Dataset Information

Interstate Mobility of People With Diagnosed HIV in the United States, 2011-2019.

ABSTRACT:

Objective

Assessing mobility among people with HIV is an important consideration when measuring HIV incidence, prevalence, and the care continuum in the United States. Our aims were to measure mobility among people with HIV compared with the general population and to examine factors associated with migration among people with HIV.

Methods

We calculated state-to-state move-in and move-out migration rates for 2011 through 2019 using National HIV Surveillance System data for people with HIV and using US Census data for the general population. For people with HIV, we also assessed the association between migration and HIV care outcomes.

Results

From 2011 through 2019, the US general population had stable migration, whereas migration rates among people with HIV fluctuated and were higher than among the general population. Among people with HIV, migration rates in 2019 were higher among people assigned male sex at birth versus female sex at birth, among people aged ≤24 years versus ≥25 years, among people with HIV infection attributed to male-to-male sexual contact versus other transmission categories, and among non-Hispanic Other people (ie, American Indian or Alaska Native, Asian, Native Hawaiian or Other Pacific Islander, or multiple races) versus Hispanic, non-Hispanic Black, and non-Hispanic White people. Receipt of HIV medical care (90.3% vs 75.5%) and achieving viral suppression (72.1% vs 65.3%) were higher among people with HIV who migrated versus those who did not.

Conclusions

People with HIV in the United States are more mobile than the general population. Determining the mobility of people with HIV can help with strategic allocation of HIV prevention and care resources.

SUBMITTER: Okello A

PROVIDER: S-EPMC11284974 | biostudies-literature | 2024 Jul-Aug

REPOSITORIES: biostudies-literature

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Publications

Interstate Mobility of People With Diagnosed HIV in the United States, 2011-2019.

Okello Amanda A Song Ruiguang R Hall H Irene HI Dailey André A Satcher Johnson Anna A

Public health reports (Washington, D.C. : 1974) 20231203 4

<h4>Objective</h4>Assessing mobility among people with HIV is an important consideration when measuring HIV incidence, prevalence, and the care continuum in the United States. Our aims were to measure mobility among people with HIV compared with the general population and to examine factors associated with migration among people with HIV.<h4>Methods</h4>We calculated state-to-state move-in and move-out migration rates for 2011 through 2019 using National HIV Surveillance System data for people w ...[more]

PMID: 38044633

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Project description:ImportanceInterstate gun flow has critical implications for gun violence prevention, as gun transfers across state lines can undermine local gun control policies.ObjectiveTo identify possible gun trafficking routes along interstate highways in the US.Design, setting, and participantsThis repeated-measures, ecological, cross-sectional study used data from the Bureau of Alcohol, Tobacco, Firearms and Explosives from January 1, 2010, to December 31, 2019, to examine associations between interstate connections via 13 highways that each spanned at least 1000 miles and interstate traced gun transfer counts for the 48 contiguous United States. Analyses were completed in November 2023.ExposuresCharacteristics of the origin states and the transportation connections between the destination state and the origin states.Main outcomes and measuresThe main outcome was the total count of guns used in crimes in each destination state per year that were originally purchased in the origin state. Bayesian conditional autoregressive Poisson models were used to examine associations between the count of guns used in crime traced to interstate purchases and interstate highway connections between origin and destination states.ResultsBetween 2010 and 2019, 526 801 guns used in crimes in the contiguous 48 states were traced to interstate purchases. Northbound gun transfers along the Interstate 95 corridor were greater than expected to New Jersey (incidence rate ratio [IRR], 2.80; 95% credible interval [CrI], 1.01-7.68) and Maryland (IRR, 3.07; 95% CrI, 1.09-8.61); transfers were similarly greater along Interstate 15 southbound, Interstate 25 southbound, Interstate 35 southbound, Interstate 75 northbound and southbound, Interstate 10 westbound, and Interstate 20 eastbound and westbound.Conclusions and relevanceThis repeated-measures, ecological, cross-sectional study identified that guns used in crimes traced to interstate purchases moved routinely between states along multiple major transportation routes. Interstate gun transfers are a major contributor to gun crime, injury, and death in the US. National policies and interstate cooperation are needed to address this issue.

Dataset Information

Interstate Mobility of People With Diagnosed HIV in the United States, 2011-2019.

Objective

Methods

Results

Conclusions

Publications

Interstate Mobility of People With Diagnosed HIV in the United States, 2011-2019.

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