التفاصيل البيبلوغرافية
| العنوان: |
Racial differences in scores on the HIV Dementia Scale: mediating effects of literacy and screening utility among Black and White persons with HIV disease. |
| المؤلفون: |
Beltran-Najera, Ilex, Thompson, Jennifer L., Matchanova, Anastasia, Woods, Steven Paul |
| المصدر: |
AIDS Care; Nov2023, Vol. 35 Issue 11, p1724-1731, 8p |
| مصطلحات موضوعية: |
RACISM, HIV infections, COMMUNICABLE diseases, BLACK people, MEDICAL screening, HEALTH literacy, NEUROPSYCHOLOGICAL tests, RESEARCH funding, WHITE people, SENSITIVITY & specificity (Statistics), HEALTH equity, MENTAL illness |
| مستخلص: |
There are many obstacles to screening for HIV-associated neurocognitive disorders (HAND), including the influence of various sociodemographic effects on screening measures. This study examined possible racial bias on the HIV Dementia Scale (HDS) in screening for HAND among 39 Black and 84 White persons living with HIV (PLWH). Black PLWH had significantly lower raw HDS scores than White PLWH, which was mediated by lower oral word reading scores. Nevertheless, HDS scores were comparably predictive of clinical HAND diagnoses for Black and White PLWH as determined by a comprehensive battery; overall, individuals who failed the HDS were three times as likely to have HAND as compared to those who performed within normal limits (sensitivity =.26, specificity =.94). Consistent with prior literature exploring race-group differences, findings suggest that lower scores among Black PLWH compared to White PLWH on a commonly-used screening measure for HAND are partly explained by reading scores, perhaps reflecting differences in educational quality and opportunities. However, race-group differences did not affect the classification accuracy of the HDS in detecting HAND, although overall diagnostic accuracy was modest in both groups. Future work should determine the optimal neurocognitive screening methods for Black PLWH and other under-represented ethnoracial groups. [ABSTRACT FROM AUTHOR] |
|
Copyright of AIDS Care is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
