Association between local public housing authority policies related to criminal justice system involvement and sexually transmitted infection rates.
Association between local public housing authority policies related to criminal justice system involvement and sexually transmitted infection rates.
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DOI：
10.1186/s40352-021-00156-4
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发表时间：
2021-11-17
期刊：
影响因子：
3.5
通讯作者：
Blankenship KM
中科院分区：
文献类型：
--
作者：
Purtle J;Tekin E;Gebrekristos LT;Niccolai L;Blankenship KM
美国地方公共住房当局的政策影响着哪些人群能够获得稳定的住房，而稳定的住房是健康的重要资源。我们评估了地方公共住房管理局对有刑事司法历史的人（艾滋病毒/性传播感染高危人群）政策的限制是否与地方一级的艾滋病毒/性传播感染率相关。使用来自 107 个地方公共住房管理局辖区的数据进行了生态分析。自变量是一个分数，量化了与有刑事司法历史的人获得和保留公共住房的能力相关的八项政策的存在/不存在。因变量是县级艾滋病毒、淋病、梅毒和衣原体感染率。使用具有状态固定效应的普通最小二乘回归。我们发现，住房管理局政策对有刑事司法历史的人的限制与较高的艾滋病毒和淋病发病率显着相关，但与梅毒或衣原体发病率无关。例如，政策得分比中值得分更严格的地方住房部门每 10 万人中增加了 6.05 例艾滋病毒感染病例（相对于平均水平增加了 32.9%），新诊断的淋病病例增加了 84.61 例（增加了 41.3%）。地方公共住房管理局与有刑事司法历史的人相关的政策可能会影响人口层面的艾滋病毒/性传播感染风险。在对涉及住房、健康和司法的人群进行研究和干预时，应考虑这些政策。在线版本包含可在 10.1186/s40352-021-00156-4 获取的补充材料。
The policies of U.S. local public housing authorities influence which populations have access to stable housing, an important resource for health. We assessed whether the restrictiveness of local public housing authority policies related to people with criminal justice histories—a population at high risk for HIV/STIs—were associated with HIV/STI rates at the local-level. An ecological analysis was conducted using data from 107 local public housing authority jurisdictions. The independent variable was a score that quantified the presence/absence of eight policies related to the ability of people with criminal justice histories to obtain and retain public housing. The dependent variables were county-level rates of HIV, gonorrhea, syphilis, and chlamydia. Ordinary least squares regression with state fixed effects was used. We find that the restrictiveness of housing authority policies towards people with criminal justice histories were significantly associated with higher HIV and gonorrhea rates, but not syphilis or chlamydia. For example, local housing authorities with a policy score more restrictive than the median score had an additional 6.05 cases of HIV per 100,000 population (32.9% increase relative to the mean rate) and 84.61 cases of newly diagnosed gonorrhea (41.3% increase). Local public housing authority policies related to people with criminal justice histories could affect HIV/STI risk at the population-level. These policies should be considered in studies and interventions at the intersection of housing, health, and justice involved populations. The online version contains supplementary material available at 10.1186/s40352-021-00156-4.