[Persons living with HIV/AIDS: ethnic and sociocultural differences in Chile]

Rev Chilena Infectol. 2018;35(3):276-282. doi: 10.4067/s0716-10182018000300276.
[Article in Spanish]

Abstract

Background: The association between ethnicity and HIV/AIDS is an emerging and unexplored issue in Chile.

Aim: To determine the profile of patients with HIV/AIDS by ethnicity and socioeconomic factors associated with diagnostic-therapeutic opportunity in the Araucania and Metropolitan regions.

Methods: Cross-sectional study with 558 patients from two centers of HIV/AIDS in Chile. Data were collected using a questionnaire with clinical and sociocultural data obtained under informed consent. Descriptive analysis raw and stratified associations for each variable was performed.

Results: Mapuche patients were mostly male, heterosexual (53.1%), lower average age (36.7 years), educational and income level lower than no Mapuche patients. The median of CD4(+) lymphocytes from Mapuche patients was the lowest in the sample, less than 51 cells/mm3, under 25 percentile (CI 38-123). Lifestyle variables indicated that drug use, number of sexual partners, and relationships between men were associated with higher levels of income, education and no Mapuche ethnicity.

Conclusion: There are differences between Mapuche and non Mapuche patients regarding their sociocultural and clinical status, which generates health inequalities.

MeSH terms

  • Adult
  • Chile
  • Cross-Sectional Studies
  • Female
  • HIV Infections / ethnology*
  • Humans
  • Indians, South American
  • Male
  • Socioeconomic Factors