1. Disparities in Health Outcomes by Race Among HIV-Positive Clients of Los Angeles County Ryan White CARE Act-Funded Services in 2002 Ijeoma C. Nwachuku, Ph.D. Earl H. Leonard, M.S. County of Los Angeles Department of Health Services Office of AIDS Programs and Policy November 8, 2004

2. * Estimates from LAC HIV Epidemiology Program and CDC as of February 2004 2 Estimated Persons Living with HIV/AIDS in Los Angeles County Estimated 54,000 living with HIV/AIDS in Los Angeles County 12,000-15,000 19,000-27,000 18,000

3. 3 Clients Served

4. 4 New Clients

5. 5 Clients in Medical Care

6. 6 Clients by Race

7. 7 Baseline CD4 Levels by Race

8. 8 Clients with CD4 Levels <200 at Service Entry All differences (except Native Americans) significant at p<0.001 - (N=12,309)

9. 9 Clients With No Change or Decrease in CD4 Levels

10. 10 Change in CD4 Levels (Latinos) Difference significant at p<0.001 (Latino N=4840; White N=3639)

11. 11 Change in CD4 Levels (African Americans) Difference significant at p<0.001 (African American N=3169; White N=3639)

12. 12 Change in CD4 Levels (Asians or Pacific Islanders) Difference significant at p= 0.0236 (Asian and Pacific Islander N=265; White N=3639)

13. 13 Change in CD4 Levels (Others) Difference significant at p= 0.0038 (Others N=336; White N=3639)

14. 14 Acknowledgments A special thanks to all of the local service providers who collect this valuable information while delivering quality client care.