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

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

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose
We compared all-cause and human immunodeficiency virus (HIV) mortality in a population-based, HIV-infected cohort.
Methods
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).
Results

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).
Conclusions
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
Number of pages7
JournalAnnals of Epidemiology
Volume26
Issue number3
DOIs
Publication statusPublished - 2016
Externally publishedYes

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HIV
Acquired Immunodeficiency Syndrome
Mortality
Hispanic Americans
Confidence Intervals
Poverty Areas
Poverty
Population
Cause of Death
Age Groups
Parturition

Cite this

Trepka, Mary ; Fennie, Kristopher ; Sheehan, Diana ; NIYONSENGA, Theo ; Lieb, Spencer ; Maddox, Lorene. / Racial-ethnic differences in all-cause and HIV mortality, Florida, 2000–2011. In: Annals of Epidemiology. 2016 ; Vol. 26, No. 3. pp. 176-182.
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title = "Racial-ethnic differences in all-cause and HIV mortality, Florida, 2000–2011",
abstract = "PurposeWe compared all-cause and human immunodeficiency virus (HIV) mortality in a population-based, HIV-infected cohort.MethodsUsing 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).ResultsOf 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).ConclusionsConsidering 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",
author = "Mary Trepka and Kristopher Fennie and Diana Sheehan and Theo NIYONSENGA and Spencer Lieb and Lorene Maddox",
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Racial-ethnic differences in all-cause and HIV mortality, Florida, 2000–2011. / Trepka, Mary; Fennie, Kristopher; Sheehan, Diana; NIYONSENGA, Theo; Lieb, Spencer; Maddox, Lorene.

In: Annals of Epidemiology, Vol. 26, No. 3, 2016, p. 176-182.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Racial-ethnic differences in all-cause and HIV mortality, Florida, 2000–2011

AU - Trepka, Mary

AU - Fennie, Kristopher

AU - Sheehan, Diana

AU - NIYONSENGA, Theo

AU - Lieb, Spencer

AU - Maddox, Lorene

PY - 2016

Y1 - 2016

N2 - PurposeWe compared all-cause and human immunodeficiency virus (HIV) mortality in a population-based, HIV-infected cohort.MethodsUsing 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).ResultsOf 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).ConclusionsConsidering 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

AB - PurposeWe compared all-cause and human immunodeficiency virus (HIV) mortality in a population-based, HIV-infected cohort.MethodsUsing 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).ResultsOf 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).ConclusionsConsidering 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

U2 - 10.1016/j.annepidem.2016.02.002

DO - 10.1016/j.annepidem.2016.02.002

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SP - 176

EP - 182

JO - Annals of Epidemiology

JF - Annals of Epidemiology

SN - 1047-2797

IS - 3

ER -