ArticleJMIR public health and surveillance2018
HIV Clustering in Mississippi: Spatial Epidemiological Study to Inform Implementation Science in the Deep South.
Article in JMIR public health and surveillance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 29 citations in OpenAlex.
- A Pilot Study of a Patient Navigation Intervention to Improve HIV Pre-exposure Prophylaxis Persistence Among Black/African American Men Who Have Sex With Men.Journal of acquired immune deficiency syndromes (1999) · 2022Trial
- Spatial Clusters of Condyloma Acuminata and the Regional Risk Factors in South Korea: Bayesian Spatial Regression Analysis.JMIR public health and surveillance · 2025Article
- Identifying the Factors Associated With Spatial Clustering of Incident HIV Infection Cases in High-Prevalence Regions: Quantitative Geospatial Study.JMIR public health and surveillance · 2025Article
- A qualitative study identifying implementation strategies using the i-PARIHS framework to increase access to pre-exposure prophylaxis at federally qualified health centers in Mississippi.Implementation science communications · 2024Article
- A Geospatial Analysis of Social and Structural Determinants of Health and High HIV Prevalence in Alabama, USA.Journal of community health · 2024Article
- Novel Location-Based Survey Using Cognitive Interviews to Assess Geographic Networks and Hotspots of Sex and Drug Use: Implementation and Validation Study.JMIR formative research · 2023Article
- Did Human Microbes Affect Tourist Arrivals before the COVID-19 Shock? Pre-Effect Forecasting Model for Slovenia.International journal of environmental research and public health · 2022Article
- Social Determinants of Disease: HIV and COVID-19 Experiences.Current HIV/AIDS reports · 2022Review
- African American Clergy Recommendations to Enhance the Federal Plan to End the HIV Epidemic: A Qualitative Study.AIDS and behavior · 2022Article
- Article
- "PrEP's just to secure you like insurance": a qualitative study on HIV pre-exposure prophylaxis (PrEP) adherence and retention among black cisgender women in Mississippi.BMC infectious diseases · 2021Article
- Exploring influences on methamphetamine use among Black gay, bisexual and other men who have sex with men in Atlanta: A focus group study.The International journal on drug policy · 2021Article
- The role of socio-demographic determinants in the geo-spatial distribution of newly diagnosed HIV infections in small areas of Catalonia (Spain).BMC public health · 2020Article
- Intervention Messaging About Pre-Exposure Prophylaxis Use Among Young, Black Sexual Minority Men.AIDS patient care and STDs · 2019Article
- Reducing the African American HIV Disease Burden in the Deep South: Addressing the Role of Faith and Spirituality.AIDS and behavior · 2019Article
- Opioid-related diagnoses and HIV, HCV and mental disorders: using Pennsylvania hospitalisation data to assess community-level relationships over space and time.Journal of epidemiology and community health · 2019Article
- Implementation of a Socio-structural Demonstration Project to Improve HIV Outcomes Among Young Black Men in the Deep South.Journal of racial and ethnic health disparities · 2019Article
Corrections and comments
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Authors and funding
9 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundIn recent years, more than half of new HIV infections in the United States occur among African Americans in the Southeastern United States. Spatial epidemiological analyses can inform public health responses in the Deep South by identifying HIV hotspots and community-level factors associated with clustering.
objectiveThe goal of this study was to identify and characterize HIV clusters in Mississippi through analysis of state-level HIV surveillance data.
methodsWe used a combination of spatial epidemiology and statistical modeling to identify and characterize HIV hotspots in Mississippi census tracts (n=658) from 2008 to 2014. We conducted spatial analyses of all HIV infections, infections among men who have sex with men (MSM), and infections among African Americans. Multivariable logistic regression analyses identified community-level sociodemographic factors associated with HIV hotspots considering all cases.
resultsThere were HIV hotspots for the entire population, MSM, and African American MSM identified in the Mississippi Delta region, Southern Mississippi, and in greater Jackson, including surrounding rural counties (P<.05). In multivariable models for all HIV cases, HIV hotspots were significantly more likely to include urban census tracts (adjusted odds ratio [AOR] 2.01, 95% CI 1.20-3.37) and census tracts that had a higher proportion of African Americans (AOR 3.85, 95% CI 2.23-6.65). The HIV hotspots were less likely to include census tracts with residents who had less than a high school education (AOR 0.95, 95% CI 0.92-0.98), census tracts with residents belonging to two or more racial/ethnic groups (AOR 0.46, 95% CI 0.30-0.70), and census tracts that had a higher percentage of the population living below the poverty level (AOR 0.51, 95% CI 0.28-0.92).
conclusionsWe used spatial epidemiology and statistical modeling to identify and characterize HIV hotspots for the general population, MSM, and African Americans. HIV clusters concentrated in Jackson and the Mississippi Delta. African American race and urban location were positively associated with clusters, whereas having less than a high school education and having a higher percentage of the population living below the poverty level were negatively associated with clusters. Spatial epidemiological analyses can inform implementation science and public health response strategies, including improved HIV testing, targeted prevention and risk reduction education, and tailored preexposure prophylaxis to address HIV disparities in the South.
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