Perceived Stress and Health Outcomes Among Latinx and Non-Latinx White Adult People With HIV in East Harlem, New York: A Cross-Sectional Study.
Alexander W Slaughter, Jordan Stiver, Micah Savin and 7 others
PMID 39321337WHAT IT FOUND
Among adults living with HIV, higher perceived distress was linked to worse HIV-related health in Latinx participants, while Latinx participants reported better health than non-Latinx white participants despite worse blood markers.
Key findings
01Before interaction terms were added, higher perceived distress was associated with worse general health, physical health, and mental health scores.
02The interaction between Latinx ethnicity and perceived distress was associated with worse general health and mental health scores, and with lower current CD4+ T cell count.
03Latinx participants reported better general health, physical health, and mental health than non-Latinx white participants, while having higher rates of detectable HIV viral load and lower current CD4+ T cell count at trend level.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a cross-sectional secondary analysis, so it can show associations but cannot prove perceived stress caused worse HIV outcomes. Analyses used only 73 to 74 participants with both stress and outcome data, and the Latinx and non-Latinx white groups were unequal in size. Stress was measured only for the past month, and nadir CD4+ T cell count was self-reported, which can introduce recall bias. The Latinx sample was mainly Caribbean and English proficient, limiting generalisability to other Latinx HIV populations.
Declared interests
The authors reported no real or perceived vested interests. The parent study was funded by the National Institute of Mental Health.
The easy way to misread this
Do not read Latinx participants' better self-reported health as evidence their HIV was better controlled. They reported better health but had higher detectable viral load rates and lower current CD4+ T cell count, although the CD4+ difference was not statistically significant.