Bridging Cultural Chasms between Providers and HIV-Positive Haitians in Palm Beach County, Florida

Potocky-Tripodi, Miriam; Dodge, Karen; Greene, Michael

doi:10.1353/hpu.2007.0087

Cited by 10 publications

(2 citation statements)

References 14 publications

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“…Speaking a language other than English is common among those who are not engaged in regular HIV care and may negatively affect receipt of primary care and preventive health services (Chin, Kang, Kim, Martinez, & Eckholdt, 2006;Potocky-Tripodi, Dodge, & Greene, 2007;Rajabiun et al, 2008). Shortages of interpreters and lack of cultural competence in care contribute to disparity .…”

Section: Discussionmentioning

confidence: 99%

Measurement of retention in care among adults infected with HIV in an urban clinic

2011

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Adults infected with HIV live longer when they receive regular medical care, yet many adults are not retained in care. Providers measure retention in order to evaluate interventions to improve retention and quality of HIV care. However, multiple measures for retention exist. This study compares two methods of operationalizing retention and evaluates the contribution of individual characteristics on the likelihood of retention. A chart review was performed for a random sample of 212 active clients of an urban HIV primary care clinic. Data on clinic utilization, sex, age, race, mental illness, substance use, AIDS diagnosis, language, and housing were collected for each participant. Clinic utilization data were used to classify participants for retention status and to score them by frequency of visits. Binary logistic regression analysis was compared with ordinal logistic regression analysis, using distinct retention measures as outcome variables. In the binary model, those with a history of substance use were about half as likely to be retained (OR 0.52, 95% CI 0.29-0.94) and those with an AIDS diagnosis were more than twice as likely to be retained (OR 2.18, 95% CI 1.17-4.09). These characteristics were significant predictors in the ordinal model, with the additional finding that those reporting English as a primary language were less likely to have higher retention scores (OR 0.40, 95% CI 0.19-0.84). An ordinal score for retention can identify unexpected predictors, but a dichotomous measure of retention may be easier to use and interpret for providers involved in retention-related quality improvement activities.

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Section: Discussionmentioning

confidence: 99%

Measurement of retention in care among adults infected with HIV in an urban clinic

2011

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“…In fact, many Haitian immigrants identify with cultural, linguistic, and social aspects of their heritage, rather than identifying with a race [6]. Public health research on Haitian immigrants can be limited for a number of reasons including a lack of trust in individuals outside of their community, a lack of confidence in scientific research [7], cultural practices that conflict with Western medicine [89101112], and stigmas associated with health conditions [13].…”

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confidence: 99%

Duvalier Regime in Haiti and Immigrant Health in the United States

Green

Schoening

Vaughn

2018

Annals of Global Health

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Background:Haitians immigrate to the United States for many reasons, including the opportunity to escape political violence. The extant literature on Haitian immigrant health focuses on post-migration, rather than pre-migration, environments and experiences.Objective:In this study, we analyze health outcomes data from a nationally representative sample of Haitian immigrants in the United States from 1996 to 2015. We estimate age-adjusted associations between pre-migration residence in Haiti during the repressive regimes and generalized terror of Francois and Jean-Claude Duvalier, who ran Haiti from 1957 to 1986.Methods:We used ordered probit regression models to quantify age-adjusted associations between the duration of pre-migration residence in Haiti during the Duvalier regime, and the distribution of post-migration health status among Haitian immigrants in the United States.Findings:Our study sample included 2,438 males and 2,800 females ages 15 and above. The mean age of males was 43.5 (standard deviation, 15.5) and the mean age of females was 44.7 (standard deviation, 16.6). Each additional decade of pre-migration residence in Haiti during the Duvalier regime is associated with a 2.9 percentage point decrease (95% confidence interval 0.6 to 5.3) in excellent post-migration health for males, and a 2.8 percentage point decrease (95% confidence interval, 0.8 to 4.8) for females. Within the subsample of Haitian immigrants with any pre-migration residence in Haiti during the Duvalier regime, each additional decade since the regime is associated with a 3.3 percentage point increase (95% confidence interval, 1.2 to 5.5) in excellent post-migration health for males, and a 2.3 percentage point increase (95% confidence interval, 0.5 to 4.1) for females.Conclusions:Overall, we found statistically significant and negative associations between the Duvalier regime and the post-migration distribution of health status 10 to 57 years later. We found statistically significant and positive associations between the length of time since the Duvalier regime and post-migration health.

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Factors Associated with Geographic Patterns of Poor Sustained Viral Suppression in Miami-Dade County Florida, 2017

Dawit

Trepka

Duncan

et al. 2022

J. Racial and Ethnic Health Disparities

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Bridging Cultural Chasms between Providers and HIV-Positive Haitians in Palm Beach County, Florida

Cited by 10 publications

References 14 publications

Measurement of retention in care among adults infected with HIV in an urban clinic

Measurement of retention in care among adults infected with HIV in an urban clinic

Duvalier Regime in Haiti and Immigrant Health in the United States

Factors Associated with Geographic Patterns of Poor Sustained Viral Suppression in Miami-Dade County Florida, 2017

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