“Ending the Epidemic” Will Not Happen Without Addressing Racial/Ethnic Disparities in the United States Human Immunodeficiency Virus Epidemic

Author:

Nosyk Bohdan12,Krebs Emanuel1,Zang Xiao12,Piske Micah1,Enns Benjamin1,Min Jeong E1,Behrends Czarina N3,Del Rio Carlos4,Feaster Daniel J5,Golden Matthew6,Marshall Brandon D L7,Mehta Shruti H8,Meisel Zachary F9,Metsch Lisa R10,Pandya Ankur11,Schackman Bruce R3,Shoptaw Steven12,Strathdee Steffanie A13

Affiliation:

1. BC Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada

2. Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada

3. Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA

4. Rollins School of Public Health and Emory University School of Medicine, Atlanta, Georgia, USA

5. Department of Public Health Sciences, Leonard M. Miller School of Medicine, University of Miami, Miami, Florida, USA

6. Department of Medicine, Division of Allergy and Infectious Disease, University of Washington, Seattle, Washington, USA

7. School of Public Health, Brown University, Providence, Rhode Island, USA

8. Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA

9. Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA

10. Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York, USA

11. Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA

12. David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA

13. School of Medicine, University of California, San Diego, La Jolla, California, USA

Abstract

Abstract We estimated human immunodeficiency virus incidence and incidence rate ratios (IRRs) for black and Hispanic vs white populations in 6 cities in the United States (2020–2030). Large reductions in incidence are possible, but without elimination of disparities in healthcare access, we found that wide disparities persisted for black compared with white populations in particular (lowest IRR, 1.69 [95% credible interval, 1.19–2.30]).

Funder

National Institute on Drug Abuse

Center for Health Economics of Treatment Interventions for Substance Use Disorder, HCV, and HIV

University of California, Los Angeles Center for HIV Identification, Prevention and Treatment Services

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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