Measuring Socioeconomic Inequality in the Incidence of AIDS: Rural-urban Considerations

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2012 Jun 20

PMID 22711226

Citations 21

Authors

Theophile Niyonsenga

Mary Jo Trepka

Spencer Lieb

Lorene M Maddox

Affiliations

Soon will be listed here.

Abstract

Low socioeconomic status (SES) influences the risk of acquiring human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and thus should be considered when analyzing HIV/AIDS surveillance data. Most surveillance systems do not collect individual level SES data but do collect residential ZIP code. We developed SES deprivation indices at the ZIP code tabulation area and assessed their predictive validity for AIDS incidence relative to individual neighborhood-level indicators in Florida using reliability analysis, factor analysis with principal component factorization, and structural equation modeling. For urban areas an index of poverty performed best, although the single factor poverty also performed well. For rural areas no index performed well, but the individual indicators of no access to a car and crowding performed well. In rural areas poverty was not associated with increased AIDS incidence. Users of HIV/AIDS surveillance data should consider urban and rural areas separately when assessing the impact of SES on AIDS incidence.

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