Geographic distribution of newborn HIV seroprevalence in relation to four sociodemographic variables.

Morse, Dale L.; Lessner, Lawrence; Medvesky, Michael G.; Glebatis, Donna M.; Novick, Lloyd F.

doi:10.2105/ajph.81.suppl.25

Cited by 20 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[11][12][13][14] Between 1988 and 1994, both relative and absolute risk of AIDS increased among persons in Massachusetts living in economically deprived and densely populated block-groups. Compared with those residing in the least poor block-groups, persons residing in the poorest block-groups were burdened with an excess of 309 cases per 100 000; compared with those living in the least densely populated block-groups, those living in the most densely populated block-groups had an excess of 333 cases per 100 000; compared with those living in block-groups with the smallest percentage of high-income households, those living in block-groups with the largest percentage of high-income households had 106 fewer cases per 100000 (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Conspicuously absent are data on economic conditions, 3 even though several US studies have reported that HIV infection occurs disproportionately and increasingly among the poor [4][5][6][7][8][9][10] and 4 studies have documented the incidence of AIDS or HIV in relation to economic deprivation. [11][12][13][14] Three of these studies provided AIDS incidence data stratified by economic level for 3 cities (Philadelphia, Pa, 11 Newark, NJ, 12 and Los Angeles, Calif 13 ), while the fourth analyzed economic disparities in HIV seroprevalence among newborns in New York State.…”

Section: Economic Deprivation and Aids Incidence In Massachusettsmentioning

confidence: 99%

See 1 more Smart Citation

Economic deprivation and AIDS incidence in Massachusetts

Zierler¹,

Krieger²,

Tang³

et al. 2000

Am J Public Health

104

View full text Add to dashboard Cite

OBJECTIVES: This study quantified AIDS incidence in Massachusetts in relation to economic deprivation. METHODS: Using 1990 census block-group data, 1990 census population counts, and AIDS surveillance registry data for the years 1988 through 1994, we generated yearly and cumulative AIDS incidence data for the state of Massachusetts stratified by sex and by neighborhood measures of economic position for the total, Black, Hispanic, and White populations. RESULTS: Incidence of AIDS increased with economic deprivation, with the magnitude of these trends varying by both race/ethnicity and sex. The cumulative incidence of AIDS in the total population was nearly 7 times higher among persons in block-groups where 40% or more of the population was below the poverty line (362 per 100,000) than among persons in block-groups where less than 2% of the population was below poverty (53 per 100,000). CONCLUSIONS: Observing patterns of disease burden in relation to neighborhood levels of economic well-being elucidates further the role of poverty as a population-level determinant of disease burden. Public health agencies and researchers can use readily available census data to describe neighborhood-level socioeconomic conditions. Such knowledge expands options for disease prevention and increases the visibility of economic inequality as an underlying cause of AIDS.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Economic Deprivation and Aids Incidence In Massachusettsmentioning

confidence: 99%

Economic deprivation and AIDS incidence in Massachusetts

Zierler¹,

Krieger²,

Tang³

et al. 2000

Am J Public Health

104

View full text Add to dashboard Cite

show abstract

“…Research on HIV-infected women tends to focus on prevalence (Morse, Lessner, Medvesky, Glebatis, & Novick, 1991), women's knowledge of HIV/AIDS and of risk avoidance (Hale, Char, Nagy, & Stockert, 1993;Harrison et al, 1991), and the capacity of women to infect men (Rosser, 1991;Smeltzer & Whipple, 1991). Researchers have also explored the effect of maternal HIV/AIDS on children (Ehrnst et al, 1991;Michaels, 1992;Van de Perre et al, 1993;Wilfert, 1991).…”

Section: Review Of Literaturementioning

confidence: 99%

Problem‐Focused Coping in HIV‐Infected Mothers in Relation to Self‐Efficacy, Uncertainty, Social Support, and Psychological Distress

Sharts‐Hopko

Regan-Kubinski

Lincoln³

et al. 1996

Image: the Journal of Nursing Scholarship

View full text Add to dashboard Cite

A preliminary investigation of relationships among perceived self-efficacy, uncertainty, social support, psychological distress, and problem-focused coping was conducted in a convenience sample of 41 HIV-infected mothers. The mothers represented 93% of the clients in a large HIV clinic in 1992 who met the study criteria. Support was found for using Lazarus and Folkman's stress, appraisal, and coping framework to understand the health-related needs of HIV-infected mothers. Maternal coping was related to living with one's children and their HIV-status. The feasibility of studying this population of women was demonstrated. Findings suggest the need for exploration of family-focused interventions.

show abstract

“…After mandated newborn screening tests are completed, some specimens are inevitably designated as being of a "quantity not sufficient" (QNS) for HIV-1 antibody testing. The 10.04) for 1/8-in blood spots and 7.26 (range = 5.36to8.59) for 1/4-in blood spots (P < .01).…”

Section: Introductionmentioning

confidence: 84%

Improving estimates of HIV-1 seroprevalence among childbearing women: use of smaller blood spots.

Hoxie¹,

Vergeront²,

Pfister³

et al. 1992

Am J Public Health

View full text Add to dashboard Cite

OBJECTIVES. Nationwide, human immunodeficiency virus type 1 (HIV-1) seroprevalence surveys using dried neonatal blood specimens are critical to estimating HIV-1 seroprevalence among childbearing women. However, the noninclusion of blood specimens deemed "quantity not sufficient" (QNS) for HIV-1 antibody testing potentially introduces bias. In Wisconsin beginning in 1990, we modified the survey protocol to reduce QNS rates and assess bias introduced by QNS specimens. METHODS. The HIV-1 antibody assay was modified to use four 1/8-in blood spots when a single 1/4-in blood spot could not be obtained. Both methods obtain identical blood volumes for testing. RESULTS. During a 27-month period, 7396 (4.8%) of 154,683 specimens were deemed QNS using 1/4-in blood spots. Of these, 6590 (89%) were of sufficient quantity to be tested using four 1/8-in blood spots; 6 (0.09%) specimens tested with 1/8-in blood spots were HIV-1 Western blot assay positive compared with 44 (0.03%) of 147,287 1/4-in specimens (odds ratio = 3.0; 95% confidence interval = 1.2, 7.4). CONCLUSIONS. Because noninclusion of QNS specimens potentially introduces bias, incorporating the results of HIV-1 antibody testing of QNS specimens using four 1/8-in blood spots can improve the accuracy of HIV-1 seroprevalence estimates in these serologic surveys.

show abstract

Geographic distribution of newborn HIV seroprevalence in relation to four sociodemographic variables.

Cited by 20 publications

References 13 publications

Economic deprivation and AIDS incidence in Massachusetts

Economic deprivation and AIDS incidence in Massachusetts

Problem‐Focused Coping in HIV‐Infected Mothers in Relation to Self‐Efficacy, Uncertainty, Social Support, and Psychological Distress

Improving estimates of HIV-1 seroprevalence among childbearing women: use of smaller blood spots.

Contact Info

Product

Resources

About