Connecting race and place: a county-level analysis of White, Black, and Hispanic HIV prevalence, poverty, and level of urbanization.

ABSTRACT:

Objectives

We evaluated the role of poverty in racial/ethnic disparities in HIV prevalence across levels of urbanization.

Methods

Using national HIV surveillance data from the year 2009, we constructed negative binomial models, stratified by urbanization, with an outcome of race-specific, county-level HIV prevalence rates and covariates of race/ethnicity, poverty, and other publicly available data. We estimated model-based Black-White and Hispanic-White prevalence rate ratios (PRRs) across levels of urbanization and poverty.

Results

We observed racial/ethnic disparities for all strata of urbanization across 1111 included counties. Poverty was associated with HIV prevalence only in major metropolitan counties. At the same level of urbanization, Black-White and Hispanic

SUBMITTER: Vaughan AS 

PROVIDER: S-EPMC4056233 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature