Neighborhood Poverty and Control of HIV, Hypertension, and Diabetes in the Women’s Interagency HIV Study

Anna B. Cope, Andrew Edmonds, Christina Ludema, Stephen R. Cole, Joseph J. Eron, Kathryn Anastos, Jennifer Cocohoba, Mardge Cohen, Igho Ofotokun, Elizabeth T. Golub, Seble Kassaye, Deborah Konkle-Parker, Lisa R. Metsch, Tracey E. Wilson, Adaora A. Adimora

Research output: Contribution to journalArticle

Abstract

Neighborhoods with high poverty rates have limited resources to support residents’ health. Using census data, we calculated the proportion of each Women’s Interagency HIV Study participant’s census tract (neighborhood) living below the poverty line. We assessed associations between neighborhood poverty and (1) unsuppressed viral load [VL] in HIV-seropositive women, (2) uncontrolled blood pressure among HIV-seropositive and HIV-seronegative hypertensive women, and (3) uncontrolled diabetes among HIV-seropositive and HIV-seronegative diabetic women using modified Poisson regression models. Neighborhood poverty was associated with unsuppressed VL in HIV-seropositive women (> 40% versus ≤ 20% poverty adjusted prevalence ratio (PR), 1.42; 95% confidence interval (CI) 1.04–1.92). In HIV-seronegative diabetic women, moderate neighborhood poverty was associated with uncontrolled diabetes (20–40% versus ≤ 20% poverty adjusted PR, 1.75; 95% CI 1.02–2.98). Neighborhood poverty was associated with neither uncontrolled diabetes among HIV-seropositive diabetic women, nor uncontrolled hypertension in hypertensive women, regardless of HIV status. Women living in areas with concentrated poverty may need additional resources to control health conditions effectively.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Jan 1 2020

Fingerprint

Poverty
HIV
Hypertension
Censuses
Viral Load
Confidence Intervals
Health
Blood Pressure

Keywords

  • Blood pressure
  • Census tract
  • Contextual poverty
  • Health disparity
  • Viral suppression

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Neighborhood Poverty and Control of HIV, Hypertension, and Diabetes in the Women’s Interagency HIV Study. / Cope, Anna B.; Edmonds, Andrew; Ludema, Christina; Cole, Stephen R.; Eron, Joseph J.; Anastos, Kathryn; Cocohoba, Jennifer; Cohen, Mardge; Ofotokun, Igho; Golub, Elizabeth T.; Kassaye, Seble; Konkle-Parker, Deborah; Metsch, Lisa R.; Wilson, Tracey E.; Adimora, Adaora A.

In: AIDS and Behavior, 01.01.2020.

Research output: Contribution to journalArticle

Cope, AB, Edmonds, A, Ludema, C, Cole, SR, Eron, JJ, Anastos, K, Cocohoba, J, Cohen, M, Ofotokun, I, Golub, ET, Kassaye, S, Konkle-Parker, D, Metsch, LR, Wilson, TE & Adimora, AA 2020, 'Neighborhood Poverty and Control of HIV, Hypertension, and Diabetes in the Women’s Interagency HIV Study', AIDS and Behavior. https://doi.org/10.1007/s10461-019-02757-5
Cope, Anna B. ; Edmonds, Andrew ; Ludema, Christina ; Cole, Stephen R. ; Eron, Joseph J. ; Anastos, Kathryn ; Cocohoba, Jennifer ; Cohen, Mardge ; Ofotokun, Igho ; Golub, Elizabeth T. ; Kassaye, Seble ; Konkle-Parker, Deborah ; Metsch, Lisa R. ; Wilson, Tracey E. ; Adimora, Adaora A. / Neighborhood Poverty and Control of HIV, Hypertension, and Diabetes in the Women’s Interagency HIV Study. In: AIDS and Behavior. 2020.
@article{d1792058e2a84f6a802393fc85f3b025,
title = "Neighborhood Poverty and Control of HIV, Hypertension, and Diabetes in the Women’s Interagency HIV Study",
abstract = "Neighborhoods with high poverty rates have limited resources to support residents’ health. Using census data, we calculated the proportion of each Women’s Interagency HIV Study participant’s census tract (neighborhood) living below the poverty line. We assessed associations between neighborhood poverty and (1) unsuppressed viral load [VL] in HIV-seropositive women, (2) uncontrolled blood pressure among HIV-seropositive and HIV-seronegative hypertensive women, and (3) uncontrolled diabetes among HIV-seropositive and HIV-seronegative diabetic women using modified Poisson regression models. Neighborhood poverty was associated with unsuppressed VL in HIV-seropositive women (> 40{\%} versus ≤ 20{\%} poverty adjusted prevalence ratio (PR), 1.42; 95{\%} confidence interval (CI) 1.04–1.92). In HIV-seronegative diabetic women, moderate neighborhood poverty was associated with uncontrolled diabetes (20–40{\%} versus ≤ 20{\%} poverty adjusted PR, 1.75; 95{\%} CI 1.02–2.98). Neighborhood poverty was associated with neither uncontrolled diabetes among HIV-seropositive diabetic women, nor uncontrolled hypertension in hypertensive women, regardless of HIV status. Women living in areas with concentrated poverty may need additional resources to control health conditions effectively.",
keywords = "Blood pressure, Census tract, Contextual poverty, Health disparity, Viral suppression",
author = "Cope, {Anna B.} and Andrew Edmonds and Christina Ludema and Cole, {Stephen R.} and Eron, {Joseph J.} and Kathryn Anastos and Jennifer Cocohoba and Mardge Cohen and Igho Ofotokun and Golub, {Elizabeth T.} and Seble Kassaye and Deborah Konkle-Parker and Metsch, {Lisa R.} and Wilson, {Tracey E.} and Adimora, {Adaora A.}",
year = "2020",
month = "1",
day = "1",
doi = "10.1007/s10461-019-02757-5",
language = "English (US)",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",

}

TY - JOUR

T1 - Neighborhood Poverty and Control of HIV, Hypertension, and Diabetes in the Women’s Interagency HIV Study

AU - Cope, Anna B.

AU - Edmonds, Andrew

AU - Ludema, Christina

AU - Cole, Stephen R.

AU - Eron, Joseph J.

AU - Anastos, Kathryn

AU - Cocohoba, Jennifer

AU - Cohen, Mardge

AU - Ofotokun, Igho

AU - Golub, Elizabeth T.

AU - Kassaye, Seble

AU - Konkle-Parker, Deborah

AU - Metsch, Lisa R.

AU - Wilson, Tracey E.

AU - Adimora, Adaora A.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Neighborhoods with high poverty rates have limited resources to support residents’ health. Using census data, we calculated the proportion of each Women’s Interagency HIV Study participant’s census tract (neighborhood) living below the poverty line. We assessed associations between neighborhood poverty and (1) unsuppressed viral load [VL] in HIV-seropositive women, (2) uncontrolled blood pressure among HIV-seropositive and HIV-seronegative hypertensive women, and (3) uncontrolled diabetes among HIV-seropositive and HIV-seronegative diabetic women using modified Poisson regression models. Neighborhood poverty was associated with unsuppressed VL in HIV-seropositive women (> 40% versus ≤ 20% poverty adjusted prevalence ratio (PR), 1.42; 95% confidence interval (CI) 1.04–1.92). In HIV-seronegative diabetic women, moderate neighborhood poverty was associated with uncontrolled diabetes (20–40% versus ≤ 20% poverty adjusted PR, 1.75; 95% CI 1.02–2.98). Neighborhood poverty was associated with neither uncontrolled diabetes among HIV-seropositive diabetic women, nor uncontrolled hypertension in hypertensive women, regardless of HIV status. Women living in areas with concentrated poverty may need additional resources to control health conditions effectively.

AB - Neighborhoods with high poverty rates have limited resources to support residents’ health. Using census data, we calculated the proportion of each Women’s Interagency HIV Study participant’s census tract (neighborhood) living below the poverty line. We assessed associations between neighborhood poverty and (1) unsuppressed viral load [VL] in HIV-seropositive women, (2) uncontrolled blood pressure among HIV-seropositive and HIV-seronegative hypertensive women, and (3) uncontrolled diabetes among HIV-seropositive and HIV-seronegative diabetic women using modified Poisson regression models. Neighborhood poverty was associated with unsuppressed VL in HIV-seropositive women (> 40% versus ≤ 20% poverty adjusted prevalence ratio (PR), 1.42; 95% confidence interval (CI) 1.04–1.92). In HIV-seronegative diabetic women, moderate neighborhood poverty was associated with uncontrolled diabetes (20–40% versus ≤ 20% poverty adjusted PR, 1.75; 95% CI 1.02–2.98). Neighborhood poverty was associated with neither uncontrolled diabetes among HIV-seropositive diabetic women, nor uncontrolled hypertension in hypertensive women, regardless of HIV status. Women living in areas with concentrated poverty may need additional resources to control health conditions effectively.

KW - Blood pressure

KW - Census tract

KW - Contextual poverty

KW - Health disparity

KW - Viral suppression

UR - http://www.scopus.com/inward/record.url?scp=85077536100&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85077536100&partnerID=8YFLogxK

U2 - 10.1007/s10461-019-02757-5

DO - 10.1007/s10461-019-02757-5

M3 - Article

AN - SCOPUS:85077536100

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

ER -