Changing Places and Partners: Associations of Neighborhood Conditions With Sexual Network Turnover Among African American Adults Relocated From Public Housing.

Changing Places and Partners: Associations of Neighborhood Conditions With Sexual Network Turnover Among African American Adults Relocated From Public Housing.
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DOI:
10.1007/s10508-015-0687-x
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发表时间:
2017-05
影响因子:
3.8
通讯作者:
Rothenberg, Richard
Rothenberg, Richard
中科院分区:
法学2区
文献类型:
--
作者:
Linton, Sabriya L.;Cooper, Hannah L. F.;Luo, Ruiyan;Karnes, Conny;Renneker, Kristen;Haley, Danielle F.;Dauria, Emily F.;Hunter-Jones, Josalin;Ross, Zev;Wingood, Gina M.;Adimora, Adaora A.;Bonney, Loida;Rothenberg, Richard

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社区条件和性网络更替与艾滋病毒和其他性传播感染[HIV/STI]的感染有关。然而,很少有研究调查邻里条件对性网络周转的影响。这项纵向研究使用了从佐治亚州亚特兰大公共住房搬迁出来的 172 名非裔美国成年人的 7 次访问中收集的数据,以确定搬迁后接触社区条件的变化是否会影响性网络的稳定性、加入性网络的新伴侣数量以及随着时间的推移离开性网络的伴侣数量。每次访问时,都会通过调查捕获参与者和性网络特征,并分析管理数据以描述参与者居住的人口普查区域。使用多级模型来纵向评估随着时间的推移,束级特征与性网络动态的关系。平均而言,参与者搬迁到经济贫困和暴力程度较低、酒精出口密度较低的社区。搬迁后酒精出口密度的减少与加入性网络的新伴侣减少有关。感知到的社区暴力减少与更多性伴侣离开性网络有关。这些关联的意义不大。搬迁后地点特征的变化与整体性网络稳定性无关。邻里社会背景可能会影响性网络的流动。为了加深对艾滋病毒/性传播感染的社会生态决定因素的了解,一项新的研究应该调查社区条件和性网络动态对艾滋病毒/性传播感染随时间推移的综合影响。
Neighborhood conditions and sexual network turnover have been associated with the acquisition of HIV and other sexually transmitted infections [HIV/STIs]. However, few studies investigate the influence of neighborhood conditions on sexual network turnover. This longitudinal study uses data collected across 7 visits from a predominantly substance-misusing cohort of 172 African American adults relocated from public housing in Atlanta, Georgia, to determine whether post-relocation changes in exposure to neighborhood conditions influence sexual network stability, the number of new partners joining sexual networks, and the number of partners leaving sexual networks over time. At each visit, participant and sexual network characteristics were captured via survey, and administrative data were analyzed to describe the census tracts where participants lived. Multilevel models were used to longitudinally assess the relationships of tract-level characteristics to sexual network dynamics over time. On average, participants relocated to neighborhoods that were less economically deprived and violent, and had lower alcohol-outlet densities. Post-relocation reductions in exposure to alcohol outlet density were associated with fewer new partners joining sexual networks. Reduced perceived community violence was associated with more sexual partners leaving sexual networks. These associations were marginally significant. No post-relocation changes in place characteristics were associated with overall sexual network stability. Neighborhood social context may influence sexual network turnover. To increase understanding of the social-ecological determinants of HIV/STIs, a new line of research should investigate the combined influence of neighborhood conditions and sexual network dynamics on HIV/STI transmission over time.
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