The study's objective was to identify factors associated with differences in the rate of viral suppression among minority women with HIV/AIDS in care in the Miami-Dade County Ryan White Program (RWP). A retrospective cohort study was conducted using social characteristics and laboratory data of minority women enrolled in the Miami-Dade County RWP in 2017. Viral suppression was defined as <200 copies/mL using the last viral load test of 2017. Multilevel logistic regression models were used to estimate adjusted odds ratio (aOR) and 95% confidence intervals (CIs). Of the 1,550 racial/ethnic minority women in the study population, 43.1% were African American, 31.3% were Hispanic, and 25.6% were Haitian. The proportion of women virally suppressed was lower among African Americans (80.8%) than among Hispanics (86.4%) and Haitians (85.1%). Viral suppression rates were significantly lower among women aged 18–34 years (aOR: 0.41, CI: 0.27–0.64) and 35–49 years (0.63, 0.45–0.90) vs. ≥50 years, born in the United States (0.48, 0.30–0.78), having a household income of <100% the federal poverty level (0.54, 0.30–0.95), previously diagnosed with AIDS (0.60, 0.44–0.81), reporting problematic drug use (0.23, 0.08–0.69), and living in a residentially unstable neighborhood (0.77, 0.64–0.93). Race/ethnicity was not associated with viral suppression after adjusting for other factors. Factors associated with lack of viral suppression were similar among minority racial/ethnic groups. Interventions at the individual level focusing on young, U.S. born individuals, and those who report drug use, and at the neighborhood level for those living in residentially unstable neighborhoods are needed to improve viral suppression outcomes.

中文翻译：

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2017 年迈阿密戴德县瑞恩怀特计划中种族/少数民族妇女的病毒抑制相关因素

该研究的目的是确定与迈阿密-戴德县瑞安怀特计划 (RWP) 中少数感染 HIV/AIDS 妇女的病毒抑制率差异相关的因素。使用 2017 年在迈阿密戴德县 RWP 注册的少数民族妇女的社会特征和实验室数据进行了一项回顾性队列研究。使用 2017 年最后一次病毒载量测试将病毒抑制定义为 <200 拷贝/mL。多水平逻辑回归模型是用于估计调整优势比 (aOR) 和 95% 置信区间 (CI)。在研究人群中的 1,550 名少数族裔女性中，43.1% 为非裔美国人，31.3% 为西班牙裔，25.6% 为海地裔。非洲裔美国人 (80.8%) 中被病毒抑制的女性比例低于西班牙裔 (86.4%) 和海地人 (85.1%)。18-34 岁 (aOR: 0.41, CI: 0.27-0.64) 和 35-49 岁 (0.63, 0.45-0.90) 与 50 岁以上出生在美国的女性 (0.48, 0.30–0.78)，家庭收入低于联邦贫困线的 100% (0.54, 0.30–0.95)，之前被诊断出患有艾滋病 (0.60, 0.44–0.81)，报告有问题的药物使用 (0.23, 0.08–0.69)，以及居住在居住不稳定的社区（0.77，0.64-0.93）。在调整其他因素后，种族/民族与病毒抑制无关。在少数种族/民族群体中，与缺乏病毒抑制相关的因素相似。个人层面的干预措施侧重于美国出生的年轻人和报告吸毒的人，