PMID- 25542342
OWN - NLM
STAT- MEDLINE
DCOM- 20151001
LR  - 20221207
IS  - 1873-2585 (Electronic)
IS  - 1047-2797 (Print)
IS  - 1047-2797 (Linking)
VI  - 25
IP  - 2
DP  - 2015 Feb
TI  - Influence of residential segregation on survival after AIDS diagnosis among 
      non-Hispanic blacks.
PG  - 113-9, 119.e1
LID - S1047-2797(14)00528-6 [pii]
LID - 10.1016/j.annepidem.2014.11.023 [doi]
AB  - PURPOSE: Non-Hispanic blacks (NHBs) are disproportionately affected by the AIDS 
      epidemic. With the advent of highly active antiretroviral therapy (HAART), 
      survival after AIDS diagnosis has increased dramatically, yet survival among NHBs 
      is shorter compared with non-Hispanic whites. Racial residential segregation may 
      be an important factor influencing observed racial disparities in survival. 
      METHODS: We linked data on 30,813 NHBs from the Florida Department of Health 
      HIV/AIDS Reporting system (1993-2004) with death records and applied segregation 
      indices and poverty levels to the data. Weighted Cox models were used to examine 
      the association between segregation measured on five dimensions and survival, 
      controlling for demographic factors, clinical factors, and area-level poverty. 
      Analyses were stratified by pre-HAART (1993-1995), early HAART (1996-1998), and 
      late-HAART (1999-2004) eras. RESULTS: In the late-HAART era, adjusting for 
      area-level poverty, segregation remained a significant predictor of survival on 
      two dimensions: Concentration (hazard ratio, 1.32; 95% confidence interval, 
      1.13-1.56) and centralization (hazard ratio, 1.44; 95% confidence interval, 
      1.12-1.84). Area-level poverty was an independent predictor of survival. 
      CONCLUSIONS: These findings suggest that certain dimensions of segregation and 
      poverty are associated with survival after AIDS diagnosis.
CI  - Copyright (c) 2015 Elsevier Inc. All rights reserved.
FAU - Fennie, Kristopher P
AU  - Fennie KP
AD  - Department of Epidemiology, Robert Stempel College of Public Health and Social 
      Work, Florida International University, Miami. Electronic address: 
      kfennie@fiu.edu.
FAU - Lutfi, Khaleeq
AU  - Lutfi K
AD  - Department of Epidemiology, Robert Stempel College of Public Health and Social 
      Work, Florida International University, Miami.
FAU - Maddox, Lorene M
AU  - Maddox LM
AD  - Florida Consortium for HIV/AIDS Research/The AIDS Institute, Tampa.
FAU - Lieb, Spencer
AU  - Lieb S
AD  - HIV/AIDS Section, Florida Department of Health, Tallahassee.
FAU - Trepka, Mary Jo
AU  - Trepka MJ
AD  - Department of Epidemiology, Robert Stempel College of Public Health and Social 
      Work, Florida International University, Miami.
LA  - eng
GR  - R01 MD004002/MD/NIMHD NIH HHS/United States
GR  - R01MD004002/MD/NIMHD NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20141128
PL  - United States
TA  - Ann Epidemiol
JT  - Annals of epidemiology
JID - 9100013
SB  - IM
MH  - Acquired Immunodeficiency Syndrome/drug therapy/*ethnology/*mortality
MH  - Adult
MH  - Black or African American/*statistics & numerical data
MH  - Antiretroviral Therapy, Highly Active
MH  - Female
MH  - Florida/epidemiology
MH  - Housing/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Poverty/statistics & numerical data
MH  - Racism/*statistics & numerical data
MH  - Residence Characteristics/*statistics & numerical data
PMC - PMC4415530
MID - NIHMS651786
OTO - NOTNLM
OT  - Acquired immune deficiency Syndrome
OT  - African Americans
OT  - HIV
OT  - Racism
OT  - Survival
EDAT- 2014/12/30 06:00
MHDA- 2015/10/02 06:00
PMCR- 2016/02/01
CRDT- 2014/12/28 06:00
PHST- 2014/04/22 00:00 [received]
PHST- 2014/08/29 00:00 [revised]
PHST- 2014/11/04 00:00 [accepted]
PHST- 2014/12/28 06:00 [entrez]
PHST- 2014/12/30 06:00 [pubmed]
PHST- 2015/10/02 06:00 [medline]
PHST- 2016/02/01 00:00 [pmc-release]
AID - S1047-2797(14)00528-6 [pii]
AID - 10.1016/j.annepidem.2014.11.023 [doi]
PST - ppublish
SO  - Ann Epidemiol. 2015 Feb;25(2):113-9, 119.e1. doi: 
      10.1016/j.annepidem.2014.11.023. Epub 2014 Nov 28.