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Cultur Divers Ethnic Minor Psychol. 2008 Oct;14(4):315-25. doi: 10.1037/a0012615.

Characterization and sociocultural predictors of neuropsychological test performance in HIV+ Hispanic individuals.

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  • 1Fordham University Department of Psychology, New York, NY 10023, USA. monica.mindt@mssm.edu

Erratum in

  • Cultur Divers Ethnic Minor Psychol. 2009 Oct;15(4):433.

Abstract

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.

PMID:
18954167
[PubMed - indexed for MEDLINE]
PMCID:
PMC2696232
Free PMC Article

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