Understanding Racial Disparities in HIV Using Data From the Veterans Aging Cohort 3-Site Study and VA Administrative Data
We identified race-associated differences in survival among HIV-positive US veterans to examine possible etiologies for these differences. We used national administrative data to compare survival by race and used data from the Veterans Aging Cohort 3-Site Study (VACS 3) to compare patients' hea...
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| Veröffentlicht in: | American journal of public health (1971) 2003-10, Vol.93 (10), p.1728-1733 |
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| container_title | American journal of public health (1971) |
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| creator | McGinnis, Kathleen A Fine, Michael J Sharma, Ravi K Skanderson, Melissa Wagner, Joseph H Rodriguez-Barradas, Maria C Rabeneck, Linda Justice, Amy C |
| description | We identified race-associated differences in survival among HIV-positive US veterans to examine possible etiologies for these differences.
We used national administrative data to compare survival by race and used data from the Veterans Aging Cohort 3-Site Study (VACS 3) to compare patients' health status, clinical management, and adherence to medication by race.
Nationally, minority veterans had higher mortality rates than did white veterans with HIV. Minority veterans had poorer health than white veterans with HIV. No significant differences were found in clinical management or adherence.
HIV-positive minority veterans experience poorer survival than white veterans. This difference may derive from differences in comorbidities and in the severity of illness of HIV-related disease. |
| doi_str_mv | 10.2105/AJPH.93.10.1728 |
| format | Article |
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We used national administrative data to compare survival by race and used data from the Veterans Aging Cohort 3-Site Study (VACS 3) to compare patients' health status, clinical management, and adherence to medication by race.
Nationally, minority veterans had higher mortality rates than did white veterans with HIV. Minority veterans had poorer health than white veterans with HIV. No significant differences were found in clinical management or adherence.
HIV-positive minority veterans experience poorer survival than white veterans. This difference may derive from differences in comorbidities and in the severity of illness of HIV-related disease.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.93.10.1728</identifier><identifier>PMID: 14534229</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>Adult ; African Americans - psychology ; African Americans - statistics & numerical data ; Aged ; Aging ; Antiretroviral Therapy, Highly Active - statistics & numerical data ; Biological and medical sciences ; Cardiovascular disease ; Cohort analysis ; Cohort Studies ; Comorbidity ; Disease Management ; Etiology ; European Continental Ancestry Group - psychology ; European Continental Ancestry Group - statistics & numerical data ; Female ; Health care policy ; Health insurance ; Hispanic Americans ; Hispanic Americans - psychology ; Hispanic Americans - statistics & numerical data ; HIV ; HIV Seropositivity - drug therapy ; HIV Seropositivity - ethnology ; HIV Seropositivity - mortality ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Illnesses ; Indigent care ; Inequality ; Infections ; Infectious diseases ; Laboratories ; Male ; Medical prognosis ; Medical records ; Medical sciences ; Middle Aged ; Mortality ; Mortality rate ; Patient Acceptance of Health Care - ethnology ; Patient Compliance - ethnology ; Patients ; Pharmacy ; Pneumonia ; Proportional Hazards Models ; Public health ; Race ; Racial differences ; Racial inequalities ; Research and Practice ; Socioeconomic Factors ; Substance abuse treatment ; Survival Analysis ; Treatment ; United States - epidemiology ; United States Department of Veterans Affairs ; USA ; Veterans ; Veterans - classification ; Veterans - statistics & numerical data ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids</subject><ispartof>American journal of public health (1971), 2003-10, Vol.93 (10), p.1728-1733</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright American Public Health Association Oct 2003</rights><rights>American Journal of Public Health 2003 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-447c34437c78f84decd2025febe6234bca1f2af16d53e39ac37dd30ce093950b3</citedby><cites>FETCH-LOGICAL-c510t-447c34437c78f84decd2025febe6234bca1f2af16d53e39ac37dd30ce093950b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448041/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448041/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27847,27905,27906,30981,53772,53774</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15202047$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14534229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGinnis, Kathleen A</creatorcontrib><creatorcontrib>Fine, Michael J</creatorcontrib><creatorcontrib>Sharma, Ravi K</creatorcontrib><creatorcontrib>Skanderson, Melissa</creatorcontrib><creatorcontrib>Wagner, Joseph H</creatorcontrib><creatorcontrib>Rodriguez-Barradas, Maria C</creatorcontrib><creatorcontrib>Rabeneck, Linda</creatorcontrib><creatorcontrib>Justice, Amy C</creatorcontrib><creatorcontrib>Veterans Aging Cohort 3-Site Study (VACS 3)</creatorcontrib><title>Understanding Racial Disparities in HIV Using Data From the Veterans Aging Cohort 3-Site Study and VA Administrative Data</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>We identified race-associated differences in survival among HIV-positive US veterans to examine possible etiologies for these differences.
We used national administrative data to compare survival by race and used data from the Veterans Aging Cohort 3-Site Study (VACS 3) to compare patients' health status, clinical management, and adherence to medication by race.
Nationally, minority veterans had higher mortality rates than did white veterans with HIV. Minority veterans had poorer health than white veterans with HIV. No significant differences were found in clinical management or adherence.
HIV-positive minority veterans experience poorer survival than white veterans. This difference may derive from differences in comorbidities and in the severity of illness of HIV-related disease.</description><subject>Adult</subject><subject>African Americans - psychology</subject><subject>African Americans - statistics & numerical data</subject><subject>Aged</subject><subject>Aging</subject><subject>Antiretroviral Therapy, Highly Active - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular disease</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Disease Management</subject><subject>Etiology</subject><subject>European Continental Ancestry Group - psychology</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Health care policy</subject><subject>Health insurance</subject><subject>Hispanic Americans</subject><subject>Hispanic Americans - psychology</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>HIV</subject><subject>HIV Seropositivity - drug therapy</subject><subject>HIV Seropositivity - ethnology</subject><subject>HIV Seropositivity - mortality</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Indigent care</subject><subject>Inequality</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Mortality rate</subject><subject>Patient Acceptance of Health Care - ethnology</subject><subject>Patient Compliance - ethnology</subject><subject>Patients</subject><subject>Pharmacy</subject><subject>Pneumonia</subject><subject>Proportional Hazards Models</subject><subject>Public health</subject><subject>Race</subject><subject>Racial differences</subject><subject>Racial inequalities</subject><subject>Research and Practice</subject><subject>Socioeconomic Factors</subject><subject>Substance abuse treatment</subject><subject>Survival Analysis</subject><subject>Treatment</subject><subject>United States - epidemiology</subject><subject>United States Department of Veterans Affairs</subject><subject>USA</subject><subject>Veterans</subject><subject>Veterans - classification</subject><subject>Veterans - statistics & numerical data</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc9v0zAUxy0EYmVw5oYsJBCXdHZs1_FlUtUxOjQJxGivlms7javEKbYz1P8eh1ZscOHk9_Q-_r4fXwBeYzQtMWIX889fl1NBpjnHvKyegAlmFBcI0eopmCAkUI7J7Ay8iHGHEMaC4efgDFNGaFmKCTisvLEhJuWN81v4TWmnWnjl4l4Fl5yN0Hm4vFnDVRzrVyopeB36DqbGwrVNNigf4Xw7Fhd904cESXHnkoV3aTAHmHXheg7npnPexRRUcvf2t8xL8KxWbbSvTu85WF1__L5YFrdfPt0s5reFZhilglKuCaWEa17VFTVWmxKVrLYbOysJ3WiF61LVeGYYsUQoTbgxBGmLBBEMbcg5uDzq7odNZ422Pk_Ryn1wnQoH2Ssn_65418htfy8xpRWiOAu8PwmE_sdgY5Kdi9q2rfK2H6LkjDNKhfgvyDiqOJ6Nim__AXf9EHy-gixx3hohzjN0cYR06GMMtv4zMkZyNF-O5ktBxnw0P_9483jTB_7kdgbenQAVtWrr7J128YFj-bKIjq0_HLnGbZufLlgZO9W2WRZLtds3j3r-AvfTxPs</recordid><startdate>20031001</startdate><enddate>20031001</enddate><creator>McGinnis, Kathleen A</creator><creator>Fine, Michael J</creator><creator>Sharma, Ravi K</creator><creator>Skanderson, Melissa</creator><creator>Wagner, Joseph H</creator><creator>Rodriguez-Barradas, Maria C</creator><creator>Rabeneck, Linda</creator><creator>Justice, Amy C</creator><general>Am Public Health Assoc</general><general>American Public Health Association</general><general>American Journal of Public Health 2003</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>LK8</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7QJ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20031001</creationdate><title>Understanding Racial Disparities in HIV Using Data From the Veterans Aging Cohort 3-Site Study and VA Administrative Data</title><author>McGinnis, Kathleen A ; 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Maria C</au><au>Rabeneck, Linda</au><au>Justice, Amy C</au><aucorp>Veterans Aging Cohort 3-Site Study (VACS 3)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Understanding Racial Disparities in HIV Using Data From the Veterans Aging Cohort 3-Site Study and VA Administrative Data</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2003-10-01</date><risdate>2003</risdate><volume>93</volume><issue>10</issue><spage>1728</spage><epage>1733</epage><pages>1728-1733</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>We identified race-associated differences in survival among HIV-positive US veterans to examine possible etiologies for these differences.
We used national administrative data to compare survival by race and used data from the Veterans Aging Cohort 3-Site Study (VACS 3) to compare patients' health status, clinical management, and adherence to medication by race.
Nationally, minority veterans had higher mortality rates than did white veterans with HIV. Minority veterans had poorer health than white veterans with HIV. No significant differences were found in clinical management or adherence.
HIV-positive minority veterans experience poorer survival than white veterans. This difference may derive from differences in comorbidities and in the severity of illness of HIV-related disease.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>14534229</pmid><doi>10.2105/AJPH.93.10.1728</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0090-0036 |
| ispartof | American journal of public health (1971), 2003-10, Vol.93 (10), p.1728-1733 |
| issn | 0090-0036 1541-0048 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1448041 |
| source | MEDLINE; PAIS Index; Business Source Complete; Applied Social Sciences Index & Abstracts (ASSIA); Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult African Americans - psychology African Americans - statistics & numerical data Aged Aging Antiretroviral Therapy, Highly Active - statistics & numerical data Biological and medical sciences Cardiovascular disease Cohort analysis Cohort Studies Comorbidity Disease Management Etiology European Continental Ancestry Group - psychology European Continental Ancestry Group - statistics & numerical data Female Health care policy Health insurance Hispanic Americans Hispanic Americans - psychology Hispanic Americans - statistics & numerical data HIV HIV Seropositivity - drug therapy HIV Seropositivity - ethnology HIV Seropositivity - mortality Human immunodeficiency virus Human viral diseases Humans Illnesses Indigent care Inequality Infections Infectious diseases Laboratories Male Medical prognosis Medical records Medical sciences Middle Aged Mortality Mortality rate Patient Acceptance of Health Care - ethnology Patient Compliance - ethnology Patients Pharmacy Pneumonia Proportional Hazards Models Public health Race Racial differences Racial inequalities Research and Practice Socioeconomic Factors Substance abuse treatment Survival Analysis Treatment United States - epidemiology United States Department of Veterans Affairs USA Veterans Veterans - classification Veterans - statistics & numerical data Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| title | Understanding Racial Disparities in HIV Using Data From the Veterans Aging Cohort 3-Site Study and VA Administrative Data |
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