Marital status and HIV/AIDS mortality: evidence from the US National Longitudinal Mortality Study

作者：Kposowa Augustine J^*

来源：International Journal of Infectious Diseases, 2013, 17(10): E868-E874.

DOI：10.1016/j.ijid.2013.02.018

• HIV/AIDS mortality
• Marital status
• Race/ethnicity
• Health insurance

Objectives: The purpose of the study was to examine associations between marital status groups and death from HIV/AIDS. The primary hypothesis was that divorced and single/never married individuals have a much higher risk of death than married persons. %26lt;br%26gt;Methods: Data were derived from the third release of the US National Longitudinal Mortality Study. Cox proportional regression models were fitted to the data. %26lt;br%26gt;Results: It was found that marital status is associated with mortality from HIV. Divorced and separated individuals were 4.3 times more likely to die of HIV/AIDS than married individuals (adjusted relative risk (aRR) 4.321, 95% confidence interval (CI) 2.978, 6.269). Single/never married persons were 13 times as likely to die of HIV/AIDS as their married counterparts (aRR 13.092, 95% CI 9.652, 17.757). When the sample was stratified by sex, however, it was observed that while marital status was associated with HIV/AIDS mortality among men, it had no significant association with death in women. However, African-American women (aRR 9.23, 95% CI 4.47, 19.03) and Hispanic women (aRR 7.06, 95% CI 3.03, 16.45) had a significantly higher risk of death than their non-Hispanic white female counterparts. %26lt;br%26gt;Conclusions: Marital status is a significant risk factor for mortality from HIV/AIDS, but this association is only valid for men. The different gender mortality experiences suggest that for HIV/AIDS more population-based studies comprising marital status risk factor histories are needed, given the limited research on marital status and mortality from the disease.

• 出版日期2013-10