A pandemic of the poor: social disadvantage and the U.S. HIV epidemic.
TLDR
The interlocking relationships between biological, social, and behavioral factors that drive HIV/AIDS epidemics are discussed and the social positions of those most affected by HIV and AIDS are described, particularly racial and gender groups.Abstract:
The U.S. HIV/AIDS epidemic has evolved over the past 30 years and is now concentrated in socially marginalized and disenfranchised communities. The health disparities in this epidemic are striking, with most HIV infections occurring in sexual minorities and communities of color. While widely recognized, the health disparities in HIV and AIDS are not often discussed. In this article, we examine the factors underlying health disparities in the U.S. HIV epidemic. We first discuss the interlocking relationships between biological, social, and behavioral factors that drive HIV/AIDS epidemics. Guided by a well-established conceptual model of health disparities, we then describe the social positions of those most affected by HIV and AIDS, particularly racial and gender groups. Structural and economic conditions-including environmental resources, constraints, access to care, and psychosocial influences-are examined in relation to HIV disease trajectories. Greater attention to contextual factors and comorbidities is needed to reduce the health disparities in HIV/AIDS.read more
Citations
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Journal ArticleDOI
Using Patient Perspectives to Inform the Development of a Behavioral Intervention for Chronic Pain in Patients with HIV: A Qualitative Study.
Jessica S. Merlin,Sarah Young,Mallory O. Johnson,Michael S. Saag,William Demonte,Riddhi Modi,Sally Shurbaji,William A. Anderson,Robert D. Kerns,Matthew J. Bair,Matthew J. Bair,Stefan G. Kertesz,Stefan G. Kertesz,Susan L. Davies,Janet M. Turan +14 more
TL;DR: This study provides a framework for the structure and delivery of a behavioral intervention for chronic pain in individuals with HIV based on patient preferences and hopes that this approach informs the work of investigators in other disciplines who seek to incorporate patient preferences during intervention development.
Journal ArticleDOI
Poverty stigma is associated with suboptimal HIV care and treatment outcomes among women living with HIV in the United States.
Anna M. Leddy,Janet M. Turan,Mallory O. Johnson,Torsten B. Neilands,Mirjam-Colette Kempf,Deborah Konkle-Parker,Gina M. Wingood,Phyllis C. Tien,Phyllis C. Tien,Tracey E. Wilson,Carmen H. Logie,Sheri D. Weiser,Bulent Turan +12 more
TL;DR: Experienced poverty stigma was associated with lower adjusted odds of viral suppression, and exploratory mediation analysis suggests that at least 95% ART adherence significantly mediates the relationship between experienced poverty stigma and viral suppression and CD4 cell count at least 350 cells/μl.
Journal ArticleDOI
Assessing the health status and mortality of older people over 65 with HIV.
Gina Turrini,Stephanie S. Chan,Pamela W. Klein,Stacy M. Cohen,Antigone Dempsey,Heather Hauck,Laura W. Cheever,Andre R. Chappel +7 more
TL;DR: It is important for clinicians and policymakers to be aware that older people with HIV have a higher odds of having multiple chronic conditions at any point in time, a higher incidence of new diagnoses of these conditions over time, and a higher hazard of mortality than Medicare beneficiaries without HIV.
Journal ArticleDOI
Food Insecurity, Substance Use, and Sexual Transmission Risk Behavior Among People Living with HIV: A Daily Level Analysis
TL;DR: Situation-specific alcohol and drug use should be integrated into interventions that target food insecurity and HIV prevention, and this interaction between substance use and time was a partial mediator of the relation between food insecure and condom use.
Journal ArticleDOI
Cancer disparities in people with HIV: A systematic review of screening for non-AIDS-defining malignancies.
TL;DR: People with HIV (PWHIV) experience higher rates of non‐acquired immunodeficiency syndrome‐defining malignancies (NADMs), and screening disparities for NADMs among PWHIV were evaluated.
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