wow-inequalities/02-data/intermediate/wos_sample/f6e19efc37f7a722551dce3f986c2422-cunningham-we-and-h/info.yaml

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abstract: 'HIV-infected people with low socioeconomic status (SES) and people who
are members of a racial or ethnic minority have been found to receive
fewer services, including treatment with Highly Active Antiretroviral
Therapy (HAART), than others. We examined whether these groups also have
worse survival than others and the degree to which service use and
antiretroviral medications explain these disparities in a prospective
cohort study of a national probability sample of 2,864 adults receiving
HIV care. The independent variables were wealth (net accumulated
financial assets), annual income, educational attainment, employment
status (currently working or not working), race/ethnicity, insurance
status, use of services, and use of medications at baseline. The main
outcome variable was death between January 1996 and December 2000. The
analysis was descriptive and multivariate adjusted Cox proportional
hazards regression analysis of survival.
By December 2000, 20\% (13\% from HIV, 7\% non-HIV causes) of the sample
had died. Those with no accumulated financial assets had an 89\% greater
risk of death (RR= 1.89, 95\% CI= 1.15-3.13) and those with less than a
high school education had a 53\% greater risk of death (RR= 1.53, 95\%
CI= 1.15-2.04) than their counterparts, after adjusting for
sociodemographic and clinical variables only. Further adjusting for use
of services and antiretroviral treatment diminished, but did not
eliminate, the elevated relative risk of death for those with low SES by
three of the four measures. The finding of markedly elevated relative
risks of death for those with HIV infection and low SES is of particular
concern given the disproportionate rates of HIV infection in these
groups. Effective interventions are needed to improve outcomes for low
SES groups with HIV infection.'
affiliation: 'Cunningham, WE (Corresponding Author), Univ Calif Los Angeles, Sch Publ
Hlth, Ctr Hlth Sci, 10833 Le Conte Ave,Rm 31-254A, Los Angeles, CA 90095 USA.
Univ Calif Los Angeles, Div Gen Internal Med \& Hlth Serv Res, Dept Med, Los Angeles,
CA 90024 USA.
Univ Calif Los Angeles, Dept Hlth Serv, Sch Publ Hlth, Los Angeles, CA 90024 USA.
RAND Corp, Hlth Sci Program, Santa Monica, CA 90406 USA.
RAND Corp, Dept Psychiat \& Biobehav Sci, Santa Monica, CA 90406 USA.'
author: Cunningham, WE and Hays, RD and Duan, NH and Andersen, RM and Nakazono, TT
and Bozzette, SA and Shapiro, MF
author-email: wcunningham@mednet.ucla.edu
author_list:
- family: Cunningham
given: WE
- family: Hays
given: RD
- family: Duan
given: NH
- family: Andersen
given: RM
- family: Nakazono
given: TT
- family: Bozzette
given: SA
- family: Shapiro
given: MF
da: '2023-09-28'
eissn: 1548-6869
files: []
issn: 1049-2089
journal: JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
keywords: HIV; AIDS; socioeconomic status; health services; outcomes; survival
keywords-plus: 'ACTIVE ANTIRETROVIRAL THERAPY; AIDS; ACCESS; ADULTS; HEALTH; MORTALITY;
PREVALENCE; PREDICTORS; DISEASE; DEATH'
language: English
month: NOV
number: '4'
number-of-cited-references: '40'
orcid-numbers: 'Hays, Ron D./0000-0001-6697-907X
Duan, Naihua/0000-0001-9411-2924'
pages: 655-676
papis_id: 4a6b68280c834ce76ada4593f2aabbde
ref: Cunningham2005effectsocioeconomic
researcherid-numbers: 'Hays, Ron D./D-5629-2013
'
times-cited: '76'
title: The effect of socioeconomic status on the survival of people receiving care
for HIV infection in the United States
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000233779500008
usage-count-last-180-days: '1'
usage-count-since-2013: '6'
volume: '16'
web-of-science-categories: Health Policy \& Services; Public, Environmental \& Occupational
Health
year: '2005'