Joint Effects and Community-Level Characteristics in Estimating Cerebrovascular Risk Among HIV Infected and Uninfected Veterans

Veterans Health Administration, Decatur PA

Investigators

Abstract

The overall objective of this study is to determine the efect of neighborhood-level characteristics along with individual-level joint characteristics on cerebrovascular disease (CeVD) outcomes among HIV positive and negative veterans. The proposed epidemiologic strategy, which has been underutilized in HIV and CeVD research, includes multi-level analyses that incorporate a neighborhood-level characteristic (race and ethnic segregation) along with the joint efects of individual-level characteristics (HIV treatment, mood disorders, alcohol/drug abuse/dependence) in estimating the incidence of CeVD. This will be the frst study to consider neighborhood-level along with the joint efects of individual-level characteristics in HIV and CeVD research.