A Census Tract–Level Examination of Social Determinants of Health among Black/African American Men with Diagnosed HIV Infection, 2005–2009—17 US Areas
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{"title"=>"A census tract-level examination of social determinants of health among black/African American men with diagnosed HIV infection, 2005-2009-17 US areas", "type"=>"journal", "authors"=>[{"first_name"=>"Zanetta", "last_name"=>"Gant", "scopus_author_id"=>"55178468500"}, {"first_name"=>"Larry", "last_name"=>"Gant", "scopus_author_id"=>"6602743802"}, {"first_name"=>"Ruiguang", "last_name"=>"Song", "scopus_author_id"=>"7202051434"}, {"first_name"=>"Leigh", "last_name"=>"Willis", "scopus_author_id"=>"35985588200"}, {"first_name"=>"Anna Satcher", "last_name"=>"Johnson", "scopus_author_id"=>"7410015352"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84907486219", "doi"=>"10.1371/journal.pone.0107701", "sgr"=>"84907486219", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pmid"=>"25268831", "issn"=>"19326203", "pui"=>"600086537"}, "id"=>"0c1a8b92-95b2-38ad-9ccd-d7b41ef6f1b7", "abstract"=>"BACKGROUND: HIV disproportionately affects black men in the United States: most diagnoses are for black gay, bisexual, and other men who have sex with men (collectively referred to as MSM). A better understanding of the social conditions in which black men live and work may better explain why HIV incidence and diagnosis rates are higher than expected in this population.\\n\\nMETHODS: Using data from the National HIV Surveillance System and the US Census Bureau's American Community Survey, we examined the relationships of HIV diagnosis rates and 5 census tract-level social determinants of health variables for 21,948 black MSM and non-MSM aged ≥ 15 years residing in 17 areas in the United States. We examined federal poverty status, marital status, education level, employment status, and vacancy status and computed rate ratios (RRs) and prevalence odds ratios (PORs), using logistic regression with zero-inflated negative binomial modeling.\\n\\nRESULTS: Among black MSM, HIV diagnosis rates decreased as poverty increased (RR: 0.54). At the time of HIV diagnosis, black MSM were less likely than black non-MSM to live in census tracts with a higher proportion below the poverty level (POR: 0.81) and with a higher proportion of vacant houses (POR: 0.86). In comparison, housing vacancy was positively associated with HIV diagnosis rates among black non-MSM (RR: 1.65). HIV diagnosis rates were higher for black MSM (RR: 2.75) and non-MSM (RR: 4.90) whose educational level was low. Rates were significantly lower for black MSM (RR: 0.06) and non-MSM (RR: 0.26) as the proportion unemployed and the proportion married increased.\\n\\nCONCLUSIONS: This exploratory study found differences in the patterns of HIV diagnosis rates for black MSM and non-MSM and provides insight into the transmission of HIV infection in areas that reflect substantial disadvantage in education, housing, employment, and income.", "link"=>"http://www.mendeley.com/research/census-tractlevel-examination-social-determinants-health-among-blackafrican-american-men-diagnosed-h", "reader_count"=>24, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Researcher"=>5, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>1, "Student > Master"=>3, "Other"=>2, "Student > Bachelor"=>3, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Researcher"=>5, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>1, "Student > Master"=>3, "Other"=>2, "Student > Bachelor"=>3, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Agricultural and Biological Sciences"=>1, "Medicine and Dentistry"=>10, "Arts and Humanities"=>1, "Psychology"=>1, "Social Sciences"=>7}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>10}, "Social Sciences"=>{"Social Sciences"=>7}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Unspecified"=>{"Unspecified"=>4}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>1}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1697498"], "description"=>"<p>Note. Data include persons with diagnosed HIV infection regardless of stage of disease at diagnosis. HIV diagnosis data were statistically adjusted for missing transmission category, but not for reporting delays or incomplete reporting. All results for each outcome of interest in the models are based on controlling for all other variables.</p><p>MSM, men who reported ever having had sexual contact with other men.</p><p>CI, confidence interval.</p><p>HIV diagnosis rate ratios among black/African American MSM and non-MSM, by selected census tract–level social determinants of health, 2005–2009—17 areas.</p>", "links"=>[], "tags"=>["por", "rr", "proportion", "National HIV Surveillance System", "HIV diagnosis rates", "status", "United States", "American Community Survey", "prevalence odds ratios", "Diagnosed HIV Infection", "MSM"], "article_id"=>1187627, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Zanetta Gant", "Larry Gant", "Ruiguang Song", "Leigh Willis", "Anna Satcher Johnson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0107701.t002", "stats"=>{"downloads"=>3, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_HIV_diagnosis_rate_ratios_among_black_African_American_MSM_and_non_MSM_by_selected_census_tract_8211_level_social_determinants_of_health_2005_8211_2009_8212_17_areas_/1187627", "title"=>"HIV diagnosis rate ratios among black/African American MSM and non-MSM, by selected census tract–level social determinants of health, 2005–2009—17 areas.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-30 03:18:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/1697499"], "description"=>"<p>Note. Data include persons with diagnosed HIV infection regardless of stage of disease at diagnosis. HIV diagnosis data were statistically adjusted for missing transmission category, but not for reporting delays or incomplete reporting. All results for each outcome of interest in the models are based on controlling for all other variables.</p><p>MSM, men who reported ever having had sexual contact with other men.</p><p>CI, confidence interval.</p>a<p>Black non-MSM is the reference group.</p>b<p>The prevalence odds is defined as (#MSM+1)/(#non-MSM+1), where adding 1 to both the numerator and the denominator avoids the prevalence odds undefined when there are no diagnosed HIV infections among black non-MSM. PORs>1 indicates that among black males, as the proportion of a SDH variable of interest increases, the probability of black MSM diagnosed with HIV is higher compared to black non-MSM.</p><p>Prevalence odds ratios<sup><a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0107701#nt110\" target=\"_blank\">a</a></sup> of HIV infection diagnosis for black/African American MSM vs. non-MSM, by selected census tract-level social determinants of health (SDH), 2005–2009—17 areas.</p>", "links"=>[], "tags"=>["por", "rr", "proportion", "National HIV Surveillance System", "HIV diagnosis rates", "status", "United States", "American Community Survey", "prevalence odds ratios", "Diagnosed HIV Infection", "MSM"], "article_id"=>1187628, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Zanetta Gant", "Larry Gant", "Ruiguang Song", "Leigh Willis", "Anna Satcher Johnson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0107701.t003", "stats"=>{"downloads"=>5, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_odds_ratios_a_of_HIV_infection_diagnosis_for_black_African_American_MSM_vs_non_MSM_by_selected_census_tract_level_social_determinants_of_health_SDH_2005_2009_17_areas_/1187628", "title"=>"Prevalence odds ratios<sup>a</sup> of HIV infection diagnosis for black/African American MSM vs. non-MSM, by selected census tract-level social determinants of health (SDH), 2005–2009—17 areas.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-30 03:18:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/1697496"], "description"=>"<p>Note. Data include persons with diagnosed HIV infection regardless of stage of disease at diagnosis. HIV diagnosis data were statistically adjusted for missing transmission category, but not for reporting delays or incomplete reporting.</p><p>MSM, men who reported ever having had sexual contact with other men.</p>a<p>Rates are per 100,000 population.</p><p>Diagnoses of HIV infection among black/African American MSM and non-MSM, by age at diagnosis, 2005–2009—17 areas.</p>", "links"=>[], "tags"=>["por", "rr", "proportion", "National HIV Surveillance System", "HIV diagnosis rates", "status", "United States", "American Community Survey", "prevalence odds ratios", "Diagnosed HIV Infection", "MSM"], "article_id"=>1187625, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Zanetta Gant", "Larry Gant", "Ruiguang Song", "Leigh Willis", "Anna Satcher Johnson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0107701.t001", "stats"=>{"downloads"=>2, "page_views"=>24, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Diagnoses_of_HIV_infection_among_black_African_American_MSM_and_non_MSM_by_age_at_diagnosis_2005_8211_2009_8212_17_areas_/1187625", "title"=>"Diagnoses of HIV infection among black/African American MSM and non-MSM, by age at diagnosis, 2005–2009—17 areas.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-30 03:18:29"}

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