Measuring socioeconomic inequality in the incidence of AIDS: Rural-Urban considerations

Theo NIYONSENGA, Mary Trepka, Spencer Lieb, Lorene Maddox

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)


Low socioeconomic status (SES) influences the risk of acquiring human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and thus should be considered when analyzing HIV/AIDS surveillance data. Most surveillance systems do not collect individual level SES data but do collect residential ZIP code. We developed SES deprivation indices at the ZIP code tabulation area and assessed their predictive validity for AIDS incidence relative to individual neighborhood-level indicators in Florida using reliability analysis, factor analysis with principal component factorization, and structural equation modeling. For urban areas an index of poverty performed best, although the single factor poverty also performed well. For rural areas no index performed well, but the individual indicators of no access to a car and crowding performed well. In rural areas poverty was not associated with increased AIDS incidence. Users of HIV/AIDS surveillance data should consider urban and rural areas separately when assessing the impact of SES on AIDS incidence
Original languageEnglish
Pages (from-to)700-709
Number of pages10
JournalAIDS Behavior
Issue number2
Publication statusPublished - 2013
Externally publishedYes


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