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Updated: Feb 25, 2026
Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Unemployment and HIV mortality in the countries of the Organisation for Economic Co-operation and Development:
Mahiben Maruthappu1,2, Charlie Zhou3, Callum Williams4,5
1Imperial College London SW7 2AZ, UK.
Objectives:
To determine an association between unemployment rates and human immunodeficiency virus (HIV) mortality in the Organisation for Economic Co-operation and Development (OECD).
Design:
Multivariate regression analysis.
Participants:
OECD member states.
Setting:
OECD.
Main Outcome Measures:
World Health Organization HIV mortality.
Results:
Between 1981 and 2009, a 1% increase in unemployment was associated with an increase in HIV mortality in the OECD (coefficient for men 0.711, 0.334-1.089, p = 0.0003; coefficient for women 0.166, 0.071-0.260, p = 0.0007). Time lag analysis showed a significant increase in HIV mortality for up to two years after rises in unemployment: p = 0.0008 for men and p = 0.0030 for women in year 1, p = 0.0067 for men and p = 0.0403 for women in year 2.
Conclusions:
Rises in unemployment are associated with increased HIV mortality. Economic fiscal policy may impact upon population health. Policy discussions should take into consideration potential health outcomes.
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