Changes in Exposure to Neighborhood Characteristics are Associated with Sexual Network Characteristics in a Cohort of Adults Relocating from Public Housing

Cooper, Hannah L.F.; Linton, Sabriya L.; Haley, Danielle F.; Kelley, Mary E.; Dauria, Emily; Karnes, Conny; Ross, Zev; Hunter-Jones, Josalin; Renneker, Kristen; Rı́o, Carlos del; Adimora, Adaora A.; Wingood, Gina M.; Rothenberg, Richard; Bonney, Loida

doi:10.1007/s10461-014-0883-z

Cited by 30 publications

(30 citation statements)

References 116 publications

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“…34 It is also plausible that economic deprivation, that often characterizes post-incarceration reintegration, limits men's housing options and thus leads them to live in areas of high STI prevalence-increasing their likelihood of sexual exposure to networks embedded within those areas. 35,36 There is also evidence that incarceration disrupts stability in men's sexual partnerships. [37][38][39] One potential consequence of this disruption is an increase in casual sexual partnerships and concomitant increases in the likelihood of exposure to STIs.…”

Section: Discussionmentioning

confidence: 99%

Economic, Legal, and Social Hardships Associated with HIV Risk among Black Men who have Sex with Men in Six US Cities

Nelson

Wilton²,

Moineddin

et al. 2016

J Urban Health

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We assessed whether economic, legal, and social hardships were associated with human immunodeficiency virus (HIV) risk among a sample of Black men who have sex with men (MSM) and whether associations were moderated by city of residence. The study analyzed baseline and follow-up data from HIV Prevention Trials Network 061 (N = 1553). Binary logistic regression assessed associations between hardships and HIV risk indicators. Multivariate regressions were used to test if city of residence had a moderating effect for hardships and HIV risks. Adjusted analyses showed that Black MSM with recent job loss were more likely to engage in condomless insertive anal intercourse (adjusted odds ratios (AOR) = 1.37, 95 % CI 1.01-1.87) and that those with recent financial crisis were more likely to have had two or more male sexual partners in the past 6 months (AOR = 1.65; 95 % CI 1.18-2.29). Black MSM

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Section: Discussionmentioning

confidence: 99%

Economic, Legal, and Social Hardships Associated with HIV Risk among Black Men who have Sex with Men in Six US Cities

Nelson

Wilton²,

Moineddin

et al. 2016

J Urban Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, the analyses examined individual and interpersonal predictors of risk patterns over time. It is possible that other multilevel factors, as informed by the SEF, such as neighborhood-level attributes, may also play an important role in women's HIV risk over time (44). …”

Section: Discussionmentioning

confidence: 99%

Sexual Behaviors of US Women at Risk of HIV Acquisition: A Longitudinal Analysis of Findings from HPTN 064

et al. 2015

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We describe the sexual behaviors of women at elevated risk of HIV acquisition who reside in areas of high HIV prevalence and poverty in the US. Participants in HPTN 064, a prospective HIV incidence study, provided information about participants’ sexual behaviors and male sexual partners in the past 6 months at baseline, 6- and 12-months. Independent predictors of consistent or increased temporal patterns for three high-risk sexual behaviors were assessed separately: exchange sex, unprotected anal intercourse [UAI] and concurrent partnerships. The baseline prevalence of each behavior was >30% among the 2,099 participants, 88% reported partner(s) with > one HIV risk characteristic and both individual and partner risk characteristics decreased over time. Less than high school education and food insecurity predicted consistent/increased engagement in exchange sex and UAI, and partner's concurrency predicted participant concurrency. Our results demonstrate how interpersonal and social factors may influence sustained high-risk behavior by individuals and suggest that further study of the economic issues related to HIV risk could inform future prevention interventions.

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“…26 We used a measure of alcohol outlets by ZCTA based on licensing information obtained from the Georgia alcohol board (U.S. Census Business Patterns, 2013). To create the density of alcohol outlets, alcohol outlet (supermarkets, convenience stores, gasoline stores, or pharmacies) count was divided by the total area in square miles for each ZCTA.…”

Section: Methodsmentioning

confidence: 99%

Understanding Local Spatial Variation Along the Care Continuum

Goswami

Schmitz

Sanchez

et al. 2016

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background Engagement in care is central to reducing mortality for HIV-infected persons and achieving the White House National AIDS Strategy of 80% viral suppression in the U.S. by 2020. Where an HIV-infected person lives impacts his or her ability to achieve viral suppression. Reliable transportation access for healthcare may be a key determinant of this place-suppression relationship. Methods ZIP code tabulation areas (ZCTAs) were the units of analysis. We used geospatial and ecologic analyses to examine spatial distributions of neighborhood-level variables (e.g. transportation accessibility) and associations with: (1) community linkage to care, and (2) community viral suppression. Among Atlanta ZCTAs with data for newly diagnosed HIV cases (2006-2010) we used Moran’s I to evaluate spatial clustering and linear regression models to evaluate associations between neighborhood variables and outcomes. Results In 100 ZCTAs with 8,413 newly diagnosed HIV-positive residents, a median of 60 HIV cases were diagnosed per ZCTA during the 5-year period. We found significant clustering of ZCTAs with low linkage to care and viral suppression (Moran’s I = 0.218, p<0.05). In high-poverty ZCTAs, a ten percentage point increase in ZCTA-level household vehicle ownership was associated with a four percentage point increase in linkage to care (p=0.02, R2=0.16). In low-poverty ZCTAs, a ten percentage point increase in ZCTA-level household vehicle ownership was associated with a 30 percentage point increase in ZCTA-level viral suppression (p=0.01, R2=0.08). Conclusions Correlations between transportation variables and community-level care linkage and viral suppression vary by area poverty level, and provide opportunities for interventions beyond individual-level factors.

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Changes in Exposure to Neighborhood Characteristics are Associated with Sexual Network Characteristics in a Cohort of Adults Relocating from Public Housing

Cited by 30 publications

References 116 publications

Economic, Legal, and Social Hardships Associated with HIV Risk among Black Men who have Sex with Men in Six US Cities

Economic, Legal, and Social Hardships Associated with HIV Risk among Black Men who have Sex with Men in Six US Cities

Sexual Behaviors of US Women at Risk of HIV Acquisition: A Longitudinal Analysis of Findings from HPTN 064

Understanding Local Spatial Variation Along the Care Continuum

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