Urban vs rural mortality due to HIV in the USA using the CDC WONDER database over 22 years: a retrospective study

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dc.contributor.authorArora, Shiv
dc.contributor.authorKafali, Onuralp
dc.contributor.authorKaka, Manaswini Chowdary
dc.contributor.authorThin, Kyu Kyu
dc.contributor.authorRao, Nidhi Laxminarayan
dc.contributor.authorYerramalla, Sai Dinesh
dc.contributor.authorBakhle, Rahul
dc.date.accessioned2025-10-11T20:48:46Z
dc.date.available2025-10-11T20:48:46Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractIntroductionHIV remains a persistent epidemic in the USA. Although newer and more effective screening and treatment regimens have reduced mortality, a significant disparity exists in urban and rural areas. This study aims to identify disparities in mortality in urban and rural areas for HIV using the CDC-WONDER database from 1999 to 2020 and to analyze any significant differences in mortality rates as well as demographic variables.MethodologyThe Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiological Research (CDC WONDER) database was used to investigate the Rural and Urban Mortality trends for HIV, ICD-10 codes B20-B24, from 1999-2020. The extracted data was systematically grouped by 10-year age range, gender, census region, and race, and analyzed for trends and patterns over time using the R Studio v4.3.2. package to give a statistically significant result with clear representative figures.ResultsThe study showed that urban areas reported 194,717 deaths from HIV, whereas non-metropolitan/rural areas reported 16,009 deaths. The crude mortality rate (CMR)/100,000 population in urban areas declined from over 0.25 in 1999 to 0.05 in 2020. These rates were however always significantly greater than the CMR in rural areas (0.06 in 1999 and 0.01 in 2020). This disparity was most significant among males, the white race, and those between 35-65 years of age.ConclusionsThis study highlights a statistically significant disparity in urban versus rural mortality rates of HIV especially amongst males, the white race, and people between 35-65 years of age.en_US
dc.identifier.doi10.1007/s10389-025-02416-1
dc.identifier.issn2198-1833
dc.identifier.issn1613-2238
dc.identifier.scopus2-s2.0-85217764827en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://doi.org/10.1007/s10389-025-02416-1
dc.identifier.urihttps://hdl.handle.net/20.500.12684/22088
dc.identifier.wosWOS:001417776000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofJournal of Public Health-Heidelbergen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectDisparityen_US
dc.subjectUrbanen_US
dc.subjectRuralen_US
dc.subjectMetropolitanen_US
dc.subjectRetrospectiveen_US
dc.subjectCDC WONDERen_US
dc.subjectHIVen_US
dc.titleUrban vs rural mortality due to HIV in the USA using the CDC WONDER database over 22 years: a retrospective studyen_US
dc.typeArticleen_US

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