Maruthappu Mahiben, Zhou Charlie, Williams Callum, Zeltner Thomas, Atun Rifat
Imperial College London SW7 2AZ, UK.
Faculty of Arts and Sciences, Harvard University, MA 02138 USA.
JRSM Open. 2017 Jul 6;8(7):2054270416685206. doi: 10.1177/2054270416685206. eCollection 2017 Jul.
To determine an association between unemployment rates and human immunodeficiency virus (HIV) mortality in the Organisation for Economic Co-operation and Development (OECD).
Multivariate regression analysis.
OECD member states.
OECD.
World Health Organization HIV mortality.
Between 1981 and 2009, a 1% increase in unemployment was associated with an increase in HIV mortality in the OECD (coefficient for men 0.711, 0.334-1.089, = 0.0003; coefficient for women 0.166, 0.071-0.260, = 0.0007). Time lag analysis showed a significant increase in HIV mortality for up to two years after rises in unemployment: = 0.0008 for men and = 0.0030 for women in year 1, = 0.0067 for men and = 0.0403 for women in year 2.
Rises in unemployment are associated with increased HIV mortality. Economic fiscal policy may impact upon population health. Policy discussions should take into consideration potential health outcomes.
确定经济合作与发展组织（经合组织）国家的失业率与人类免疫缺陷病毒（HIV）死亡率之间的关联。
多变量回归分析。
经合组织成员国。
经合组织。
世界卫生组织的HIV死亡率。
1981年至2009年期间，经合组织国家失业率每上升1%，HIV死亡率就会上升（男性系数为0.711，0.334 - 1.089，P = 0.0003；女性系数为0.166，0.071 - 0.260，P = 0.0007）。时间滞后分析显示，失业率上升后的两年内，HIV死亡率显著上升：第1年男性P = 0.0008，女性P = 0.0030；第2年男性P = 0.0067，女性P = 0.0403。
失业率上升与HIV死亡率增加有关。经济财政政策可能会影响人口健康。政策讨论应考虑潜在的健康结果。
