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Association between community socioeconomic position and HIV diagnosis rate among adults and adolescents in the United States, 2005 to 2009

Author

Listed:
  • An, Q.
  • Prejean, J.
  • Harrison, K.M.
  • Fang, X.

Abstract

Objectives. We examined the association between socioeconomic position (SEP) and HIV diagnosis rates in the United States and whether racial/ethnic disparities in diagnosis rates persist after control for SEP. Methods. We used cases of HIV infection among persons aged 13 years and older, diagnosed 2005 through 2009 in 37 states and reported to national HIV surveillance through June 2010, and US Census data, to examine associations between county-level SEP measures and 5-year average annual HIV diagnosis rates overall and among race/ethnicity-sex groups. Results. The HIV diagnosis rate was significantly higher for individuals in the low-SEP tertile than for those in the high-SEP tertile (rate ratios for low- vs high-SEP tertiles range = 1.68-3.38) except for White males and Hispanic females. The SEP disparities were larger for minorities than for Whites. Racial disparities persisted after we controlled for SEP, urbanicity, and percentage of population aged 20 to 50 years, and were high in the low-SEP tertile for males and in low- and high-SEP tertiles for females. Conclusions. Findings support continued prioritization of HIV testing, prevention, and treatment to persons in economically deprived areas, and Blacks of all SEP levels. Copyright © 2012 by the American Public Health Association®.

Suggested Citation

  • An, Q. & Prejean, J. & Harrison, K.M. & Fang, X., 2013. "Association between community socioeconomic position and HIV diagnosis rate among adults and adolescents in the United States, 2005 to 2009," American Journal of Public Health, American Public Health Association, vol. 103(1), pages 120-126.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300853_4
    DOI: 10.2105/AJPH.2012.300853
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    Cited by:

    1. Nanette D Benbow & David A Aaby & Eli S Rosenberg & C Hendricks Brown, 2020. "County-level factors affecting Latino HIV disparities in the United States," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-23, August.
    2. Rajneesh Kumar Joshi & Sanjay M Mehendale, 2019. "Determinants of consistently high HIV prevalence in Indian Districts: A multi-level analysis," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-14, May.
    3. Carmen H Logie & Jesse I R Jenkinson & Valerie Earnshaw & Wangari Tharao & Mona R Loutfy, 2016. "A Structural Equation Model of HIV-Related Stigma, Racial Discrimination, Housing Insecurity and Wellbeing among African and Caribbean Black Women Living with HIV in Ontario, Canada," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-20, September.
    4. Max-Louis G Buot & Jeffrey P Docena & Brenda K Ratemo & Matthew J Bittner & Jacob T Burlew & Aziz R Nuritdinov & Jennifer R Robbins, 2014. "Beyond Race and Place: Distal Sociological Determinants of HIV Disparities," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-15, April.

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