Demographic and spatial disparity in HIV prevalence among incarcerated population in the US: A state-level analysis

2017 ◽  
Vol 29 (3) ◽  
pp. 278-286 ◽  
Author(s):  
Srimoyee Bose
Keyword(s):  
Hiv Infection ◽  
Infection Rate ◽  
Pearson Correlation ◽  
State Level ◽  
Hiv Prevalence ◽  
The State ◽  
Infection Prevalence ◽  
Spatial Disparity ◽  
Female Prisoners ◽  
The Us

The purpose of this study was to explore empirically the presence of any spatial and demographic disparity in the Human Immunodeficiency Virus (HIV) infection rate among the prison inmates across 48 states in the US and compare the results for 2000 and 2010. HIV infection is a severe health issue for incarcerated populations in the US. In 2010, the rate of diagnosed HIV infection among inmates in state and federal prisons was five times more than the nonincarcerated population. The National Prisoner Statistics database was used to find the demographic disparities in HIV prevalence rate based on incarceration rate, gender, race/ethnicity, the proportion of non-US citizens, and proportion of population below 18 years. State-level spatial mapping, Pearson correlation coefficient, and Moran’s I statistic (univariate and bivariate) were computed based on these demographic characteristics using QGIS and Geoda software. There was a statistically significant pattern of spatial disparity in overall, male and female HIV infection rates across the state prisoners, with South and South-Eastern states facing a higher risk of infection. There was also statistically significant bivariate spatial association of HIV infection rate with the covariates: whites (negative), blacks (positive), non-US citizen (positive), and prisoners under age 18 years (positive) for both 2000 and 2010. There was a statistically significant higher HIV infection rate among the female prisoners in comparison to the male prisoners. It is of prime importance to examine the state-level disparities in HIV infection rate based on place and demographics. This is because evaluating the spatial pattern will help in accessing the relevant local information and provide federal agencies with better knowledge to target interventions and prevention programs toward the subgroup of the population at higher risk and help in controlling and reducing HIV infection prevalence.

scholarly journals Voting Rights for Non-Citizens: The European Multilevel and the US Federal Constitutional Systems Compared

2011 ◽  
Vol 7 (3) ◽  
pp. 392-423 ◽  
Author(s):  
Federico Fabbrini
Keyword(s):  
State Level ◽  
Voting Rights ◽  
The State ◽  
Comparative Perspective ◽  
Federal System ◽  
Future Prospects ◽  
The Us ◽  
Comparative Methodology ◽  
Federal Constitutional ◽  
Regulatory Models

Voting rights – Citizens and aliens – European multilevel architecture – US federal system – Comparative methodology – Different regulatory models for non-citizens suffrage at the state level in Europe – Impact of supranational law – Challenges and tensions – Analogous dynamics in the US constitutional experience – Recent European legal and jurisprudential developments in comparative perspective – What future prospects for citizenship and democracy in Europe?

scholarly journals Crisis Standards of Care Implementation at the State Level in the United States

2020 ◽  
Vol 35 (6) ◽  
pp. 599-603 ◽  
Author(s):  
Colton Margus ◽  
Ritu R. Sarin ◽  
Michael Molloy ◽  
Gregory R. Ciottone
Keyword(s):  
United States ◽  
Large Scale ◽  
State Level ◽  
The United States ◽  
The State ◽  
Pediatric Care ◽  
Standards Of Care ◽  
Institute Of Medicine ◽  
Full Spectrum ◽  
The Us

AbstractIntroduction:In 2009, the Institute of Medicine published guidelines for implementation of Crisis Standards of Care (CSC) at the state level in the United States (US). Based in part on the then concern for H1N1 pandemic, there was a recognized need for additional planning at the state level to maintain health system preparedness and conventional care standards when available resources become scarce. Despite the availability of this framework, in the years since and despite repeated large-scale domestic events, implementation remains mixed.Problem:Coronavirus disease 2019 (COVID-19) rejuvenates concern for how health systems can maintain quality care when faced with unrelenting burden. This study seeks to outline which states in the US have developed CSC and which areas of care have thus far been addressed.Methods:An online search was conducted for all 50 states in 2015 and again in 2020. For states without CSC plans online, state officials were contacted by email and phone. Public protocols were reviewed to assess for operational implementation capabilities, specifically highlighting guidance on ventilator use, burn management, sequential organ failure assessment (SOFA) score, pediatric standards, and reliance on influenza planning.Results:Thirty-six states in the US were actively developing (17) or had already developed (19) official CSC guidance. Fourteen states had no publicly acknowledged effort. Eleven of the 17 public plans had updated within five years, with a majority addressing ventilator usage (16/17), influenza planning (14/17), and pediatric care (15/17), but substantially fewer addressing care for burn patients (9/17).Conclusion:Many states lacked publicly available guidance on maintaining standards of care during disasters, and many states with specific care guidelines had not sufficiently addressed the full spectrum of hazard to which their health care systems remain vulnerable.

Bosnia's paralysed institutions add to sense of chaos

2020 ◽  
Keyword(s):  
Economic Crisis ◽  
State Level ◽  
The State ◽  
Local Elections ◽  
State Budget ◽  
Content Type ◽  
The Us ◽  
The Eu ◽  
Level Government ◽  
Political Disputes

Significance Intensified political disputes between the main parties are holding up the state budget for 2020, including funding for local elections in November. They also threaten to weaken the response to the looming socio-economic crisis from the COVID-19 pandemic. Impacts The US entry ban on former senior SDA member Amir Zukic is seen as an attempt to persuade the party to behave more responsibly. The EU is in a contest with China, Russia and Turkey to retain influence in the region. Pre-election positioning may explain the defection of Fahrudin Radoncic’s Union for a Better Future party from the state-level government.

scholarly journals Potential Utility of Routine Programmatic Data in Monitoring National and State-Level HIV Epidemic in Nigeria: Data Triangulation Analysis

2019 ◽  
Author(s):  
Debem Henry ◽  
Aminu Yakubu ◽  
Mukhtar Ahmed ◽  
Gwamna Jerry ◽  
Dalhatu Ibrahim
Keyword(s):  
Pearson Correlation ◽  
National Level ◽  
State Level ◽  
Population Based ◽  
Hiv Prevalence ◽  
Reproductive Age ◽  
World Health ◽  
Linear Regression Models ◽  
Epidemic Control ◽  
Hiv Epidemic

AbstractNigeria relies on data from periodic resource-intensive surveys such as antenatal HIV seroprevalence sentinel surveys (ANC-HSS) and population-based National AIDS and Reproductive Health Surveys (NARHS) for its HIV control efforts. Nigeria has not explored the use of readily available routine programmatic data (RPD) to easily inform and monitor epidemic control efforts at local settings in near real time. This study aimed to determine the utility of RPDs (Prevention of Mother-To-Child Transmission [PMTCT] and HIV Testing and Counseling [HTC]) as a proxy for monitoring HIV epidemic in Nigeria. Using World Health Organization 12 step triangulation procedures, we compared state-level seropositivity data from PMTCT and HTC programs to HIV prevalence data from NARHS and ANC-HSS reports in relevant pairs from 2010 to 2014 in Nigeria. The study population was pregnant women and general population. We abstracted relevant data from PEPFAR Nigeria data source and published national survey reports. We compared visual (scatterplots and maps) patterns and trends, and performed Pearson correlation and univariate linear regression models of the estimates for best matched/contiguous years for which data were available. Correlation between PMTCT2014 and ANC-HSS2014 was positive and significant (R=0.7,p<0.001). ANC-HSS2014 and HTC2014 were slightly correlated (R=0.4,p<0.05). Significant correlation was observed between ANC-HSS2010 and PMTCT2013 (R=0.8,p<0.001) and between ANC-HSS2010 and HTC2013 (R=0.6, p<0.001). All RPD sources and ANC-HSS indicated a decreasing trend in national HIV prevalence in Nigeria. PMTCT2014 data showed strong capability of predicting HIV prevalence in ANC-HSS2014 in regression model (B=2.09,p<0.0001). Use of routine PMTCT data in monitoring HIV prevalence among women of reproductive age could be more valid and reliable in local settings than the use of HTC data. Use of RPD to monitor national and sub-national-level HIV epidemic in between national surveys in Nigeria could maximize program resources, and promote a more responsive and efficient actions toward epidemic control.

scholarly journals EPIDEMIOLOGY OF HIV INFECTION IN THE AMUR REGION

2019 ◽  
Vol 11 (1) ◽  
pp. 92-95
Author(s):  
V. B. Turkutyukov ◽  
N. A. Lipskaya ◽  
Yu. A. Natykan ◽  
I. I. Pavlova ◽  
N. A. Glebova ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Sexual Transmission ◽  
Incidence Rates ◽  
Hiv Prevalence ◽  
Amur Region ◽  
Infection Prevalence ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Living With Hiv ◽  
Epidemiologic Features

The HIV infection prevalence rate suggests that in the Russian Federation the number of new cases of infection continues to grow. The retrospective epidemiological analysis of HIV infection in the Amur region was performed during a 5-year period from 2013 to 2017. The study included evaluation of incidence and prevalence rates, morbidity and mortality patterns. A positive HIV status has 0,14% of the region population. In 2017, the HIV-incidence rate equaled to 10,97‰00. Similar incidence rates were registered during 2015 and 2016. During 2013–2017 annual growth of HIV-prevalence that reached its peak in 2017 and exceeded the previous year’s rate at 18,3±0,65% (p=0,001) was registered. The highest HIV prevalence was detected at age from 30 to 39 years (45%). Among the HIV-positive people, sexual transmission route was dominant and during 2017 and totaled to 87%. Among people living with HIV registered for outpatient treatment, the most frequent stages of the disease (representing 97,7% of all clinical forms) were subclinical stage diagnosed in 251,3‰ [95% CI 232,2–270,3] and second stage (of secondary manifestations) totaled to 216,1‰ [95% CI 191,5–240,5]. This indicates on the development of the concentrated stage of HIV infection in the Amur region. Epidemiologic features of infection spread in the Amur region derives not only from active cross-border movements of citizens, but also from the specifics of demography processes.

scholarly journals Evaluation of US state pollinators using 3 evidence-based policymaking frameworks

2021 ◽  
Author(s):  
Kaitlin Stack Whitney ◽  
Briana Burt Stringer
Keyword(s):  
Best Practices ◽  
Science Policy ◽  
Environmental Protection Agency ◽  
State Level ◽  
The State ◽  
Evidence Based ◽  
Conservation Policies ◽  
The Us ◽  
State Policymaking ◽  
Us Federal Government

After the US federal government created a national pollinator protection plan in 2015, many states followed with their own. Since their goal is to promote pollinating insect conservation, we wanted to know whether the state plans are using best practices for evidence-based science policy. In early 2019 we found and downloaded every existing, publicly available US state pollinator protection plan. We then used content analysis to assess the goals, scope, and implementation of state-level pollinator protection plans across the US. This analysis was conducted using three distinct frameworks for evidence-based policymaking: US Department of Interior Adaptive Resources Management (ARM), US Environmental Protection Agency management pollinator protection plan (MP3) guidance, and Pew Trusts Pew-MacAthur Results First Project elements of evidence-based state policymaking (PEW) framework. Then we scored them using the framework criteria, to assess whether the plans were using known best practices for evidence based policymaking. Of the 31 states with a state pollinator plan, Connecticut was the state with the lowest total score across the three evaluation frameworks. The state with the highest overall scores, across the three frameworks, was Missouri. Most states did not score highly on the majority of the frameworks. Overall, many state plans were lacking policy elements that address monitoring, evaluation, and adjustment. These missing elements impact the ability of states to achieve their conservation goals. Our results indicate that states can improve their pollinator conservation policies to better match evidence-based science policy guidance, regardless of which framework is used.

scholarly journals Risk factors influencing the expansion of the epidemic process of hiv infection in the penitentiary system of the region with a high level of HIV prevalence

2021 ◽  
Vol 13 (3) ◽  
pp. 107-113
Author(s):  
S. E. Kondratova ◽  
A. N. Marchenko ◽  
A. A. Beltikova
Keyword(s):  
Risk Factors ◽  
Hiv Infection ◽  
Fatal Outcome ◽  
Hiv Prevalence ◽  
Control Group ◽  
Infection Prevalence ◽  
Social Significance ◽  
High Concentration ◽  
Epidemic Process ◽  
High Level

The Tyumen Region, being the largest one in the Ural Federal District in terms of territory, has a high level of HIV prevalence, particularly among those taken into custody. This group of people involves the maximum number of injecting drug users, men having sexual encounters with other men and sex workers. All acquired diseases including the diseases aggravated during the service of sentence become the problem of the expirees as well as the entire civil society. From an epidemiological perspective it is important to search for the risk factors which are active among the prisoner population serving their sentence in the region and which cause HIV progression with fatal outcome, taking into account their unequal significance among the prisoner population and the civilians.Object of research. 365 HIV-infected, deaths were identified, including: the study group — 222 prisoners, HlV-infected and died at the regional hospital of the Federal penitentiary service of Tyumen for the period 2008-2018; the control group - 143 civil (law-abiding) patients, HIV-infected and died at the Regional infectious diseases hospital for the period 2011-2018.Purpose of research. Identification and assessment of priority risk factors for the expansion of the epidemic process of HIV infection with a fatal outcome in the zone of high concentration of the risk group.Methods of research. The following methods have been used in this work: methods of epidemiological research, methods of mathematical modeling and forecasting, as well as the method, of logistic regression, of step-by-step inclusion with ROC analysis.Results. To assess the epidemiological situation in terms of the HIV infection prevalence in the prison area a long-term and intra-annual dynamics of the epidemic process expansion in the region have been studied along with assessment of the priority risk factors, trends, forecasting of the HIV infection expansion in the penitentiary system specifying the social significance and risks to the civilian population over a long period.

scholarly journals Heterogeneous Monetary Policy Transmission in the US Housing Market

2018 ◽  
Vol 10 (1) ◽  
pp. 75-96
Author(s):  
Maria Christidou ◽  
Panagiotis Theodore Konstantinou ◽  
Costas Roumanias
Keyword(s):  
Monetary Policy ◽  
House Prices ◽  
National Level ◽  
Property Tax ◽  
State Level ◽  
The State ◽  
Tax Rates ◽  
Housing Investment ◽  
Policy Transmission ◽  
The Us

We assess the effects of monetary policy on real house prices and housing investment across the US states during the period 1983-2008. We find that an expansionary monetary shock generates higher housing investment and house prices at the national level. At the state level, however the responses of housing investment and house prices differ from the nation-wide responses. We relate this heterogeneity to various observable factors such as property tax rates, howeownership, income inequality, poverty and demographic factors. All these factors are crucial in explaining the heterogeneity of the state-level responses.

US Economic Development Policies: Current Trends and Reasons of Variations on the State Level

2010 ◽  
pp. 133-143
Author(s):  
A. Tsvetkova
Keyword(s):  
Economic Development ◽  
Regional Economic Development ◽  
State Level ◽  
The State ◽  
Development Programs ◽  
Regional Economic ◽  
Current Trends ◽  
Development Policies ◽  
The Us ◽  
Entrepreneurial Strategies

The article looks into the dynamics of the US regional economic development policies in the last decades and tracks the transition from so-called "locational" to "entrepreneurial" strategies. It also documents existing variations in state economic development programs and explains the differences in approaches and current tendencies from both theoretical and practical standpoints.

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