Widening Socioeconomic, Racial, and Geographic Disparities in HIVAIDS Mortality in the United States, 1987–2011
Joint Authors
Azuine, Romuladus E.
Siahpush, Mohammad
Singh, Gopal K.
Source
Advances in Preventive Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-07
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
This study examined the extent to which socioeconomic and racial and geographic disparities in HIV/AIDS mortality in the United States changed between 1987 and 2011.
Census-based deprivation indices were linked to county-level mortality data from 1987 to 2009.
Log-linear, least-squares, and Poisson regression were used to model mortality trends and differentials.
HIV/AIDS mortality rose between 1987 and 1995 and then declined markedly for all groups between 1996 and 2011.
Despite the steep mortality decline, socioeconomic gradients and racial and geographic disparities in HIV/AIDS mortality increased substantially during the study period.
Compared to whites, blacks had 3 times higher HIV/AIDS mortality in 1987 and 8 times higher mortality in 2011.
In 1987, those in the most-deprived group had 1.9 times higher HIV/AIDS mortality than those in the most-affluent group; the corresponding relative risks increased to 2.9 in 1998 and 3.6 in 2009.
Socioeconomic gradients existed across all race-sex groups, with mortality risk being 8–16 times higher among blacks than whites within each deprivation group.
Dramatic reductions in HIV/AIDS mortality represent a major public health success.
However, slower mortality declines among more deprived groups and blacks contributed to the widening gap.
Mortality disparities reflect inequalities in incidence, access to antiretroviral therapy, and patient survival.
American Psychological Association (APA)
Singh, Gopal K.& Azuine, Romuladus E.& Siahpush, Mohammad. 2013. Widening Socioeconomic, Racial, and Geographic Disparities in HIVAIDS Mortality in the United States, 1987–2011. Advances in Preventive Medicine،Vol. 2013, no. 2013, pp.1-13.
https://search.emarefa.net/detail/BIM-488849
Modern Language Association (MLA)
Singh, Gopal K.…[et al.]. Widening Socioeconomic, Racial, and Geographic Disparities in HIVAIDS Mortality in the United States, 1987–2011. Advances in Preventive Medicine No. 2013 (2013), pp.1-13.
https://search.emarefa.net/detail/BIM-488849
American Medical Association (AMA)
Singh, Gopal K.& Azuine, Romuladus E.& Siahpush, Mohammad. Widening Socioeconomic, Racial, and Geographic Disparities in HIVAIDS Mortality in the United States, 1987–2011. Advances in Preventive Medicine. 2013. Vol. 2013, no. 2013, pp.1-13.
https://search.emarefa.net/detail/BIM-488849
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-488849