Neurocognitive decline over study follow-up by ethnicity/race. In a Kaplan-Meier survival analysis, the pattern of decline over years of follow-up differed significantly by ethnicity/race (p = 0.005). In pairwise log-rank tests, Latino PWH declined faster and had a higher proportion of neurocognitive decliners compared to White (HR = 2.24, 95% CI 1.24–4.05, p = 0.001) and Black (HR = 1.86, 95% CI 1.07–3.25, p = 0.01) PWH. Black and White PWH showed similar trajectories of neurocognitive decline over study follow-up (HR = 1.21, 95% CI 0.78–1.87, p = 0.40).