To elaborate - my experience here in anecdotal having worked in a HIV/AIDS - the larger issue among this cohort is usually compliance with treatment and medication management. Yes, the factors you cited are all what leads to a higher rate of infection, but mortality increases when people don’t adhere to treatment.
There’s all kinds of reasons for that, many of which are related to lifestyle. Payment is an issue, but there are programs in the US available for the those that have no other option to afford treatment thanks to the Ryan White CARE Act. But even if the medicine is paid for, unfortunately in this cohort we see a lot of additional issues prevalent such as: drug use, homelessness, mental instability - all leading to patients not staying on their drug cocktail regimen.
There’s all kinds of reasons for that, many of which are related to lifestyle. Payment is an issue, but there are programs in the US available for the those that have no other option to afford treatment thanks to the Ryan White CARE Act. But even if the medicine is paid for, unfortunately in this cohort we see a lot of additional issues prevalent such as: drug use, homelessness, mental instability - all leading to patients not staying on their drug cocktail regimen.