HIV Infection Among People Who Inject Drugs in the United States: Geographically Explained Variance Across Racial and Ethnic Groups

Sabriya L Linton; Hannah L F Cooper; Mary E Kelley; Conny C Karnes; Zev Ross; Mary E Wolfe; Don Des Jarlais; Salaam Semaan; Barbara Tempalski; Elizabeth DiNenno; Teresa Finlayson; Catlainn Sionean; Cyprian Wejnert; Gabriela Paz-Bailey

doi:10.2105/AJPH.2015.302861

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HIV Infection Among People Who Inject Drugs in the United States: Geographically Explained Variance Across Racial and Ethnic Groups

Journal article

Open access

Peer reviewed

HIV Infection Among People Who Inject Drugs in the United States: Geographically Explained Variance Across Racial and Ethnic Groups

Sabriya L Linton, Hannah L F Cooper, Mary E Kelley, Conny C Karnes, Zev Ross, Mary E Wolfe, Don Des Jarlais, Salaam Semaan, Barbara Tempalski, Elizabeth DiNenno, …

American journal of public health (1971), Vol.105(12), pp.2457-2465

2015-12

DOI: https://doi.org/10.2105/AJPH.2015.302861

PMCID: PMC4638266

PMID: 26469638

Abstract

Ethnic Groups - statistics & numerical data

United States - epidemiology

HIV Infections - epidemiology

Humans

Middle Aged

Substance Abuse, Intravenous - epidemiology

European Continental Ancestry Group - statistics & numerical data

Hispanic Americans - statistics & numerical data

African Continental Ancestry Group - statistics & numerical data

Adult

Substance Abuse, Intravenous - ethnology

HIV Infections - ethnology

Continental Population Groups - statistics & numerical data

Population Surveillance

We explored how variance in HIV infection is distributed across multiple geographical scales among people who inject drugs (PWID) in the United States, overall and within racial/ethnic groups. People who inject drugs (n = 9077) were recruited via respondent-driven sampling from 19 metropolitan statistical areas (MSAs) for the Centers for Disease Control and Prevention's 2009 National HIV Behavioral Surveillance system. We used multilevel modeling to determine the percentage of variance in HIV infection explained by zip codes, counties, and MSAs where PWID lived, overall and for specific racial/ethnic groups. Collectively, zip codes, counties, and MSAs explained 29% of variance in HIV infection. Within specific racial/ethnic groups, all 3 scales explained variance in HIV infection among non-Hispanic/Latino White PWID (4.3%, 0.2%, and 7.5%, respectively), MSAs explained variance among Hispanic/Latino PWID (10.1%), and counties explained variance among non-Hispanic/Latino Black PWID (6.9%). Exposure to potential determinants of HIV infection at zip codes, counties, and MSAs may vary for different racial/ethnic groups of PWID, and may reveal opportunities to identify and ameliorate intraracial inequities in exposure to determinants of HIV infection at these geographical scales.

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Collaboration types: Industry collaboration; Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.156 Healthcare Policy; 1.156.436 Self-Rated Health
Web Of Science research areas: Public, Environmental & Occupational Health
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Title: HIV Infection Among People Who Inject Drugs in the United States: Geographically Explained Variance Across Racial and Ethnic Groups
Creators: Sabriya L Linton - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Hannah L F Cooper - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Mary E Kelley - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Conny C Karnes - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Zev Ross - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Mary E Wolfe - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Don Des Jarlais - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Salaam Semaan - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Barbara Tempalski - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Elizabeth DiNenno - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Teresa Finlayson - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Catlainn Sionean - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Cyprian Wejnert - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Gabriela Paz-Bailey - Sabriya L. Linton, Hannah L. F. Cooper, Mary E. Kelley, Conny C. Karnes, and Mary E. Wolfe are with The Rollins School of Public Health at Emory University, Atlanta, GA. Zev Ross is with ZevRoss SpatialAnalysis, Ithaca, NY. Don Des Jarlais is with The Baron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY. Barbara Tempalski is with The Institute for Infectious Disease Research, National Development and Research Institutes, New York, NY. Salaam Semaan, Elizabeth DiNenno, Teresa Finlayson, Catlainn Sionean, Cyprian Wejnert, and Gabriela Paz-Bailey are with the Centers for Disease Control and Prevention, Atlanta
Publication Details: American journal of public health (1971), Vol.105(12), pp.2457-2465
Publisher: United States
Grant note: P30 MH043520 / NIMH NIH HHS P30 AI050409 / NIAID NIH HHS R01 DA035101 / NIDA NIH HHS P30 DA011041 / NIDA NIH HHS DA035101 / NIDA NIH HHS
Language: English
Resource Type: Journal article
PMID: 26469638
PMCID: PMC4638266
Record Identifier: 991031578041202976