Neighborhood Deprivation and Racial/Ethnic Disparities in Human Immunodeficiency Virus Viral Suppression: A Single-center, Cross-sectional Study in the United States Midwest

Rohan Khazanchi; Harlan Sayles; Sara H Bares; Susan Swindells; Jasmine R Marcelin

doi:10.1093/cid/ciaa1254

Neighborhood Deprivation and Racial/Ethnic Disparities in Human Immunodeficiency Virus Viral Suppression: A Single-center, Cross-sectional Study in the United States Midwest

Clin Infect Dis. 2021 May 18;72(10):e642-e645. doi: 10.1093/cid/ciaa1254.

Authors

Rohan Khazanchi¹, Harlan Sayles², Sara H Bares³, Susan Swindells³, Jasmine R Marcelin³

Affiliations

¹ College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
² Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA.
³ Division of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.

PMID: 32845985
DOI: 10.1093/cid/ciaa1254

Abstract

Combating disparities is a crucial goal of ongoing efforts to end the human immunodeficiency virus (HIV) epidemic. In a multivariable analysis of a cohort in the Midwestern United States, racial/ethnic disparities in HIV viral suppression were no longer robust after accounting for other sociodemographic factors. Neighborhood deprivation and low income were independently inversely associated with viral suppression.

Keywords: health disparities; human immunodeficiency virus (HIV); racism; social determinants of health; viral suppression.

MeSH terms

Cross-Sectional Studies
Ethnicity
HIV
HIV Infections* / epidemiology
Health Status Disparities*
Humans
Midwestern United States / epidemiology
United States / epidemiology