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 language | English (US) |
|---|---|
| Journal | AIDS and Behavior |
| DOIs | |
| State | Accepted/In press - Jan 1 2020 |
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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 journal › Article
}
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 -