Abstract
HIV diagnosis rates in the US differ significantly by race and ethnicity. There are also geographic differences in HIV diagnosis rates across US states and regions. The determinants of these differences are not always easy to disentangle. Some believe structural racism may contribute to the differences in HIV diagnosis by race. This may also explain state and regional variations in HIV diagnosis. Using data from the 2010 US census and 2010 HIV surveillance data from CDC we did a test to determine if there is a correlation between state level African American sex ratio and HIV diagnosis rates.
Highlights
In the United States HIV diagnosis rates differs significantly by race
A recent CDC surveillance report suggests that HIV diagnosis rates is almost 8 times higher in African American men compared to whites and 13 times in African American women compared to white women
Our hypothesis which attempts to find an association between discrimination, structural racism and HIV diagnosis rates was based on prior research on population level sex ratio and diagnosis of Citation: Sowah LA, Yerkes B (2021) Structural Racism and HIV Risk: Low African American Male to Female Sex Ratio and HIV Diagnosis Rates by State
Summary
In the United States HIV diagnosis rates differs significantly by race. A recent CDC surveillance report suggests that HIV diagnosis rates is almost 8 times higher in African American men compared to whites and 13 times in African American women compared to white women. In the US HIV diagnosis rates differ by state, with states in the Northeast and the South having higher rates compared to other regions [1]. With these obvious significant differences in HIV transmission rates many have tried to identify the determinants of HIV transmission rates by race. The reasons for this disparity in HIV transmission risk by race are not clearly understood but there are many theories On looking at these variations in sex ratio within African American communities and HIV diagnosis rates we came up with a hypothesis on differences in HIV diagnosis rates by states across the US.
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