Associations Between Neighborhood Characteristics, Social Cohesion, and Perceived Sex Partner Risk among HIV-Seropositive and HIV-Seronegative Women in the Southern United States

Details

• Alternative Title:
  Arch Sex Behav
• Personal Author:
  Haley, Danielle F. ; Wingood, Gina M. ; Kramer, Michael R. ; Haardörfer, Regine ; Adimora, Adaora A. ; Rubtsova, Anna ; Edmonds, Andrew ; Goswami, Neela D. ; Ludema, Christina ; Hickson, DeMarc A. ; Ramirez, Catalina ; Ross, Zev ; Bolivar, Hector ; Cooper, Hannah L. F.
• Description:
  Neighborhood social and physical factors shape sexual network characteristics in HIV-seronegative adults in the U.S. This multilevel analysis evaluated whether these relationships also exist in a predominantly HIV-seropositive cohort of women. This cross-sectional multilevel analysis included data from 734 women enrolled in the Women's Interagency HIV Study's sites in the U.S. South. Census tract-level contextual data captured socioeconomic disadvantage (e.g., tract poverty), number of alcohol outlets, and number of non-profits in the census tracts where women lived; participant-level data, including perceived neighborhood cohesion, were gathered via survey. We used hierarchical generalized linear models to evaluate relationships between tract characteristics and two outcomes: perceived main sex partner risk level (e.g., partner substance use) and perceived main sex partner non-monogamy. We tested whether these relationships varied by women's HIV status. Greater tract-level socioeconomic disadvantage was associated with greater sex partner risk (OR 1.29, 95% CI 1.06-1.58) among HIV-seropositive women and less partner non-monogamy among HIV-seronegative women (OR 0.69, 95% CI 0.51-0.92). Perceived neighborhood trust and cohesion was associated with lower partner risk (OR 0.83, 95% CI 0.69-1.00) for HIV-seropositive and HIV-seronegative women. The tract-level number of alcohol outlets and non-profits were not associated with partner risk characteristics. Neighborhood characteristics are associated with perceived sex partner risk and non-monogamy among women in the South; these relationships vary by HIV status. Future studies should examine causal relationships and explore the pathways through which neighborhoods influence partner selection and risk characteristics.
• Subjects:
  Article HIV Multilevel Analyses Neighborhood Characteristics Sexual Risk Social Cohesion
• Source:
  Arch Sex Behav. 47(5):1451-1463
• Pubmed ID:
  29696553
• Pubmed Central ID:
  PMC5955810
• Document Type:
  Journal Article
• Funding:
  P30 AI050409/AI/NIAID NIH HHS/United States ; P30 AI050409/Center for AIDS Research, Emory University (US)/ ; U01 AI103397/AI/NIAID NIH HHS/United States ; U01-AI-103390/National Institutes of Health/ ; K01 HD074726/HD/NICHD NIH HHS/United States ; U01 PS003315/PS/NCHHSTP CDC HHS/United States ; U01PS003315/Centers for Disease Control and Prevention/ ; UL1 TR000454/TR/NCATS NIH HHS/United States ; U01-AI-103401/National Institutes of Health/ ; U01 AI103401/AI/NIAID NIH HHS/United States ; F31 MH105238/MH/NIMH NIH HHS/United States ; U01-AI-042590/National Institutes of Health/ ; U01-AI-103408/National Institutes of Health/ ; UL1-TR000454/National Institutes of Health/ ; U01 AI103390/AI/NIAID NIH HHS/United States ; U01-AI-103397/National Institutes of Health/ ; F31MH105238/National Institute of Mental Health/ ; U01 AI103408/AI/NIAID NIH HHS/United States ; K01HD074726/National Institute of Child Health and Human Development/ ; U01 AI042590/AI/NIAID NIH HHS/United States
• Volume:
  47
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:15c612bf6016bb5ef96a3a4c9b9f180503f01ae32a7a3ee866823c8b35e080d0
• Download URL:
  https://stacks.cdc.gov/view/cdc/54140/cdc_54140_DS1.pdf
• File Type:
  [PDF - 368.55 KB ]