We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Persistent Racial/Ethnic Disparities in AIDS Diagnosis Rates Among People Who Inject Drugs in U.S. Metropolitan Areas, 1993-2007.
- Authors
POUGET, ENRIQUE P.; WEST, BROOKE S.; TEMPALSKI, BARBARA; F. COOPER, HANNAH L.; HALL, H. IRENE; XIAOHONG HU; FRIEDMAN, SAMUEL R.
- Abstract
Objectives. We estimated race/ethnicity-specific incident AIDS diagnosis rates (IARs) among people who inject drugs (PWID) in U.S. metropolitan statistical areas (MSAs) over time to assess the change in disparities after highly active antiretroviral therapy (HAART) dissemination. Methods. We compared IARs and 95% confidence intervals (CIs) for black/ African American and Hispanic/Latino PWID with those of white PWID in 93 of the most populous MSAs. We selected two three-year periods from the years immediately preceding HAART (1993-1995) and the years with the most recent available data (2005-2007). To maximize stability, we aggregated data across three-year periods, and we aggregated data for black/African American and Hispanic/Latino PWID for most comparisons with data for white PWID. We assessed disparities by comparing IAR 95% CIs for overlap. Results. IARs were significantly higher for black/African American and Hispanic/ Latino PWID than for white PWID in 81% of MSAs in 1993-1995 and 77% of MSAs in 2005-2007. MSAs where disparities became non-significant over time were concentrated in the West. Significant differences were more frequent in comparisons between black/African American and white PWID (85% of MSAs in 1993-1995, 79% of MSAs in 2005-2007) than in comparisons between Hispanic/Latino and white PWID (53% of MSAs in 1993-1995, 56% of MSAs in 2005-2007). IARs declined modestly across racial/ethnic groups in most MSAs. Conclusions. AIDS diagnosis rates continue to be substantially higher for black/African American and Hispanic/Latino PWID than for white PWID in most large MSAs. This finding suggests a need for increased targeting of prevention and treatment programs, as well as research on MSA-level conditions that may serve to maintain the disparities.
- Subjects
UNITED States; METROPOLITAN areas; BLACK people; CENTERS for Disease Control &; Prevention (U.S.); ETHNIC groups; HEALTH services accessibility; HEALTH status indicators; HISPANIC Americans; MAPS; POPULATION geography; RACE; RESEARCH funding; TIME; WHITE people; INTRAVENOUS drug abusers; HIGHLY active antiretroviral therapy; RETROSPECTIVE studies; AIDS serodiagnosis
- Publication
Public Health Reports, 2014, Vol 129, Issue 3, p267
- ISSN
0033-3549
- Publication type
Article
- DOI
10.1177/003335491412900309