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HIV Diagnoses, Prevalence and Outcomes in Nine Southern States.

Publication ,  Journal Article
Reif, S; Pence, BW; Hall, I; Hu, X; Whetten, K; Wilson, E
Published in: J Community Health
August 2015

A group of nine states in the Southern United States, hereafter referred to as the targeted states, has experienced particularly high HIV diagnosis and case fatality rates. To provide additional information about the HIV burden in this region, we used CDC HIV surveillance data to examine characteristics of individuals diagnosed with HIV in the targeted states (2011), 5-year HIV and AIDS survival, and deaths among persons living with HIV (2010). We used multivariable analyses to explore the influence of residing in the targeted states at diagnosis on deaths among persons living with HIV after adjustment for demographics and transmission risk. In 2011, the targeted states had a higher HIV diagnosis rate (24.5/100,000 population) than the US overall (18.0/100,000) and higher proportions than other regions of individuals diagnosed with HIV who were black, female, younger, and living in suburban and rural areas. Furthermore, the targeted states had lower HIV and AIDS survival proportions (0.85, 0.73, respectively) than the US overall (0.86, 0.77, respectively) and the highest death rate among persons living with HIV of any US region. Regional differences in demographics and transmission risk did not explain the higher death rate among persons living with HIV in the targeted states indicating that other factors contribute to this disparity. Differences in characteristics and outcomes of individuals with HIV in the targeted states are critical to consider when creating strategies to address HIV in the region, as are other factors identified in previous research to be prominent in the region including poverty and stigma.

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Published In

J Community Health

DOI

EISSN

1573-3610

Publication Date

August 2015

Volume

40

Issue

4

Start / End Page

642 / 651

Location

Netherlands

Related Subject Headings

  • Young Adult
  • United States
  • Texas
  • Substance Abuse, Intravenous
  • Southeastern United States
  • Sexuality
  • Sex Factors
  • Residence Characteristics
  • Racial Groups
  • Public Health
 

Citation

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Reif, S., Pence, B. W., Hall, I., Hu, X., Whetten, K., & Wilson, E. (2015). HIV Diagnoses, Prevalence and Outcomes in Nine Southern States. J Community Health, 40(4), 642–651. https://doi.org/10.1007/s10900-014-9979-7
Reif, Susan, Brian Wells Pence, Irene Hall, Xiaohong Hu, Kathryn Whetten, and Elena Wilson. “HIV Diagnoses, Prevalence and Outcomes in Nine Southern States.J Community Health 40, no. 4 (August 2015): 642–51. https://doi.org/10.1007/s10900-014-9979-7.
Reif S, Pence BW, Hall I, Hu X, Whetten K, Wilson E. HIV Diagnoses, Prevalence and Outcomes in Nine Southern States. J Community Health. 2015 Aug;40(4):642–51.
Reif, Susan, et al. “HIV Diagnoses, Prevalence and Outcomes in Nine Southern States.J Community Health, vol. 40, no. 4, Aug. 2015, pp. 642–51. Pubmed, doi:10.1007/s10900-014-9979-7.
Reif S, Pence BW, Hall I, Hu X, Whetten K, Wilson E. HIV Diagnoses, Prevalence and Outcomes in Nine Southern States. J Community Health. 2015 Aug;40(4):642–651.
Journal cover image

Published In

J Community Health

DOI

EISSN

1573-3610

Publication Date

August 2015

Volume

40

Issue

4

Start / End Page

642 / 651

Location

Netherlands

Related Subject Headings

  • Young Adult
  • United States
  • Texas
  • Substance Abuse, Intravenous
  • Southeastern United States
  • Sexuality
  • Sex Factors
  • Residence Characteristics
  • Racial Groups
  • Public Health