Racial, ethnic, and gender disparities in hospitalizations among persons with HIV in the United States and Canada, 2005–2015
| Autor: | David A. Wohl, Richard D. Moore, Stephen A. Berry, Jennifer E. Thorne, Tonia Poteat, Kelly A. Gebo, Stephen R. Cole, Thibaut Davy-Mendez, Ni Gusti Ayu Nanditha, Keri N. Althoff, David van Duin, Michael A. Horberg, M. John Gill, Sonia Napravnik, Michael J. Silverberg, Joseph J. Eron |
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| Rok vydání: | 2021 |
| Předmět: |
Male
0301 basic medicine Canada Adolescent Immunology Ethnic group HIV Infections Disease Article Indigenous 03 medical and health sciences symbols.namesake 0302 clinical medicine Transgender Ethnicity Humans Immunology and Allergy Medicine 030212 general & internal medicine Poisson regression business.industry Hispanic or Latino United States Confidence interval Black or African American Hospitalization 030104 developmental biology Infectious Diseases Cohort symbols Female business Viral load Demography |
| Zdroj: | AIDS |
| ISSN: | 1473-5571 0269-9370 |
| DOI: | 10.1097/qad.0000000000002876 |
| Popis: | OBJECTIVE To examine recent trends and differences in all-cause and cause-specific hospitalization rates by race, ethnicity, and gender among persons with HIV (PWH) in the United States and Canada. DESIGN HIV clinical cohort consortium. METHODS We followed PWH at least 18 years old in care 2005-2015 in six clinical cohorts. We used modified Clinical Classifications Software to categorize hospital discharge diagnoses. Incidence rate ratios (IRR) were estimated using Poisson regression with robust variances to compare racial and ethnic groups, stratified by gender, adjusted for cohort, calendar year, injection drug use history, and annually updated age, CD4+, and HIV viral load. RESULTS Among 27 085 patients (122 566 person-years), 80% were cisgender men, 1% transgender, 43% White, 33% Black, 17% Hispanic of any race, and 1% Indigenous. Unadjusted all-cause hospitalization rates were higher for Black [IRR 1.46, 95% confidence interval (CI) 1.32-1.61] and Indigenous (1.99, 1.44-2.74) versus White cisgender men, and for Indigenous versus White cisgender women (2.55, 1.68-3.89). Unadjusted AIDS-related hospitalization rates were also higher for Black, Hispanic, and Indigenous versus White cisgender men (all P |
| Databáze: | OpenAIRE |
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