Cloud David H, Beane Stephanie, Adimora Adaora, Friedman Samuel R, Jefferson Kevin, Hall H Irene, Hatzenbuehler Mark, Johnson Anna Satcher, Stall Ron, Tempalski Barbara, Wingood Gina M, Wise Akilah, Komro Kelli, Cooper Hannah L F
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Department of Medicine, University of North Carolina School of Medicine, NC, USA.
SSM Popul Health. 2018 Nov 28;7:100327. doi: 10.1016/j.ssmph.2018.100327. eCollection 2019 Apr.
This ecologic cohort study explores the relationship between state minimum wage laws and rates of HIV diagnoses among heterosexual black residents of U.S metropolitan areas over an 8-year span. Specifically, we applied hierarchical linear modeling to investigate whether state-level variations in minimum wage laws, adjusted for cost-of-living and inflation, were associated with rates of new HIV diagnoses among heterosexual black residents of metropolitan statistical areas (MSAs; n=73), between 2008 and 2015. Findings suggest that an inverse relationship exists between baseline state minimum wages and initial rates of newly diagnosed HIV cases among heterosexual black individuals, after adjusting for potential confounders. MSAs with a minimum wage that was $1 higher at baseline had a 27.12% lower rate of newly diagnosed HIV cases. Exploratory analyses suggest that income inequality may mediate this relationship. If subsequent research establishes a causal relationship between minimum wage and this outcome, efforts to increase minimum wages should be incorporated into HIV prevention strategies for this vulnerable population.
这项生态学队列研究探讨了美国大都市地区异性恋黑人居民的州最低工资法与艾滋病毒诊断率之间在8年期间的关系。具体而言，我们应用分层线性模型来调查在考虑生活成本和通货膨胀因素后，州最低工资法的差异是否与2008年至2015年大都市统计区（MSA；n = 73）异性恋黑人居民中的新艾滋病毒诊断率相关。研究结果表明，在调整潜在混杂因素后，基线州最低工资与异性恋黑人个体中新诊断艾滋病毒病例的初始率之间存在负相关关系。基线时最低工资每高出1美元的大都市统计区，新诊断艾滋病毒病例的发生率低27.12%。探索性分析表明，收入不平等可能介导这种关系。如果后续研究确定最低工资与这一结果之间存在因果关系，那么提高最低工资的努力应纳入针对这一弱势群体的艾滋病毒预防策略中。
