Racial-ethnic differences in all-cause and HIV mortality, Florida, 2000–2011

Mary Trepka, Kristopher Fennie, Diana Sheehan, Theo NIYONSENGA, Spencer Lieb, Lorene Maddox

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11 Citations (Scopus)


We compared all-cause and human immunodeficiency virus (HIV) mortality in a population-based, HIV-infected cohort.
Using records of people diagnosed with HIV during 2000–2009 from the Florida Enhanced HIV-acquired immunodeficiency syndrome (AIDS) Reporting System, we conducted a proportional hazards analysis for all-cause mortality and a competing risk analysis for HIV mortality through 2011 controlling for individual-level factors, neighborhood poverty, and rural-urban status and stratifying by concurrent AIDS status (AIDS within 3 months of HIV diagnosis).

Of 59,880 HIV-infected people, 32.2% had concurrent AIDS and 19.3% died. Adjusting for period of diagnosis, age group, sex, country of birth, HIV transmission mode, area-level poverty, and rural-urban status, non-Hispanic black (NHB) and Hispanic people had an elevated adjusted hazards ratio (aHR) for HIV mortality relative to non-Hispanic whites (NHB concurrent AIDS: aHR 1.34, 95% confidence interval [CI], 1.23–1.47; NHB without concurrent AIDS: aHR 1.41, 95% CI 1.26–1.57; Hispanic concurrent AIDS: aHR 1.18, 95% CI 1.05–1.32; Hispanic without concurrent AIDS: aHR 1.18, 95% CI 1.03–1.36).
Considering competing causes of death, NHB and Hispanic people had a higher risk of HIV mortality even among those without concurrent AIDS, indicating a need to identify and address barriers to HIV care in these populations
Original languageEnglish
Pages (from-to)176-182.e1
Number of pages7
JournalAnnals of Epidemiology
Issue number3
Publication statusPublished - Mar 2016
Externally publishedYes


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