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Background: In the United States, approximately 10% of adults 18-64 years are disabled. However, there is scarce literature on the associations between disability and HIV risk.

Objective: To assess disability prevalence and its associations to health and HIV risk factors among low socioeconomic status (SES) (≤high school education or ≤ poverty guidelines) urban adults.

Methods: We assessed disability prevalence from a cross-sectional sample of low SES urban heterosexually active adults at risk for HIV participating in the 2016 National HIV Behavioral Surveillance (NHBS) and calculated crude and adjusted prevalence ratios and 95% confidence intervals of disability for health and HIV risk behaviors.

Results: In the NHBS sample, 39.6% of participants reported any disability. Disability was associated with health care utilization and risk behaviors, even when adjusting for demographics. Participants with disabilities were more likely to have condomless sex with a casual partner and engage in exchange sex.

Conclusions: Low SES urban heterosexually active adults reported high prevalence of disabilities and differences in health, health care utilization, and risk factors. Disability might contribute to sexual risk behaviors that increase the likelihood of HIV infection. Further investigations into the intersection of disability and HIV risk are needed, especially in poor communities often excluded from national assessments.

(Published by Elsevier Inc.)

Titel:	High prevalence of disability and HIV risk among low socioeconomic status urban adults, 17 U.S. cities.
Autor/in / Beteiligte Person:	Doyle, KE ; Sionean, C ; Paz-Bailey, G ; Hollis, ND ; Kanny, D ; Wejnert, C
Zeitschrift:	Disability and health journal, Jg. 13 (2020), Heft 1, S. 100834
Veröffentlichung:	New York : Elsevier, 2020
Medientyp:	academicJournal
ISSN:	1876-7583 (electronic)
DOI:	10.1016/j.dhjo.2019.100834
Schlagwort:	Adolescent Adult Cities Comorbidity Cross-Sectional Studies Female Humans Male Middle Aged Poverty Prevalence Risk Factors United States epidemiology Young Adult Disabled Persons statistics & numerical data HIV Infections epidemiology Socioeconomic Factors Urban Population statistics & numerical data
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Corporate Authors: NHBS Study Group Publication Type: Journal Article Language: English [Disabil Health J] 2020 Jan; Vol. 13 (1), pp. 100834. <i>Date of Electronic Publication: </i>2019 Aug 13. MeSH Terms: Socioeconomic Factors* ; Disabled Persons / statistics & numerical data ; HIV Infections / epidemiology ; Urban Population / *statistics & numerical data ; Adolescent ; Adult ; Cities ; Comorbidity ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Poverty ; Prevalence ; Risk Factors ; United States / epidemiology ; Young Adult References: Int J Family Med. 2013;2013:642472. (PMID: 24455249) ; J Racial Ethn Health Disparities. 2017 Apr;4(2):213-222. (PMID: 27059052) ; Disabil Health J. 2015 Apr;8(2):182-90. (PMID: 25263459) ; MMWR Morb Mortal Wkly Rep. 2018 Aug 17;67(32):882-887. (PMID: 30114005) ; Am J Public Health. 2017 Jul;107(7):1101-1108. (PMID: 28520490) ; J Gerontol B Psychol Sci Soc Sci. 2008 Sep;63(5):S282-92. (PMID: 18818448) ; PLoS One. 2018 Aug 1;13(8):e0196908. (PMID: 30067745) ; Soc Sci Med. 2011 Apr;72(8):1236-48. (PMID: 21470737) ; J Aging Soc Policy. 2014;26(4):324-46. (PMID: 25010813) ; Disabil Health J. 2012 Jan;5(1):60-3. (PMID: 22226300) ; Public Health Rep. 2007;122 Suppl 1:32-8. (PMID: 17354525) ; Disabil Health J. 2016 Oct;9(4):600-8. (PMID: 27216441) ; Health Serv Res. 2014 Dec;49(6):1980-99. (PMID: 24962662) ; Soc Sci Med. 2005 Jan;60(1):191-204. (PMID: 15482878) ; J Int AIDS Soc. 2009 Nov 13;12:34. (PMID: 19912634) ; Med Care. 2014 Oct;52(10 Suppl 3):S40-50. (PMID: 25215919) ; Disabil Health J. 2014 Oct;7(4):373-93. (PMID: 25224979) ; Lancet. 2003 Apr 26;361(9367):1401-2. (PMID: 12727388) ; Soc Sci Med. 2007 Dec;65(12):2489-502. (PMID: 17765375) ; Disabil Rehabil. 2013 Jun;35(13):1070-3. (PMID: 23020151) ; Ann Epidemiol. 2015 Jun;25(6):455-7. (PMID: 25976023) ; J Gerontol B Psychol Sci Soc Sci. 2005 Sep;60(5):S263-71. (PMID: 16131627) ; Med Care. 2014 Oct;52(10 Suppl 3):S9-16. (PMID: 25222647) ; Disabil Health J. 2017 Apr;10(2):222-230. (PMID: 28185857) ; Disabil Rehabil. 2015;37(7):632-41. (PMID: 25060038) Grant Information: CC999999 United States ImCDC Intramural CDC HHS Contributed Indexing: Keywords: Adults; Disability; HIV; Low SES; Urban Entry Date(s): Date Created: 20190821 Date Completed: 20200415 Latest Revision: 20210510 Update Code: 20231215 PubMed Central ID: PMC8103769

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High prevalence of disability and HIV risk among low socioeconomic status urban adults, 17 U.S. cities.