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首页> 外文期刊>AIDS care. >Comparing neighborhood and state contexts for women living with and without HIV: understanding the Southern HIV epidemic
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Comparing neighborhood and state contexts for women living with and without HIV: understanding the Southern HIV epidemic

机译：比较邻里和州与艾滋病毒患者的妇女的背景：理解南部艾滋病毒疫情

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In the South, people living with HIV experience worse health outcomes than in other geographic regions, likely due to regional political, structural, and socioeconomic factors. We describe the neighborhoods of women (n=1,800) living with and without HIV in the Women's Interagency HIV Study (WIHS), a cohort with Southern sites in Chapel Hill, NC; Atlanta, GA; Birmingham, AL; Jackson, MS; and Miami, FL; and non-Southern sites in Brooklyn, NY; Bronx, NY; Washington, DC; SanFrancisco, CA; and Chicago, IL. In 2014, participants' addresses were geocoded and matched to several administrative data sources. There were a number of differences between the neighborhood contexts of Southern and non-Southern WIHS participants. Southern states had the lowest income eligibility thresholds for family Medicaid, and consequently higher proportions of uninsured individuals. Modeled proportions of income devoted to transportation were much higher in Southern neighborhoods (Location Affordability Index of 28-39% compared to 16-23% in non-Southern sites), and fewer participants lived in counties where hospitals reported providing HIV care (55% of GA, 63% of NC, and 76% of AL participants lived in a county with a hospital that provided HIV care, compared to 90% at all other sites). Finally, the states with the highest adult incarceration rates were all in the South (per 100,000 residents: AL 820, MS 788, GA 686, FL 644). Many Southern states opted not to expand Medicaid, invest little in transportation infrastructure, and have staggering rates of incarceration. Resolution of racial and geographic disparities in HIV health outcomes will require addressing these structural barriers.
机译：在南方，艾滋病病毒毒病症的人经历了比其他地理区域更糟糕的健康成果，这可能是由于区域政治，结构和社会经济因素。我们描述了在妇女间艾滋病毒研究（WIHS）的妇女间的艾滋病毒（N = 1,800）的社区（N = 1,800），并在尼泊尔教堂山的南部南部地区的群岛队伍;亚特兰大，乔治;伯明翰，al;杰克逊，女士;和迈阿密，fl;纽约布鲁克林的非南部遗址;布朗克斯，纽约;华盛顿特区; Sanfrancisco，CA;和芝加哥，il。 2014年，参与者的地址被地理编码并与若干行政数据来源相匹配。南方和非南部的参与者的邻里背景之间存在许多差异。南方各国对家庭医疗补助的收入阈值最低，因此更高的未经保险的个人比例更高。南部邻居的建模比较致力于运输的比例高得多（非南部场地的地点可负担性指数为28-39％），较少的参与者在县内的县内居住在提供艾滋病毒护理（55％） GA，NC的63％，76％的Al参与者在一个县内住在一个县的县，提供艾滋病毒保健，而在所有其他网站上90％））。最后，具有最高成人监禁率的国家均为南方（每10万居民：AL 820，MS 788，GA 686，FL 644）。许多南方国家选择不扩展医疗补助，在运输基础设施中投资少，并具有惊人的监禁率。艾滋病病毒卫生结果中的种族和地理差异的解决需要解决这些结构障碍。

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