Psychosocial Determinants of HIV/AIDS among Older Hispanics in New York City: The Need for Cost-Effective Interventions

Although HIV and aging are two well-established fields in the medical and economic literatures, its intersection represents an emerging area of study. Older adults with HIV are in disadvantage due to factors determined beyond the health care system and, in particular, older Hispanics face disproportionate health outcomes due to HIV. Using the Research on Older Adults with HIV (ROAH) Study, this paper establishes the sources of statistical discrimination for Hispanics due to HIV, using the Oaxaca Decomposition Approach. Our data shows that Hispanics on average have higher levels of declining health and increased depression attributable to the discrimination factor.