Selik RM; National HIV Prevention Conference (2003 : Atlanta, Ga.).
Abstr Book 2003 Natl HIV Prev Conf July 27 30 2003 Hyatt Regency Atlanta Hotel Atlanta Ga Natl HIV Prev Conf 2003 Atlanta Ga. 2003; abstract no. MP-102.
CDC, Atlanta, GA
BACKGROUND/OBJECTIVES: National census data on U.S. populations of different Hispanic subtypes (e.g., Mexican, Cuban, Puerto Rican) recently became available for 2000. These data, in combination with similar decennial census data for 1990 and mortality data from national vital statistics for the subtypes were used to compare the changes in rates of death due to HIV infection during 1994-2000 among the Hispanic subtypes.METHODS: Data on deaths due to HIV disease during 1994-2000 were obtained from death certificates filed in all 50 states and the District of Columbia. The annual population for each Hispanic subtype during 1994-1999 was estimated by interpolating between national census data for 1990 and 2000. Age-adjusted death rates were calculated using the year 2000 US standard population. The z test was used to assess the significance of differences between death rates. Data were combined for 2 periods: 1994-1995 (before highly active antiretroviral therapy [HAART] was available) and 1996-2000 (the era of HAART), and rates for Hispanic subtypes were analyzed by sex and by geographic region.RESULTS: In every stratum defined by Hispanic subtype and sex or region, the annual age-adjusted rate of death due to HIV infection fell from a peak during 1994-1995 to a plateau during 1998-2000, but the annual numbers of deaths in some strata were too small for the rates to be reliably estimated. By multi-year period, the rate during 1996-2000 was significantly lower (p<0.002) than the rate during (1994-1995) in each stratum. Overall (for both sexes and all regions combined), the rate per 100,000 population among Puerto Ricans decreased from 90 to 34, that among Cubans decreased from 45 to 13, that among Mexicans decreased from 10 to 4, and that among Hispanics of other or unknown subtype decreased from 19 to 6. The proportional decrease in the rate ranged from 50% to 74% across the 4 regions and was not consistently greater for one subtype than another. In each period, rates were highest among persons of Puerto Rican ethnicity, second highest among persons of Cuban ethnicity, and lowest among persons of Mexican ethnicity. For each subtype and period, the rates among males were higher than the rates among females, and the female-to-male rate ratio was higher among Puerto Ricans than among each of the other subtypes.CONCLUSIONS: The proportional decreases in the rate of death due to HIV infection during 1994-2000 that coincided with availability of HAART were similar among the US Hispanic subtypes. However, for each sex and in every region and period, the death rates were consistently highest among populations of Puerto Rican ethnicity and lowest among those of Mexican ethnicity. The causes of these ethnic differences should be explored and they should be taken into account in prevention strategies.
Publication Types:
Keywords:
- Cause of Death
- Death
- District of Columbia
- Ethnic Groups
- Female
- HIV Infections
- Hispanic Americans
- Humans
- Male
- United States
- mortality
Other ID:
UI: 102261865
From Meeting Abstracts