期刊
CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY
卷 14, 期 4, 页码 315-325出版社
EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC
DOI: 10.1037/a0012615
关键词
Hispanic; HIV/AIDS; neuropsychological functioning; sociocultural factors; literacy
资金
- NCRR NIH HHS [M01-RR-00071, M01 RR000071] Funding Source: Medline
- NIMH NIH HHS [U01 MH083501, 1K23MH07971801, U01 MH083501-01, R24MH59724, K23 MH079718-02, R24 MH059724, U24 MH100931, K23 MH079718, R24 MH059724-10] Funding Source: Medline
Hispanic individuals in the U.S. have been disproportionately impacted by HIV/AIDS, yet little is known regarding the neuropsychological sequelae of HIV within the Hispanic population. This study characterized neuropsychological (NP) test performance of HIV+ English-speaking Hispanic participants (n = 51) and investigated the combined roles of sociocultural factors (e.g., ethnicity, socioeconomic status [SES] proxy, and reading level) on NP test performance among our HIV+ Hispanic and non-Hispanic White participants (n = 49). Results revealed that the pattern of NP impairment in HIV+ Hispanic participants is consistent with the frontal-striatal pattern observed in HIV-associated CNS sequelae, and the overall prevalence of global NP impairment was high compared to previous reports with more ethnically homogeneous, non-Hispanic White cohorts. Multivariate prediction models that considered both sociocultural factors and CD4 count revealed that reading level was the only unique predictor of global NP functioning, learning, and attention/working memory. In contrast, ethnicity was the only unique predictor of abstraction/executive functioning. This study provides support for the use of neuropsychological evaluation in detecting HIV-associated NP impairment among HIV+ Hispanic participants and adds to the growing literature regarding the importance of considering sociocultural factors in the interpretation of NP test performance.
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