Abstract
ObjectivesTo determine an association between unemployment rates and human immunodeficiency virus (HIV) mortality in the Organisation for Economic Co-operation and Development (OECD).DesignMultivariate regression analysis.ParticipantsOECD member states.SettingOECD.Main outcome measuresWorld Health Organization HIV mortality.ResultsBetween 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, p = 0.0003; coefficient for women 0.166, 0.071–0.260, p = 0.0007). Time lag analysis showed a significant increase in HIV mortality for up to two years after rises in unemployment: p = 0.0008 for men and p = 0.0030 for women in year 1, p = 0.0067 for men and p = 0.0403 for women in year 2.ConclusionsRises 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.
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