ArticleHealth & place2016
Structural inequalities drive late HIV diagnosis: The role of black racial concentration, income inequality, socioeconomic deprivation, and HIV testing.
Article in Health & place, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 3 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Systematic Review of Neighborhood Factors Impacting HIV Care Continuum Participation in the United States.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Pooled it
- Structural Interventions for HIV Prevention and Care Among US Men Who Have Sex with Men: A Systematic Review of Evidence, Gaps, and Future Priorities.AIDS and behavior · 2021Pooled it
- Public Health's Approach to Systemic Racism: a Systematic Literature Review.Journal of racial and ethnic health disparities · 2019Pooled it
- Factors associated with mobile app-based ordering of HIV self-test kits among men who have sex with men in Atlanta, Detroit and New York City: an exploratory secondary analysis of a randomized control trial.Journal of the International AIDS Society · 2023Trial
- Association Between Changes in Socioeconomic Status Before and After Human Immunodeficiency Virus Infection Diagnosis and Mortality Rates in Korea.Journal of Korean medical science · 2026Article
- Socioeconomic inequalities in HIV/AIDS mortality in urban areas of three Spanish cities.Cadernos de saude publica · 2026Article
- Mortgage discrimination at the intersection of race and sexual orientation and its association with HIV incidence among sexual minority men in the U.S.Annals of epidemiology · 2025Article
- Incorporating small-area estimation into mediation analyses with areal datasets.Spatial and spatio-temporal epidemiology · 2025Article
- Breaking down global barriers: A multinational and multi-community approach to combat stigma and enhance mental wellbeing in people with HIV.HIV medicine · 2025Article
- Association of Racial Residential Segregation and Other Social Determinants of Health with HIV Late Presentation.AIDS and behavior · 2025Article
- Using Geographic Momentary Assessment to Explore Spatial Environment Influences on Wellbeing in People With HIV.AIDS and behavior · 2025Article
- Multi-level Factors Associated with HIV Late Presentation with Advanced Disease and Delay Time of Diagnosis in South Carolina, 2005-2019.AIDS and behavior · 2024Article
- Travel Burden and Timely Linkage to Care Among People Newly Diagnosed with HIV Infection in South Carolina from 2005 to 2020.AIDS and behavior · 2024Article
- Estimating the potential value of MSM-focused evidence-based implementation interventions in three Ending the HIV Epidemic jurisdictions in the United States: a model-based analysis.Journal of the International AIDS Society · 2024Article
- Exploring Psychosocial and Structural Syndemic Effects as Predictors of HIV Risk Behaviors Among Black Women (HPTN 064).Journal of women's health (2002) · 2024Article
- Spatial and temporal analysis of HIV clinical outcomes in Florida reveals counties with persistent racial and ethnic disparities during 2012-2019.BMC public health · 2024Article
- Income inequality and pandemics: insights from HIV/AIDS and COVID-19-a multicountry observational study.BMJ global health · 2023Observational
- Area deprivation index and segregation on the risk of HIV: a U.S. Veteran case-control study.Lancet regional health. Americas · 2023Article
- Increasing availability of COVID-19 vaccine to older adults under community supervision.International journal of prisoner health · 2023Article
- Racial and ethnic differences in the association of social cohesion and social capital with HIV testing.SSM - population health · 2023Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
In the United States, research is limited on the mechanisms that link socioeconomic and structural factors to HIV diagnosis outcomes. We tested whether neighborhood income inequality, socioeconomic deprivation, and black racial concentration were associated with gender-specific rates of HIV in the advanced stages of AIDS (i.e., late HIV diagnosis). We then examined whether HIV testing prevalence and accessibility mediated any of the associations above. Neighborhoods with highest (relative to lowest) black racial concentration had higher relative risk of late HIV diagnosis among men (RR=1.86; 95%CI=1.15, 3.00) and women (RR=5.37; 95%CI=3.16, 10.43) independent of income inequality and socioeconomic deprivation. HIV testing prevalence and accessibility did not significantly mediate the associations above. Research should focus on mechanisms that link black racial concentration to HIV diagnosis outcomes.
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