The association between all-cause mortality and HIV acquisition risk groups in the United States, 2001-2014.
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ABSTRACT: Objective
To investigate associations between all-cause mortality and human immunodeficiency virus (HIV) acquisition risk groups among people without HIV in the United States.Methods
We used data from 23,657 (NHANES) participants (2001-2014) and the Linked Mortality File to classify individuals without known HIV into HIV acquisition risk groups: people who ever injected drugs (ever-PWID); men who have sex with men (MSM); heterosexually active people at increased risk for HIV (HIH), using low income as a proxy for increased risk. We used Cox proportional hazards models to estimate adjusted and unadjusted all-cause mortality hazard ratios (HR) with 95% confidence intervals (CI).Results
Compared with sex-specific heterosexually active people at average risk for HIV (HAH), the adjusted HR (95% CI) were: male ever-PWID 1.67 (1.14, 2.46), female ever-PWID 3.50 (2.04, 6.01), MSM 1.51 (1.00, 2.27), male HIH 1.68 (1.04, 2.06), female HIH 2.35 (1.87, 2.95), and male ever-PWID 1.67 (1.14, 2.46).Conclusions
Most people at increased risk for HIV in the US experience higher all-cause mortality than people at average risk. Strategies addressing social determinants that increase HIV risk should be incorporated into HIV prevention and other health promotion programs.
SUBMITTER: Shebl FM
PROVIDER: S-EPMC10434931 | biostudies-literature | 2023
REPOSITORIES: biostudies-literature
Publications
The association between all-cause mortality and HIV acquisition risk groups in the United States, 2001-2014.
Shebl Fatma M FM Qian Yiqi Y Foote Julia H A JHA Wattananimitgul Nattanicha N Reddy Krishna P KP Neilan Anne M AM Ciaranello Andrea L AL Losina Elena E Freedberg Kenneth A KA Hyle Emily P EP
PloS one 20230817 8
<h4>Objective</h4>To investigate associations between all-cause mortality and human immunodeficiency virus (HIV) acquisition risk groups among people without HIV in the United States.<h4>Methods</h4>We used data from 23,657 (NHANES) participants (2001-2014) and the Linked Mortality File to classify individuals without known HIV into HIV acquisition risk groups: people who ever injected drugs (ever-PWID); men who have sex with men (MSM); heterosexually active people at increased risk for HIV (HIH ...[more]
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