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The European Journal of Public Health 2003 13(3):259-261; doi:10.1093/eurpub/13.3.259
© 2003 by European Journal of Public Health
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HIV

Deprivation and AIDS in a southern European city

Different patterns across transmission group

M. Teresa Brugal1, Carme Borrell1,*, Estela Díaz-Quijano1, M. Isabel Pasarín1, Patricia García-Olalla1 and Joan R. Villalbí1

1 Agència de Salut Pública de Barcelona, Spain

Objective: To analyse deprivation and AIDS among three AIDS transmission groups (men who have sex with men – MSM, heterosexuals, and intravenous drug users – IDUs) in Barcelona, Spain, during the period 1990–95. Methods: This is an ecological study, the unit of analysis being the neighbourhoods. Included were AIDS cases residents in Barcelona. The association among AIDS rate and deprivation was studied using Spearman correlation coefficients and Poisson regression. Results: For MSM, inner city neighbourhood residence meant a greater risk of AIDS; but lower educational level was inversely related with AIDS rates. For heterosexuals, variables related with AIDS rates were younger age, inner city areas and social unrest for women, and extreme poverty for men. Among UDIs variables related with AIDS were unemployment and social unrest for both sexes. Conclusion: The association between AIDS rates and deprivation differs across transmission groups in a southern European city.

Keywords: deprivation, epidemiological methods, transmission groups

Received 5 February 2002. Accepted 27 May 2002.

* Correspondence: Carme Borrell, IMSP, Plaza Lesseps 1, 08023 Barcelona, Spain, tel. +34 93 2384545, fax +34 93 2173197, e-mail: cborrell{at}imsb.bcn.es


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