in the general Florida population.…”

Section: Discussionmentioning

confidence: 99%

Examining 5-Year Cervical Cytology Progression Among Minority Women Living With HIV and Baseline Negative Cytology

Sanchez‐Covarrubias

Crane

Montgomerie

et al. 2022

J Low Genit Tract Dis

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Objective: Women living with HIV (WLWH) have increased risk of human papillomavirus (HPV) infection, precancers, and invasive cervical cancers. This study aims to determine the rate of cervical cytologic progression and related factors in minority WLWH across 5 years. Materials and Methods:We used our HIV clinic database, complemented with a retrospective chart review to identify WLWH with a baseline negative cervical cytology between 2009 and 2012 and 5-year follow-up. Data included race/ethnicity, age, years living with HIV, AIDS status, viral load, history of smoking, drug use, and HPV status. Multivariate logistic regression tested progression of negative cytology to low-grade/high-grade squamous intraepithelial lesions (LGSIL/HGSIL).Results: Among 162 WLWH, 42% were African American, 30% non-Hispanic African Caribbean, and 26% Hispanic. At baseline, 21% had detectable viral load (>200 cp/mL), mean age was 44.8 (±11 years), and mean years living with HIV was 9.6 (±6.9). After 5 years, 19% of the cohort progressed to LGSIL/HGSIL. Human papillomavirus was detected consistently among women with cytologic changes (30% vs 7%, p < .01). Significant factors that predicted higher likelihood of progression to LGSIL/ HGSIL were detection of HPV (adjusted odds ratios = 5.11 [1.31-19.93]; p = .02), and Centers for Disease Control and Prevention-defined AIDS status (adjusted odds ratios = 4. 28 [1.04-17.63]; p = .04). Of the women who maintained negative cytology at 1 to 2 years (n = 102), 5 women (5%) progressed during the following 3 years before the recommended follow-up.Conclusions: Human papillomavirus detection and AIDS status were significant factors predicting progression to LGSIL/HGSIL among minority WLWH. Providers screening WLWH for cervical intraepithelial neoplasia should carefully decide screening intervals for minority populations.

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“…With respect to HIV, there have been delays in HIV diagnosis among Haitians [ 29 ]. Haitians were also noted to have disparities in treatment responses for HIV [ 30 , 31 ]. In addition, studies have shown that Haitian women are more likely to be diagnosed with late-stage breast cancer and low compliance with annual mammograms [ 32 , 33 ].…”

Section: Health Disparities Among Haitiansmentioning

confidence: 99%

The Educational, Health, and Economic Impacts of COVID-19 Among Haitians in the USA: Time for Systemic Change

Semé

Bivins²,

Sternberg

et al. 2021

J. Racial and Ethnic Health Disparities

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Haitians are the fourth largest Afro-Caribbean immigrant group in the USA, and there is a dearth of research focusing on the factors impacting their lives. As a marginalized group with extensive pre-existing conditions, Haitian immigrants are disproportionately affected by the pandemic in areas such as education, health, and economics. This paper provides a summary of existing disparities among Haitians in the USA and how COVID-19 has significantly impacted this group. It concludes with an analysis of how the Strategic Framework for Improving Racial and Ethnic Minority Health and Eliminating Racial and Ethnic Health Disparities can be used to guide, organize, and coordinate systematic planning for sustainable changes to address these disparities. Addressing immigrant and minority health in the USA requires a deeper dive into the various immigrant groups. This paper concludes with recommendations for research and policy changes necessary to eliminate disparities in the USA.

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Disparities in HIV-treatment Responses between Haitians, African Americans, and Hispanics Living in Miami-Dade County, Florida

Abstract: Haitians are not doing as well on HAART as other groups. This may be explained by linguistic, cultural, or other barriers that are not currently addressed by the health care system in the United States.

Cited by 6 publications

References 29 publications

Human Papilloma Virus and Cervical Cancer Education Needs among HIV-Positive Haitian Women in Miami

Human Papilloma Virus and Cervical Cancer Education Needs among HIV-Positive Haitian Women in Miami

Examining 5-Year Cervical Cytology Progression Among Minority Women Living With HIV and Baseline Negative Cytology

The Educational, Health, and Economic Impacts of COVID-19 Among Haitians in the USA: Time for Systemic Change

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