State variation in HIV/AIDS health outcomes

Talbert-Slagle, Kristina; Canavan, Maureen; Rogan, Erika; Curry, Leslie; Bradley, Elizabeth H.

doi:10.1097/qad.0000000000000978

Cited by 11 publications

(3 citation statements)

References 34 publications

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“…structural balance between revenue and expenditures) was higher in states with higher social trust among individuals [ 69 , 70 ]. Specific to HIV/AIDS, states with higher spending on social services per person in poverty had significantly lower AIDS deaths rates [ 71 ]. The social trust associations in this study were robust net other competing economic and structural factors such as income inequality and ACA coverage.…”

Section: Discussionmentioning

confidence: 99%

The relationship between higher social trust and lower late HIV diagnosis and mortality differs by race/ethnicity: results from a state‐level analysis

Ransome

Batson

Galea

et al. 2017

Journal of the International AIDS Society

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Introduction: Black men who have sex with men (MSM) continue to suffer a disproportionate burden of new HIV diagnoses and mortality. To better understand some of the reasons for these profound disparities, we examined whether the association between social trust and late HIV diagnosis and mortality differed by race/ethnicity, and investigated potential indirect effects of any observed differences.Methods: We performed generalized structural equation modelling to assess main and interaction associations between trust among one’s neighbours in 2009 (i.e. social trust) and race/ethnicity (Black, White, and Hispanic) predicting late HIV diagnosis (a CD4 count ≤200 cell/µL within three months of a new HIV diagnosis) rates and all-cause mortality rates of persons ever diagnosed late with HIV, across 47 American states for the years 2009–2013. We examined potential indirect effects of state-level HIV testing between social trust and late HIV diagnosis. Social trust data were from the Gallup Healthways Survey, HIV data from the Centers for Disease Control and Prevention, and HIV testing from the Behavioral Risk Factor Surveillance System. Covariates included state-level structural, healthcare, and socio-demographic factors including income inequality, healthcare access, and population density. We stratified analysis by transmission group (male-to-male, heterosexual, and injection drug use (IDU)).Results: States with higher levels of social trust had lower late HIV diagnosis rates: Adjusted Rate Ratio [aRR] were consistent across risk groups (0.57; 95%CI 0.53–0.62, male-to-male), (aRR 0.58; 95%CI 0.54–0.62, heterosexual) and (aRR 0.64; 95%CI 0.60–0.69, IDU). Those associations differed by race/ethnicity (all p < 0.001). The associations were most protective for Blacks followed by Hispanics, and least protective for Whites. HIV testing mediated between 18 and 32% of the association between social trust and late HIV diagnosis across transmission group but for Blacks relative to Whites only. Social trust was associated with lower all-cause mortality rates and that association varied by race/ethnicity within the male-to-male and IDU transmission groups only.Conclusions: Social trust may promote timely HIV testing, which can facilitate earlier HIV diagnosis, thus it can be a useful determinant to monitor the relationship with HIV care continuum outcomes especially for racial/ethnic minority groups disproportionately infected by HIV.

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Section: Discussionmentioning

confidence: 99%

The relationship between higher social trust and lower late HIV diagnosis and mortality differs by race/ethnicity: results from a state‐level analysis

Ransome

Batson

Galea

et al. 2017

Journal of the International AIDS Society

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“…This study builds on prior work that found that improved HIV outcomes were associated with overall spending on social services in the United States [ 64 ]. Our findings are also consistent with a number of other documented health-related benefits associated with SNAP, including a reduction in mortality, better self-assessment of health, and reduced psychological distress [ 65 , 66 ].…”

Section: Discussionmentioning

confidence: 91%

Supplemental Nutrition Assistance Program Eligibility and HIV Incidence in the United States

Richterman

Block

Tsai

et al. 2021

Open Forum Infectious Diseases

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Introduction The connection between food insecurity and HIV outcomes is well-established. The Supplemental Nutrition Assistance Program (SNAP), the primary food safety net program in the US, may have collateral impacts on HIV incidence. “Broad-based categorical eligibility” for SNAP is a policy that provides a mechanism for states to increase the income or asset limits for SNAP eligibility. Methods We estimated the association between the number of new HIV diagnoses 2010-2014 for each state and (1) state income limits and (2) state asset limits for SNAP eligibility. We fitted multivariable negative binomial regression models with number of HIV diagnoses specified as the outcome; SNAP policies as the primary explanatory variable of interest; state and year fixed effects; and time-varying covariates related to the costs of food, health care, housing, employment, other SNAP policies, and Temporary Assistance for Needy Families spending. Results HIV diagnoses within states had a statistically significant association with state income limits for SNAP eligibility (IRR 0.94 per increase in the income limit by 35% of federal poverty level, 95% CI 0.91-0.98), but no association with state asset limits (increased asset limit vs. no change, IRR 1.02, 95% CI 0.94-1.10; eliminated asset limit vs. no change, IRR 1.04, 95% CI 0.99-1.10). Conclusions State income limits for SNAP eligibility were inversely associated with the number of new HIV diagnoses for states between 2010-2014. Proposals to eliminate the use of broad-based categorical eligibility to increase the income limit for SNAP may undercut efforts to end the HIV epidemic in the US

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“…In recent years, social determinants of health (SDOH) have gained attention in public health arenas. Research shows that SDOH have more significant effects on population health than healthcare alone (Barnard & Hagos, 2022;Bradley et al, 2016;Talbert-Slagle et al, 2016). Traditional measurements of SDOH are generally based on national surveys.…”

Section: Introductionmentioning

confidence: 99%

Digital Transformation in Measuring Social Determinants of Health

Liu,

Wang,

Khan

2023

Journal of Organizational and End User Computing

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Digital transformation in public health has been implemented by governments and has significantly improved the accuracy and timeliness of public health management. Digital transformation in measuring social determinants of health is an emerging research area that has drawn significant scholarly attention. To assess how digital information influences the measurement of social determinants of health, this study performs a systematic literature review. The paper first discusses the background, definitions, conceptual framework, and research issues. Then it summarizes the research results with a focus on disruptions, strategic responses, changes that happened in the process, facilitators and barriers, and negative and positive impacts. After a discussion of the key findings, opportunities for future research are presented along with the conclusion.

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State variation in HIV/AIDS health outcomes

Cited by 11 publications

References 34 publications

The relationship between higher social trust and lower late HIV diagnosis and mortality differs by race/ethnicity: results from a state‐level analysis

The relationship between higher social trust and lower late HIV diagnosis and mortality differs by race/ethnicity: results from a state‐level analysis

Supplemental Nutrition Assistance Program Eligibility and HIV Incidence in the United States

Digital Transformation in Measuring Social Determinants of Health

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