{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:43:53Z","timestamp":1777859033775,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T00:00:00Z","timestamp":1771718400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T00:00:00Z","timestamp":1771718400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54MD012393"],"award-info":[{"award-number":["U54MD012393"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Using State-level surveillance records we assessed disparities in premature mortality among people with HIV (PWH) in Florida during pre- (2019) and early COVID-19 pandemic (2020).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We calculated age-standardized rates of years of potential life lost per 100\u2009persons (aYPLL) stratified by sex, race and ethnicity, rural\/urban residence, and social vulnerability index (SVI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>PWH in Florida during 2020 experienced a significant increase in aYPLL (2019: 29.0, 95% CI [28.1, 30.0]; 2020: 32.8, 95% CI [31.8, 33.9]). HIV\/AIDS contributed the most aYPLL in 2020 (13.4, 95% CI [12.4, 14.4]), especially among females (15.8, 95% CI [15.2, 16.4]), rural communities (14.5, 95% CI [12.7, 17.6]), and high SVI communities (12.5, 95% CI [11.9, 13.2]). aYPLL due to external causes increased significantly from 2019 to 2020 (4.1, 95% CI [4.0, 4.3] vs 5.4, 95% CI [5.2, 5.5]), especially for females (3.6, 95% CI [3.3, 3.9] vs 7.8, 95% CI [7.4, 8.3]) and those living in low SVI communities (3.1, 95% CI [2.7, 3.8] vs 7.1, 95% CI [6.5, 8.1]). aYPLL due to COVID-19 was greatest for females (2.3, 95% CI [2.1, 2.6]) and residents of high SVI communities (2.0, 95% CI [1.9, 2.1]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PWH experienced increased individual- and neighborhood-level disparities in premature mortality from HIV\/AIDS from 2019 to 2020, especially among females and those in rural and socially vulnerable communities. External causes and COVID-19 were also associated with an increased premature mortality during this time frame, with disparities noted by sex and community social vulnerability. Pandemic planning should include targeted outreach programs which prepare for vulnerable populations\u2019 healthcare needs and mitigate mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319261422872","type":"journal-article","created":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T08:31:57Z","timestamp":1771749117000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Premature Cause-Specific Mortality Among People With HIV in Florida Pre-(2019) and Early (2020) COVID-19 Pandemic: Disparities by Race and Ethnicity, Sex, Rurality, and Social Vulnerability"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7937-036X","authenticated-orcid":false,"given":"Giselle A.","family":"Barreto","sequence":"first","affiliation":[{"name":"Florida International University, Miami, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tan","family":"Li","sequence":"additional","affiliation":[{"name":"Florida International University, Miami, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2110-3530","authenticated-orcid":false,"given":"Tendai","family":"Gwanzura","sequence":"additional","affiliation":[{"name":"Florida International University, Miami, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1316-3189","authenticated-orcid":false,"given":"Diana M.","family":"Sheehan","sequence":"additional","affiliation":[{"name":"Florida International University, Miami, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Jo","family":"Trepka","sequence":"additional","affiliation":[{"name":"Florida International University, Miami, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,22]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Murphy SL Kochanek KD Xu J Arias E. Mortality in the United States 2020. NCHS Data Brief. 2021;427:1-8. 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International Classification of Diseases, Tenth Revision. World Health Organization; 2019."},{"key":"e_1_3_3_14_2","unstructured":"Centers for Disease Control and Prevention\/ Agency for Toxic Substances and Disease Registry\/Geospatial Research A and Services Program. Data from: CDC\/ATSDR SVI Documentation 2020 Database FL. 2022. Accessed May 8 2023. https:\/\/www.atsdr.cdc.gov\/placeandhealth\/svi\/documentation\/pdf\/SVI2020Documentation_08.05.22.pdf"},{"key":"e_1_3_3_15_2","first-page":"2418","volume-title":"Response to Comments on Revised Geographic Eligibility for Federal Office of Rural Health Policy Grants: Defining Rural Population","author":"Engels T","unstructured":"Engels T. Response to Comments on Revised Geographic Eligibility for Federal Office of Rural Health Policy Grants: Defining Rural Population. Department of Health and Human Services. Health Resources and Services Administration (HRSA); 2021: 2418-2420."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","unstructured":"Trepka MJ Niyonsenga T Fennie KP McKelvey K Lieb S Maddox LM. Sex and racial\/ethnic differences in premature mortality due to HIV: Florida 2000-2009. Public Health Rep. 2015;130(5):505-513. doi:10.1177\/003335491513000513","DOI":"10.1177\/003335491513000513"},{"key":"e_1_3_3_17_2","unstructured":"Arias E Xu J Tejada-Vera B Murphy SL Bastian B. US state life tables 2020. Natl Vital Stat Rep. 2022;71(2):1-18. Accessed May 8 2023. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/36043888"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002414"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","unstructured":"Liang M Luo N Chen M et al. Prevalence and mortality due to COVID-19 in HIV co-infected population: a systematic review and meta-analysis. 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