Risk environments, race/ethnicity, and HIV status in a large sample of people who inject drugs in the United States

National HIV Behavioral Surveillance Study Group

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction: We analyzed relationships between place characteristics and being HIV-negative among black, Latino, and white people who inject drugs (PWID) in the US. Methods: Data on PWID (N = 9077) were from the Centers for Disease Control and Prevention's 2009 National HIV Behavioral Surveillance. Administrative data were analyzed to describe the 968 ZIP codes, 51 counties, and 19 metropolitan statistical areas (MSAs) where they lived. Multilevel multivariable models examined relationships between place characteristics and HIV status. Exploratory population attributable risk percents (e-PAR %s) were estimated. Results: Black and Latino PWID were more likely tobe HIV-negative if they lived in less economically disadvantaged counties, or in MSAs with less criminal-justice activity (i.e., lower drug-related arrest rates, lower policing/corrections expenditures). Latino PWID were more likely to be HIV-negative in MSAs with more Latino isolation, less black isolation, and less violent crime. E-PAR%s attributed 8-19% of HIV cases among black PWID and 1-15% of cases among Latino PWID to place characteristics. Discussion: Evaluations of structural interventions to improve economic conditions and reduce drug-related criminal justice activity may show evidence that they protect black and Latino PWID from HIV infection.

Original languageEnglish (US)
Article numbere0150410
JournalPLoS One
Volume11
Issue number3
DOIs
StatePublished - Mar 1 2016

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nationalities and ethnic groups
HIV
Hispanic Americans
drugs
Pharmaceutical Preparations
sampling
Criminal Law
Disease control
crime
Centers for Disease Control and Prevention
Crime
HIV infections
Vulnerable Populations
Centers for Disease Control and Prevention (U.S.)
Health Expenditures
HIV Infections
Economics
economics
monitoring

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Risk environments, race/ethnicity, and HIV status in a large sample of people who inject drugs in the United States. / National HIV Behavioral Surveillance Study Group.

In: PLoS One, Vol. 11, No. 3, e0150410, 01.03.2016.

Research output: Contribution to journalArticle

National HIV Behavioral Surveillance Study Group. / Risk environments, race/ethnicity, and HIV status in a large sample of people who inject drugs in the United States. In: PLoS One. 2016 ; Vol. 11, No. 3.
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abstract = "Introduction: We analyzed relationships between place characteristics and being HIV-negative among black, Latino, and white people who inject drugs (PWID) in the US. Methods: Data on PWID (N = 9077) were from the Centers for Disease Control and Prevention's 2009 National HIV Behavioral Surveillance. Administrative data were analyzed to describe the 968 ZIP codes, 51 counties, and 19 metropolitan statistical areas (MSAs) where they lived. Multilevel multivariable models examined relationships between place characteristics and HIV status. Exploratory population attributable risk percents (e-PAR {\%}s) were estimated. Results: Black and Latino PWID were more likely tobe HIV-negative if they lived in less economically disadvantaged counties, or in MSAs with less criminal-justice activity (i.e., lower drug-related arrest rates, lower policing/corrections expenditures). Latino PWID were more likely to be HIV-negative in MSAs with more Latino isolation, less black isolation, and less violent crime. E-PAR{\%}s attributed 8-19{\%} of HIV cases among black PWID and 1-15{\%} of cases among Latino PWID to place characteristics. Discussion: Evaluations of structural interventions to improve economic conditions and reduce drug-related criminal justice activity may show evidence that they protect black and Latino PWID from HIV infection.",
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