ArticleJournal of epidemiology and community health2008
Racial, gender and geographic disparities of antiretroviral treatment among US Medicaid enrolees in 1998.
Article in Journal of epidemiology and community health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
22 citing papers in PubMed, 34 citations in OpenAlex.
- Environmental and individual predictors of medication adherence among elderly patients with hypertension and chronic kidney disease: A geospatial approach.Research in social & administrative pharmacy : RSAP · 2020Article
- Examples of sex/gender sensitivity in epidemiological research: results of an evaluation of original articles published in JECH 2006-2014.Health research policy and systems · 2017Review
- Prevalence and Factors Associated With Statin Use Among a Nationally Representative Sample of US Adults: National Health and Nutrition Examination Survey, 2011-2012.Clinical cardiology · 2016Article
- Female and male differences in AIDS diagnosis rates among people who inject drugs in large U.S. metro areas from 1993 to 2007.Annals of epidemiology · 2015Article
- Early Linkage to HIV Care and Antiretroviral Treatment among Men Who Have Sex with Men--20 Cities, United States, 2008 and 2011.PloS one · 2015Article
- The influence of race and comorbidity on the timely initiation of antiretroviral therapy among older persons living with HIV/AIDS.American journal of public health · 2014Article
- Provider-patient communication about adherence to anti-retroviral regimens differs by patient race and ethnicity.AIDS and behavior · 2014Article
- Factors associated with survival among patients with AIDS-related primary central nervous system lymphoma.AIDS (London, England) · 2014Article
- Racial/ethnic disparities in antiretroviral treatment among HIV-infected pregnant Medicaid enrollees, 2005-2007.American journal of public health · 2013Article
- Primary care provider cultural competence and racial disparities in HIV care and outcomes.Journal of general internal medicine · 2013Article
- Disparity implications of the Medicare medication therapy management eligibility criteria: a literature review.Expert review of pharmacoeconomics & outcomes research · 2013Review
- Community poverty and trends in racial/ethnic survival disparities among people diagnosed with AIDS in Florida, 1993-2004.American journal of public health · 2013Article
- Paths to success: optimal and equitable health outcomes for all.Journal of health care for the poor and underserved · 2012Article
- Influence of gender on receipt of guideline-based antiretroviral therapy in the era of HAART.AIDS care · 2012Article
- The role of cultural distance between patient and provider in explaining racial/ethnic disparities in HIV care.Patient education and counseling · 2011Article
- Differences in national antiretroviral prescribing patterns between black and white patients with HIV/AIDS, 1996-2006.Southern medical journal · 2011Article
- The impact of the AIDS Drug Assistance Program (ADAP) on use of highly active antiretroviral and antihypertensive therapy among HIV-infected women.Journal of acquired immune deficiency syndromes (1999) · 2011Article
- Differences in patient-provider communication for Hispanic compared to non-Hispanic white patients in HIV care.Journal of general internal medicine · 2010Article
- Triangulating on success: innovation, public health, medical care, and cause-specific US mortality rates over a half century (1950-2000).American journal of public health · 2010Article
- The interplay of sociodemographic factors on virologic suppression among a U.S. outpatient HIV clinic population.AIDS patient care and STDs · 2010Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIn 1998, highly active antiretroviral therapy (HAART) was widespread, but the diffusion of these life-saving treatments was not uniform. As half of all AIDS patients in the USA have Medicaid coverage, this study of a multistate Medicaid claims dataset was undertaken to assess disparities in the rates of HAART.
methodsData came from 1998 Medicaid claims files from five states with varying HIV prevalence. ICD-9 codes were used to identify people with a diagnosis of HIV/AIDS or AIDS-defining illness. Multivariate analyses assessed associations between age, gender, race and state of residence for antiretroviral regimens consistent with HAART, as defined by 1998 Centers for Disease Control and Prevention (CDC) guidelines.
resultsAmong 7202 Medicaid enrolees with a diagnosis of HIV/AIDS or AIDS, 62% received HAART and 25% received no antiretroviral therapy. Multivariate analyses showed that age, race, gender and state were all significant predictors of receiving HAART: white, non-Hispanic patients were most likely to receive HAART (68.3%), with lower rates in Hispanic and black, non-Hispanic segments of the population (59.3% and 57.5%, respectively, p<0.001). Women were less likely to receive HAART than men (51.8% vs 69.3%, p<0.001).
conclusionDespite similar insurance coverage and drug benefits, life-saving treatments for HIV/AIDS diffused at widely varying rates in different segments of the Medicaid population. Research is needed to determine the extent to which racial, gender, interstate and region disparities currently correspond to barriers to such care.
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