SOCIOECONOMIC DIFFERENCES AMONG PEOPLE WITH AIDS - RESULTS FROM A MULTISTATE SURVEILLANCE PROJECT

SOCIOECONOMIC DIFFERENCES AMONG PEOPLE WITH AIDS - RESULTS FROM A MULTISTATE SURVEILLANCE PROJECT
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DOI:
10.1016/s0749-3797(18)30594-4
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发表时间:
1994-07-01
影响因子:
5.5
通讯作者:
HERSH, BS
HERSH, BS
中科院分区:
医学2区
文献类型:
--
作者:
DIAZ, T;CHU, SY;HERSH, BS

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为了描述获得性免疫缺陷综合征(AIDS)患者的社会经济状况,美国11个州和市卫生部门采访了1990年6月1日至1993年1月31日期间报告的2898名年龄大于或等于18岁的艾滋病患者。在与男性发生性关系的男性中,白人男性报告的比例最低(9%),中南美洲男性(50%)和墨西哥男性(40%)报告的未完成12年学校教育的比例最高。在静脉注射吸毒者中,35%的白人男性、%的黑人男性、67%的波多黎各男性、29%的白人女性和63%的黑人女性没有完成12年的学业。总体而言,77%的男性和90%的女性失业;我们还发现了就业方面的种族/民族差异,但程度低于教育方面的差异。在女性中,不同种族和民族的家庭收入存在显著差异;76%的白人和91%的黑人女性吸毒者报告家庭收入为10,000美元。人类免疫缺陷病毒(HIV)预防方案必须针对服务人群的教育水平,艾滋病毒服务必须适应其客户的经济状况。
To characterize the socioeconomic status of persons with acquired immunodeficiency syndrome (AIDS), 11 U.S. state and city health departments interviewed 2,898 persons greater-than-or-equal-to 18 years of age reported with AIDS between June 1, 1990, and January 31, 1993. Among men who have sex with men, white men reported the lowest percentage (9%), and Central/South American (50%) and Mexican men (40%) reported the highest percentages not completing 12 years of school. Among intravenous drug users (IDUs), 35% of white men, 64% of black men, 67% of Puerto Rican men, 29% of white women, and 63% of black women had not completed 12 years of school. Overall, 77% of the men and 90% of the women were unemployed; we also found racial/ethnic differences by employment but to a lesser degree than differences in education. Among women, but not among men, differences in household income by race and ethnicity were marked; 76% of white and 91% of black female IDUs reported a household income of $10,000. Human immunodeficiency virus (HIV) prevention programs must be targeted toward the educational level of the populations served, and HIV services must adapt to the financial circumstances of their clientele.