meagan hatton department of geography poverty and hiv/aids in east texas
TRANSCRIPT
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Meagan Hatton
Department of
Geography
POVERTY AND HIV/AIDS IN EAST
TEXAS
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HIV/AIDS has killed over 550,000 people in the U.S.
Treatments- Infected people living longer
Rates are highest in extreme poverty areas and among Blacks (CDC, 2011)
Texas ranks 4 th for highest rates (CDC, 2012),
East Texas: highest rates
BACKGROUND
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Level of Education: Prevention to reduce risky behaviors (Kim, 2006)
Income and Poverty: Access to care & transportation (CDC, 2008) Extreme poor urban areas have higher risk (CDC, 2011)
Race/Ethnicity: HIV prevalence is 8 times higher than Whites (CDC, 2010)
Socioeconomic Status: More disadvantaged people tend to live in disadvantaged
places-> Place Vulnerability (Oppong and Harold, 2009)
HIV FACTORS
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Metropolitan counties: Dallas, Ft. Worth, Harris, and Travis
Extreme urban poverty vs. Rural poverty
High Black populations
High rates of poverty and income inequality
Harris County has highest rate in Texas
WHY EAST TEXAS?
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1. Counties with high percentages of Blacks will have high rates of HIV/AIDS.
2. Counties with high rates of poverty will have high rates of HIV/AIDS.
3. More urban areas have higher HIV/AIDS rates.
4. Counties with a high % of people with low SES have high rates of HIV/AIDS.
RESEARCH HYPOTHESES
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HIV/AIDS cases: De-identified zip code level data- 1999-2008: TX Dept. of State Health Services
East Texas: Defined by the 2010 Texas Epidemic Profi le
Statistical and spatial analysis
Variables: Race/Ethnicity, % Poverty, Education, Urban/Rural areas
from 2010 Census
METHODOLOGY
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Study Area: East Texas Counties
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Rate of HIV/AIDS in East Texas Counties: 1999-2008
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Percent White By County
-.459**
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Percent Black By County
.336**
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Percent Hispanic By County
.333**
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Percent Urban By County
.323**
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Percent Poverty By County
.217*
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Percent With Less Than a High School Diploma
.171
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HIV/AIDS is much higher in the central portion of east Texas, particularly in urban areas and neighboring counties.
Poverty, % Blacks, % Hispanics, and urban areas had
a positive, significant correlation with the rate of HIV/AIDS.
% Whites had a negative, significant correlation with the rate of HIV/AIDS in a county.
Level of education was not statistically significant
RESULTS
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Poverty - Extreme urban poverty
Blacks and Hispanics have high rates, with high rates of poverty
Education - not statistically significant
ANALYSIS
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HIV is highest among minoritiesHIV is highest in areas with high povertyHIV is highest in urban areas
CONCLUSION
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In-depth neighborhood spatial analysis in selected counties with highest rates
Hispanic population
Pinpoint risk factors - Mode of transmission
FUTURE RECOMMENDATIONS
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QUESTIONS?