IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2009.170241_0.html
   My bibliography  Save this article

Examination of inequalities in HIV/AIDS mortality in the United States from a fundamental cause perspective

Author

Listed:
  • Rubin, M.S.
  • Colen, C.G.
  • Link, B.G.

Abstract

Objectives. We examined changes in socioeconomic status (SES) and Black to White inequalities in HIV/AIDS mortality in the United States before and after the introduction of highly active antiretroviral therapy (HAART). Methods. Taking a fundamental cause perspective, we used negative binomial regression to analyze trends in county-level gender-, race-, and age-specific HIV/ AIDS mortality rates among those aged 15 to 64 years during the period 19872005. Results. Although HIV/AIDS mortality rates decreased once HAART became available, the declines were not uniformly distributed among population groups. The associations between SES and HIV/AIDS mortality and between race and HIV/AIDS mortality, although present in the pre-HAART period, were significantly greater in the peri- and post-HAART periods, with higher SES and White race associated with the greatest declines in mortality during the post-HAART period. Conclusions. Our findings support the fundamental cause hypothesis, as the introduction of a life-extending treatment exacerbated inequalities in HIV/AIDS mortality by SES and by race. In addition to a strong focus on factors that improve overall population health, more effective public health interventions and policies would facilitate an equitable distribution of health-enhancing innovations.

Suggested Citation

  • Rubin, M.S. & Colen, C.G. & Link, B.G., 2010. "Examination of inequalities in HIV/AIDS mortality in the United States from a fundamental cause perspective," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1053-1059.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.170241_0
    DOI: 10.2105/AJPH.2009.170241
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2009.170241
    Download Restriction: no

    File URL: https://libkey.io/10.2105/AJPH.2009.170241?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Daniel Weiss & Håvard T Rydland & Emil Øversveen & Magnus Rom Jensen & Solvor Solhaug & Steinar Krokstad, 2018. "Innovative technologies and social inequalities in health: A scoping review of the literature," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-20, April.
    2. Rubin, Marcie S. & Clouston, Sean & Link, Bruce G., 2014. "A fundamental cause approach to the study of disparities in lung cancer and pancreatic cancer mortality in the United States," Social Science & Medicine, Elsevier, vol. 100(C), pages 54-61.
    3. Hermann Pythagore Pierre Donfouet & Shukri F. Mohamed & Eric Malin, 2021. "Socioeconomic inequality in tobacco use in Kenya: a concentration analysis," International Journal of Health Economics and Management, Springer, vol. 21(2), pages 247-269, June.
    4. Zapata-Moya, Angel R. & Freese, Jeremy & Bracke, Piet, 2023. "Mechanism substitution in preventive innovations: Dissecting the reproduction of health inequalities in the United States," Social Science & Medicine, Elsevier, vol. 337(C).
    5. Barton Hamilton & Andrés Hincapié & Emma C. Kalish & Nicholas W. Papageorge, 2021. "Medical Innovation and Health Disparities," NBER Working Papers 28864, National Bureau of Economic Research, Inc.
    6. Polonijo, Andrea N. & Carpiano, Richard M., 2013. "Social inequalities in adolescent human papillomavirus (HPV) vaccination: A test of fundamental cause theory," Social Science & Medicine, Elsevier, vol. 82(C), pages 115-125.
    7. Sean A. P. Clouston & Marcie S. Rubin & Jo C. Phelan & Bruce G. Link, 2016. "A Social History of Disease: Contextualizing the Rise and Fall of Social Inequalities in Cause-Specific Mortality," Demography, Springer;Population Association of America (PAA), vol. 53(5), pages 1631-1656, October.
    8. Everett, Bethany G. & Hatzenbuehler, Mark L. & Hughes, Tonda L., 2016. "The impact of civil union legislation on minority stress, depression, and hazardous drinking in a diverse sample of sexual-minority women: A quasi-natural experiment," Social Science & Medicine, Elsevier, vol. 169(C), pages 180-190.
    9. Sam Harper & Nicholas B King & Meredith E Young, 2013. "Impact of Selective Evidence Presentation on Judgments of Health Inequality Trends: An Experimental Study," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-7, May.
    10. Irma Elo & Hiram Beltrán-Sánchez & James Macinko, 2014. "The Contribution of Health Care and Other Interventions to Black–White Disparities in Life Expectancy, 1980–2007," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(1), pages 97-126, February.
    11. Clouston, Sean A.P. & Rubin, Marcie S. & Chae, David H. & Freese, Jeremy & Nemesure, Barbara & Link, Bruce G., 2017. "Fundamental causes of accelerated declines in colorectal cancer mortality: Modeling multiple ways that disadvantage influences mortality risk," Social Science & Medicine, Elsevier, vol. 187(C), pages 1-10.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.170241_0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.