دورية أكاديمية
أعرض في EDS

Community-level income inequality and HIV prevalence among persons who inject drugs in Thai Nguyen, Vietnam.

التفاصيل البيبلوغرافية
العنوان: Community-level income inequality and HIV prevalence among persons who inject drugs in Thai Nguyen, Vietnam.
المؤلفون: Lim TW; Johns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, Maryland, United States., Frangakis C; Johns Hopkins Bloomberg School of Public Health, Department of Biostatistics, Baltimore, Maryland, United States., Latkin C; Johns Hopkins Bloomberg School of Public Health, Department of Health, Behavior and Society, Baltimore, Maryland, United States., Ha TV; Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland, United States., Minh NL; Thai Nguyen Center for Preventive Medicine, Thai Nguyen, Vietnam., Zelaya C; Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland, United States., Quan VM; Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland, United States., Go VF; Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland, United States.
المصدر: PloS one [PLoS One] 2014 Mar 11; Vol. 9 (3), pp. e90723. Date of Electronic Publication: 2014 Mar 11 (Print Publication: 2014).
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Drug Users*, HIV Infections/*epidemiology, Adolescent ; Adult ; Cross-Sectional Studies ; HIV Infections/etiology ; HIV Infections/transmission ; Humans ; Income ; Male ; Middle Aged ; Prevalence ; Residence Characteristics ; Rural Population ; Socioeconomic Factors ; Urban Population ; Vietnam/epidemiology ; Young Adult
مستخلص: Socioeconomic status has a robust positive relationship with several health outcomes at the individual and population levels, but in the case of HIV prevalence, income inequality may be a better predictor than absolute level of income. Most studies showing a relationship between income inequality and HIV have used entire countries as the unit of analysis. In this study, we examine the association between income inequality at the community level and HIV prevalence in a sample of persons who inject drugs (PWID) in a concentrated epidemic setting. We recruited PWID and non-PWID community participants in Thai Nguyen, Vietnam, and administered a cross-sectional questionnaire; PWID were tested for HIV. We used ecologic regression to model HIV burden in our PWID study population on GINI indices of inequality calculated from total reported incomes of non-PWID community members in each commune. We also modeled HIV burden on interaction terms between GINI index and median commune income, and finally used a multi-level model to control for community level inequality and individual level income. HIV burden among PWID was significantly correlated with the commune GINI coefficient (r = 0.53, p = 0.002). HIV burden was also associated with GINI coefficient (β = 0.082, p = 0.008) and with median commune income (β = -0.018, p = 0.023) in ecological regression. In the multi-level model, higher GINI coefficient at the community level was associated with higher odds of individual HIV infection in PWID (OR = 1.46 per 0.01, p = 0.003) while higher personal income was associated with reduced odds of infection (OR = 0.98 per $10, p = 0.022). This study demonstrates a context where income inequality is associated with HIV prevalence at the community level in a concentrated epidemic. It further suggests that community level socioeconomic factors, both contextual and compositional, could be indirect determinants of HIV infection in PWID.
References: Int J Epidemiol. 2006 Aug;35(4):969-79. (PMID: 16684899)
PLoS One. 2007 Jun 20;2(6):e543. (PMID: 17579715)
Ann Epidemiol. 2007 Mar;17(3):199-207. (PMID: 17174567)
BMJ. 1996 Apr 20;312(7037):1004-7. (PMID: 8616345)
Soc Sci Med. 2007 Nov;65(9):1965-78. (PMID: 17618718)
AIDS. 2007 Nov;21 Suppl 7:S5-S16. (PMID: 18040165)
BMJ. 1997 Apr 19;314(7088):1194-6. (PMID: 9146402)
BMJ. 1997 Feb 22;314(7080):591-5. (PMID: 9055723)
Drug Alcohol Depend. 1995 Apr;38(1):1-9. (PMID: 7648991)
Lancet. 1991 Jun 8;337(8754):1387-93. (PMID: 1674771)
Epidemiol Bull. 2001 Mar;22(1):3-4. (PMID: 11370649)
PLoS Med. 2007 Oct;4(10):1571-5. (PMID: 17958469)
J Biosoc Sci. 2012 Jul;44(4):459-80. (PMID: 22273351)
J Urban Health. 2006 Nov;83(6):1022-40. (PMID: 17139552)
Addiction. 2007 Nov;102(11):1730-9. (PMID: 17935581)
PLoS One. 2011;6(7):e22245. (PMID: 21799802)
Am J Public Health. 2005 Apr;95(4):596-601. (PMID: 15798115)
N Engl J Med. 1993 Jul 8;329(2):103-9. (PMID: 8510686)
AIDS Care. 2008 Apr;20(4):488-94. (PMID: 18449828)
Sex Transm Infect. 2003 Feb;79(1):62-4. (PMID: 12576618)
Sociol Health Illn. 2005 May;27(4):468-89. (PMID: 15998347)
World Health Popul. 2007;9(3):73-80. (PMID: 18272944)
Soc Sci Med. 2008 May;66(9):1999-2010. (PMID: 18299168)
Public Health Rep. 2010 Jul-Aug;125 Suppl 4:16-24. (PMID: 20629252)
Science. 2000 Feb 18;287(5456):1207, 1209. (PMID: 10712155)
AIDS Educ Prev. 2004 Jun;16(3 Suppl A):137-54. (PMID: 15262572)
Am J Public Health. 1997 Sep;87(9):1491-8. (PMID: 9314802)
AIDS. 2008 Mar 30;22(6):741-8. (PMID: 18356604)
معلومات مُعتمدة: R01 AI102710 United States AI NIAID NIH HHS; R01 DA022962 United States DA NIDA NIH HHS; 5R01DA022962-05 United States DA NIDA NIH HHS
تواريخ الأحداث: Date Created: 20140313 Date Completed: 20150529 Latest Revision: 20211021
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC3949692
DOI: 10.1371/journal.pone.0090723
PMID: 24618892
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0090723