Women and HIV in the United States

The demographic and geographic characteristics of the HIV epidemic in the US has changed substantially since the disease emerged, with women in the South experiencing a particularly high HIV incidence. In this study, we identified and described counties in the US in which the prevalence of HIV is pa...

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Bibliographic Details
Published in:PloS one 2017-02, Vol.12 (2), p.e0172367-e0172367
Main Authors: Breskin, Alexander, Adimora, Adaora A, Westreich, Daniel
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
AIDS
Biology and Life Sciences
Census of Population
Child
Child, Preschool
Comparative analysis
Demographic aspects
Demographics
Disease control
Disease prevention
Earth Sciences
Epidemics
Epidemiology
Ethnic Groups - statistics & numerical data
Female
Geography
Health aspects
HIV
HIV Infections - epidemiology
HIV-1 - physiology
Human immunodeficiency virus
Humans
Income
Inequality
Infant
Infant, Newborn
Medicine and Health Sciences
Mens health
Middle Aged
People and places
Poverty
Prevalence
Public health
Social Sciences
Socioeconomics
Surveillance
United States - epidemiology
Women
Womens health
Young Adult
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Summary:The demographic and geographic characteristics of the HIV epidemic in the US has changed substantially since the disease emerged, with women in the South experiencing a particularly high HIV incidence. In this study, we identified and described counties in the US in which the prevalence of HIV is particularly high in women compared to men. Using data from AIDSVu, a public dataset of HIV cases in the US in 2012, we categorized counties by their decile of the ratio of female to male HIV prevalence. The demographic and socioeconomic characteristics of counties in the highest decile were compared to those of counties in the lower deciles. Most of the counties in the highest decile were located in the Deep South. These counties had a lower median income, higher percentage of people in poverty, and lower percentage of people with a high school education. Additionally, people with HIV in these counties were more likely to be non-Hispanic black. Counties with the highest ratios of female-to-male HIV prevalence are concentrated in the Southern US, and residents of these counties tend to be of lower socioeconomic status. Identifying and describing these counties is important for developing public health interventions.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0172367