Associations between neighborhood characteristics and sexual risk behaviors among HIV-infected and HIV-uninfected women in the southern United States

Haley, Danielle F.; Haardörfer, Regine; Kramer, Michael R.; Adimora, Adaora A.; Wingood, Gina M.; Goswami, Neela D.; Rubtsova, Anna; Ludema, Christina; Hickson, De Marc A.; Ramirez, Catalina; Ross, Zev; Bolívar, Héctor; Cooper, Hannah L.F.

doi:10.1016/j.annepidem.2017.03.004

Cited by 13 publications

(7 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, neighborhood measures of the material economic environment might be related to access to resources, which could in turn possibly affect diet and other behaviors associated with microbiome composition ( 24 ). Similarly, neighborhood measures of social capital might reflect the social network, which could subsequently impact social support, norms and beliefs around hygiene practices, and sexual activity ( 25 – 27 ). Likewise, neighborhood measures of stressful or violent environments might be correlated with psychosocial health, which could also influence microbiome composition ( 28 ).…”

Section: Introductionmentioning

confidence: 99%

Joint effects of individual socioeconomic status and residential neighborhood context on vaginal microbiome composition

Dixon

Dunlop

Corwin

et al. 2023

Front. Public Health

Self Cite

View full text Add to dashboard Cite

IntroductionThe vaginal microbiome is a dynamic ecosystem that is important for women's health. Its composition has been associated with risk for menopausal symptoms, sexually transmitted infections, gynecologic cancer, and preterm birth. Conventional risk factors for a vaginal microbiome linked with these adverse health outcomes include sexual behaviors, hygiene practices, individual social factors, and stress levels. However, there has been limited research on socio-contextual determinants, and whether neighborhood context modifies the association with individual socioeconomic factors.MethodsSocioeconomically diverse pregnant African American women in Atlanta, Georgia (n = 439) provided residential addresses and first trimester vaginal swab samples, which underwent sequencing, taxonomic classification, and assignment into mutually exclusive CST (community state types) via hierarchical clustering. Linear probability models were used to estimate prevalence differences (PD) for the associations of neighborhood factors with vaginal microbiome CST and to evaluate for additive interaction with maternal level of education, health insurance type, and recruitment hospital.ResultsFactors such as higher (vs. lower) maternal education, private (vs. public) insurance, and private (vs. public) hospital were associated with higher prevalence of Lactobacillus-dominant vaginal microbiome CSTs typically associated with better health outcomes. When considering the joint effects of these individual socioeconomic status and residential neighborhood factors on vaginal microbiome CST, most combinations showed a greater than additive effect among the doubly exposed; however, in the case of local income homogeneity and local racial homogeneity, there was evidence of a crossover effect between those with less-advantaged individual socioeconomic status and those with more-advantaged individual socioeconomic status. Compared to women at the public hospital who lived in economically diverse neighborhoods, women at the private hospital who lived in economically diverse neighborhoods had a 21.9% higher prevalence of Lactobacillus-dominant CSTs, while women at the private hospital who lived in less economically diverse neighborhoods (the doubly exposed) had only an 11.7% higher prevalence of Lactobacillus-dominant CSTs, showing a crossover effect (interaction term p-value = 0.004).DiscussionIn this study, aspects of residential neighborhood context were experienced differently by women on the basis of their individual resources, and the joint effects of these exposures on vaginal microbiome CST showed a departure from simple additivity for some factors.

show abstract

Section: Introductionmentioning

confidence: 99%

Joint effects of individual socioeconomic status and residential neighborhood context on vaginal microbiome composition

Dixon

Dunlop

Corwin

et al. 2023

Front. Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Seven studies examined the relationship between objective measures of neighborhood-level factors and sexual risks behavior. Living in a more disadvantaged neighborhood was associated with inconsistent condom use [ 25 , 56 , 57 ]. However, findings regarding anal intercourse were mixed as one study identified an inverse relationship between neighborhood condition and anal sex [ 34 ] while another detected a direct relationship [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…Living in a more disadvantaged neighborhood was associated with inconsistent condom use [ 25 , 56 , 57 ]. However, findings regarding anal intercourse were mixed as one study identified an inverse relationship between neighborhood condition and anal sex [ 34 ] while another detected a direct relationship [ 57 ]. Young MSM in neighborhoods with greater disadvantage (e.g., percentage of households in poverty) were less likely to report serodiscordant partners [ 58 ].…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Neighborhood-Level Influences on HIV Vulnerability

et al. 2021

View full text Add to dashboard Cite

A better understanding of the social-structural factors that influence HIV vulnerability is crucial to achieve the goal of ending the HIV epidemic by 2030. Given the role of neighborhoods in HIV outcomes, synthesis of findings from such research is key to inform efforts toward HIV eradication. We conducted a systematic review to examine the relationship between neighborhood-level factors (e.g., poverty) and HIV vulnerability (via sexual behaviors and substance use). We searched six electronic databases for studies published from January 1, 2007 through November 30, 2017 (PROSPERO CRD42018084384). We also mapped the studies’ geographic distribution to determine whether they aligned with high HIV prevalence areas and/or the “Ending the HIV Epidemic: A Plan for the United States”. Fifty-five articles met inclusion criteria. Neighborhood disadvantage, whether measured objectively or subjectively, is one of the most robust correlates of HIV vulnerability. Tests of associations more consistently documented a relationship between neighborhood-level factors and drug use than sexual risk behaviors. There was limited geographic distribution of the studies, with a paucity of research in several counties and states where HIV incidence/prevalence is a concern. Neighborhood influences on HIV vulnerability are the consequence of centuries-old laws, policies and practices that maintain racialized inequities (e.g., racial residential segregation, inequitable urban housing policies). We will not eradicate HIV without multi-level, neighborhood-based approaches to undo these injustices. Our findings inform future research, interventions and policies.

show abstract

“…This is in line with Jiang et al (2018) who showed that new infections occurred in people with homosexual behavior or causal sex partners. Haley et al (2017) showed that there was sexual intercourse without a condom (OR= 0.49) on HIV status.…”

Section: The Effect Of Sexual Behavior On Hiv Statusmentioning

confidence: 99%

Path Analysis of Sociodemography Determinants, Sexual Behavior, and HIV Status in Sragen, Central Java

Murti,

Dermatoto,

Murti

2020

J HEALTH PROMOT BEHAV

View full text Add to dashboard Cite

Background: HIV/ AIDS is a global problem, including Indonesia. HIV/ AIDS sufferers in Sragen Regency have increased every year. Sociodemographic factors and the many places as hosts for sexual behavior are the causes of HIV cases that cannot be suppressed. The purpose of this study was to determine the determinants of sociodemography, sexual behavior and HIV status. Subjects and Method: This was a cross sectional study conducted in Sragen Regency, Central Java, from August to December 2018. The sample consisted of 200 residents who did VCT. The sampling technique chosen was fixed disease sampling. The dependent was HIV status. The independent variables were occupation, knowledge of sexual partner HIV status, social support, sexual behavior and locus of control. Data were collected using a questionnaire and analyzed using path analysis. Results: HIV risk increased directly with risky work (b= 7.5; 95% CI= 0.79 -1.42; p= 0.029), risky sexual behavior (b= 0.48; 95% CI= -0.63 -1.73; p = 0.405 ), and sexual partners who did not know the HIV status of their sexual partners (b= 0.48; 95% CI= -0.63 to 1.73; p= 0.405). HIV risk is indirectly influenced by locus of control, social support, occupation, and sexual partners who do not know the HIV status of their sexual partners through sexual behavior. Conclusion:HIV status is directly influenced by occupation, sexual behavior and knowledge of sexual partners' HIV status, as well as indirectly by locus of control, social support, occupation and knowledge of sexual partners HIV status through sexual behavior.

show abstract

Associations between neighborhood characteristics and sexual risk behaviors among HIV-infected and HIV-uninfected women in the southern United States

Cited by 13 publications

References 46 publications

Joint effects of individual socioeconomic status and residential neighborhood context on vaginal microbiome composition

Joint effects of individual socioeconomic status and residential neighborhood context on vaginal microbiome composition

A Systematic Review of Neighborhood-Level Influences on HIV Vulnerability

Path Analysis of Sociodemography Determinants, Sexual Behavior, and HIV Status in Sragen, Central Java

Contact Info

Product

Resources

About