Florida International University, Miami, USA.
J Natl Med Assoc. 2010 Dec;102(12):1131-8. doi: 10.1016/s0027-9684(15)30767-7.
Ethnic minority populations have been disproportionately affected by the HIV disease. The objective of this report was to assess the prevalence and trend of HIV-related hospitalization and mortality in Florida in 2000 through 2005 by 6 sex- race/ethnic groups.
Using data from the Florida Agency for Health Care Administration from 2000 through 2005, discharge records with primary or secondary diagnosis of HIV infection were included, and chi2 and Cochran-Armitage tests and multiple regression models were used in analyses.
Of all HIV-related hospitalizations (N = 159695), about 56%, 28%, and 12% of records belonged to blacks, whites, and Hispanics, respectively. The average proportions of HIV hospitalization during the period of 2000-2005 were approximately 29% (black male), 27% (black female), 22% (white male), 9% (Hispanic male), 6% (white female), and 3% (Hispanic female) (all p < .01). The frequencies of death were the highest among black males followed by black females, white males, Hispanic males, white females, and Hispanic females.
Sex-racial/ethnic disparities are evident in the HIV-related hospital utilizations and deaths. Further research is needed to understand the reasons for the disparities among hospitalized patients to reduce both health and economic consequences associated with HIV disease in Florida.
少数民族人群受艾滋病的影响尤为严重。本报告的目的是通过 6 个性别-种族/民族群体评估 2000 年至 2005 年佛罗里达州与 HIV 相关的住院和死亡情况的流行率和趋势。
利用佛罗里达州卫生保健管理局 2000 年至 2005 年的数据，包括主要或次要诊断为 HIV 感染的出院记录，并使用卡方检验、 Cochran-Armitage 检验和多元回归模型进行分析。
在所有与 HIV 相关的住院治疗中（N = 159695），约 56%、28%和 12%的记录分别属于黑人、白人、西班牙裔。2000-2005 年期间，HIV 住院治疗的平均比例约为 29%（黑人男性）、27%（黑人女性）、22%（白人男性）、9%（西班牙裔男性）、6%（白人女性）和 3%（西班牙裔女性）（均 P<.01）。死亡率最高的是黑人男性，其次是黑人女性、白人男性、西班牙裔男性、白人女性和西班牙裔女性。
在与 HIV 相关的住院利用和死亡方面存在明显的性别-种族/民族差异。需要进一步研究以了解住院患者之间差异的原因，以减少佛罗里达州与 HIV 相关的健康和经济后果。
