Associations between Neighborhood Characteristics and Sexual Risk Behaviors among HIV-infected and HIV-uninfected Women in the Southern United States

Details

• Alternative Title:
  Ann Epidemiol
• Personal Author:
  Haley, Danielle F. ; Haardörfer, Regine ; Kramer, Michael R. ; Adimora, Adaora A. ; Wingood, Gina M. ; Goswami, Neela D. ; Rubtsova, Anna ; Ludema, Christina ; Hickson, DeMarc A. ; Ramirez, Catalina ; Ross, Zev ; Bolivar, Hector ; Cooper, Hannah LF
• Description:
  Introduction
  
  Neighborhood characteristics shape sexual risk in HIV-uninfected adults in the United States (US). We assess relationships between census tract characteristics and sexual risk behaviors in a predominantly HIV-infected cohort of women living in the Southern US.
  
  Methods
  
  This cross-sectional multilevel analysis included data from 737 HIV-infected and HIV-uninfected women enrolled in the Women’s Interagency HIV Study. Administrative data captured characteristics of census tracts where women lived; participant-level data were gathered via survey. We used principal components analysis to condense tract-level variables into components: social disorder (e.g., violent crime rate) and social disadvantage (e.g., alcohol outlet density). We used hierarchical generalized linear models to assess relationships between tract-level characteristics and condomless vaginal intercourse (CVI), anal intercourse (AI), and condomless anal intercourse (CAI).
  
  Results
  
  Greater social disorder was associated with less AI (OR=0.63, 95% CI=0.43, 0.94) and CAI (OR=0.49, 95% CI=0.30, 0.80), regardless of HIV status. There were no statistically significant additive or multiplicative interactions between tract characteristics and HIV status.
  
  Conclusion
  
  Neighborhood characteristics are associated with sexual risk behaviors among women living in the Southern US, these relationships do not vary by HIV status. Future studies should establish temporality and explore the causal pathways through which neighborhoods influence sexual risk.
  
  
• Subjects:
  Adult Article Crime Cross-Sectional Studies Female HIV Infections HIV Seronegativity Humans Unsafe Sex
• Source:
  Ann Epidemiol. 27(4):252-259.e1.
• Pubmed ID:
  28476327
• Pubmed Central ID:
  PMC5502822
• Document Type:
  Journal Article
• Funding:
  P30 AI050409/AI/NIAID NIH HHS/United States ; U01 AI103397/AI/NIAID NIH HHS/United States ; K01 HD074726/HD/NICHD NIH HHS/United States ; U01 PS003315/PS/NCHHSTP CDC HHS/United States ; UL1 TR000454/TR/NCATS NIH HHS/United States ; U01 AI103401/AI/NIAID NIH HHS/United States ; F31 MH105238/MH/NIMH NIH HHS/United States ; U01 AI103390/AI/NIAID NIH HHS/United States ; U01 AI103408/AI/NIAID NIH HHS/United States ; U01 AI042590/AI/NIAID NIH HHS/United States
• Place as Subject:
  Southeastern United States
• Volume:
  27
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0b054b2a8bcb8fc8f1657621c55083bc9feec9666b31687e2b2f2ca6da23b7d8
• Download URL:
  https://stacks.cdc.gov/view/cdc/46681/cdc_46681_DS1.pdf
• File Type:
  [PDF - 119.86 KB ]