Social stability and HIV risk behavior: evaluating the role of accumulated vulnerability.
Social stability and HIV risk behavior: evaluating the role of accumulated vulnerability.
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DOI：
10.1007/s10461-011-9882-5
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发表时间：
2012-01
影响因子：
4.4
通讯作者：
Latkin CA
中科院分区：
文献类型：
--
作者：
German D;Latkin CA
本研究评估了巴尔的摩635名低收入妇女中常见的共同发生的脆弱性（无家可归、监禁、低收入、住宅转换）与艾滋病毒相关风险行为之间的累积和综合征关系。分析方法包括描述性统计、逻辑回归、潜类分析和潜类回归。两种评估多维不稳定性的方法都显示出与风险指标的显著关联。多配偶、性交易和吸毒的风险随着每增加一个领域而显著降低。较高的稳定性班级成员（77%）与多性伴侣、交换性伴侣、近期吸毒和近期性传播感染的可能性降低相关。多方面的社会脆弱性与艾滋病毒风险行为累积和协同联系在一起。独立的不稳定性度量可能会忽略风险的重要背景决定因素。社会稳定为理解形成性危险行为的社会脆弱性的协同作用提供了一个有用的框架。旨在加强住房和整体社会稳定的社会政策和方案可能有利于艾滋病毒的预防。
This study evaluated a cumulative and syndromic relationship among commonly co-occurring vulnerabilites (homelessness, incarceration, low-income, residential transition) in association with HIV-related risk behaviors among 635 low-income women in Baltimore. Analysis included descriptive statistics, logistic regression, latent class analysis and latent class regression. Both methods of assessing multidimensional instability showed significant associations with risk indicators. Risk of multiple partners, sex exchange, and drug use decreased significantly with each additional domain. Higher stability class membership (77%) was associated with decreased likelihood of multiple partners, exchange partners, recent drug use, and recent STI. Multidimensional social vulnerabilities were cumulatively and synergistically linked to HIV risk behavior. Independent instability measures may miss important contextual determinants of risk. Social stability offers a useful framework to understand the synergy of social vulnerabilities that shape sexual risk behavior. Social policies and programs aiming to enhance housing and overall social stability are likely to be beneficial for HIV prevention.
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影响因子：
4.4
作者：
German, Danielle;Davey, Melissa A.;Latkin, Carl A.
通讯作者：
Latkin, Carl A.
DOI：
10.1097/00126334-200212153-00013
发表时间：
2002-12-15
影响因子：
3.6
作者：
Bouhnik, AD;Chesney, M;Spire, B
通讯作者：
Spire, B
DOI：
10.1080/09540129850124208
发表时间：
1998-06-01
影响因子：
1.7
作者：
Friedman, SR
通讯作者：
Friedman, SR
影响因子：
3.1
作者：
Farley, TA
通讯作者：
Farley, TA
影响因子：
12.7
作者：
Auerbach, JD;Coates, TJ
通讯作者：
Coates, TJ