ArticleAmerican journal of epidemiology2018
Evaluating the Population Impact on Racial/Ethnic Disparities in HIV in Adulthood of Intervening on Specific Targets: A Conceptual and Methodological Framework.
Article in American journal of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Causal Inference in Health Disparities Research.Annual review of public health · 2026Review
- Developing inclusive, antiracist approaches to public health research: Guidelines for action.Journal of public health research · 2025Article
- Quantification of racial and ethnic disparities in alcohol-related problems in light of different methodological approaches.Addiction (Abingdon, England) · 2025Article
- A data harmonization project of 3 large prospective cardiovascular health-focused cohorts.American journal of epidemiology · 2025Article
- A Review of the Causal Decomposition Framework for Modeling Interventions that Reduce Disparities.Current epidemiology reports · 2025Article
- Challenges and Opportunities in Big Data Science to Address Health Inequities and Focus the HIV Response.Current HIV/AIDS reports · 2024Review
- Evaluating Effects of Multilevel Interventions on Disparity in Health and Healthcare Decisions.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Investigating the impact of suboptimal prescription of preoperative antiplatelets and statins on race and ethnicity-related disparities in major limb amputation.Vascular medicine (London, England) · 2024Article
- Recommendations for Using Causal Diagrams to Study Racial Health Disparities.American journal of epidemiology · 2022Article
- Individual, community, and structural factors associated with linkage to HIV care among people diagnosed with HIV in Tennessee.PloS one · 2022Article
- Article
- Development and Validation of a Multivariable Prediction Model for Missed HIV Health Care Provider Visits in a Large US Clinical Cohort.Open forum infectious diseases · 2021Article
- Invited Commentary: Making Causal Inference More Social and (Social) Epidemiology More Causal.American journal of epidemiology · 2020Article
- Survival-related Selection Bias in Studies of Racial Health Disparities: The Importance of the Target Population and Study Design.Epidemiology (Cambridge, Mass.) · 2018Article
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
Reducing racial/ethnic disparities in human immunodeficiency virus (HIV) disease is a high priority. Reductions in HIV racial/ethnic disparities can potentially be achieved by intervening on important intermediate factors. The potential population impact of intervening on intermediates can be evaluated using observational data when certain conditions are met. However, using standard stratification-based approaches commonly employed in the observational HIV literature to estimate the potential population impact in this setting may yield results that do not accurately estimate quantities of interest. Here we describe a useful conceptual and methodological framework for using observational data to appropriately evaluate the impact on HIV racial/ethnic disparities of interventions. This framework reframes relevant scientific questions in terms of a controlled direct effect and estimates a corresponding proportion eliminated. We review methods and conditions sufficient for accurate estimation within the proposed framework. We use the framework to analyze data on 2,329 participants in the CFAR [Centers for AIDS Research] Network of Integrated Clinical Systems (2008-2014) to evaluate the potential impact of universal prescription of and ≥95% adherence to antiretroviral therapy on racial disparities in HIV virological suppression. We encourage the use of the described framework to appropriately evaluate the potential impact of targeted interventions in addressing HIV racial/ethnic disparities using observational data.
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