CO-OCCURING HIV RISK BEHAVIORS IN COMMUNITY CONTEXT

描述(改编自申请者的摘要)：当研究人员 承认艾滋病毒危险行为的空间集中度，很少有系统性的 群落特征与它们之间关系的调查 已经采取了一些行动。植根于社会解体理论的 拟议的分析评估了城市贫困和居民 不稳定阻碍了社会组织性和凝聚力的发展 能够集体管理相关个人级别行为的社区 与艾滋病毒/性传播疾病有关。使用1992年全国健康和社会生活调查 和描述芝加哥城市的两个数据集--1994年的人类项目 芝加哥社区调查与1995-97年芝加哥社区发展 健康和社会生活调查-这项研究将解决以下问题 问题： 1.关键的艾滋病毒危险行为--具体地说，肛门--的联合分布情况 性行为，避孕无效，性行为中饮酒，以及非法药物 在性行为中使用--在美国成年人口和大城市人口中 中锋？这些活动是否集中在相同的个人、伙伴关系、 还有性行为呢？ 2.城市社区的结构特征--包括集中 劣势和居住稳定性--与个人水平相关 共同发生艾滋病毒危险行为的可能性？维度在多大程度上 社区社会组织--包括当地居民的能力 集体干预以实现共同目标(非正式社会控制)-- 调解结构性劣势与疾病流行之间的关系 个人层面的艾滋病毒危险行为？ 3.邻里关系和以自我为中心的社交网络在多大程度上 与参与艾滋病毒危险行为有关的特征？是 社区层面的社交网络对 HTV危险行为在个人层面的流行率取决于 社区的非正式社会控制程度如何？是 社区层面的社交网络密度对 艾滋病危险行为的表现取决于人群的社会特征 是网络成员还是他们的关系？例如，密集网络是否 与之相比，亲缘关系对HIV危险行为的影响不同 友情密度？ 拟议的分析将使用复杂的统计技术和高 高质量的数据来源，用于调查肺炎的分布和病因 共同发生的艾滋病毒危险行为。关于芝加哥的数据源的组合 将提供一个难得的机会来调查个人级别的组织 在社区环境中的危险行为。

DESCRIPTION (adapted from applicant's abstract): While researchers have acknowledged the spatial concentration of HIV risk behaviors, few systematic investigations of the relationship between community characteristics and these behaviors have been undertaken. Rooted in social disorganization theory, the proposed analyses assess the hypothesis that urban poverty and residential instability inhibit the development of socially organized and cohesive communities capable of collectively managing individual level behavior relevant to HIV/STD transmission. Using the 1992 National Health and Social Life Survey and two data sets describing the city of Chicago-the 1994 Project on Human Development in Chicago Neighborhoods Community Survey and the 1995-97 Chicago Health and Social Life Survey-this research will address the following questions: 1. What is the joint distribution of key HIV risk behaviors-specifically, anal sex, ineffective contraception, and alcohol use during sex, and illicit drug use during sex-in the U.S. adult population and the population of a large urban center? Do these activities cluster within the same individuals, partnerships, and sexual events? 2. Are structural features of urban communities-including concentrated disadvantage and residential stability-associated with the individual level likelihood of co-occurring HIV risk behaviors? To what extent does dimensions of community social organization - including the capacity of local residents to intervene collectively to achieve shared goals (informal social control) - mediate the relationship between structural disadvantage and the prevalence of HIV risk behaviors at the individual level? 3. To what extent are neighborhood levels and egocentric social network characteristics relevant to participation in HIV risk behavior? Are neighborhood level social networks differentially consequential for the prevalence of HTV risk behaviors at the individual level depending on the degree of informal social control characterizing the neighborhood? Is neighborhood level social network density differentially consequential for the manifestation of HIV risk behavior depending on the social characteristics of network members or their relationships? For instance, are dense networks among kin differentially consequential for HIV risk behavior when compared with friendship density? The proposed analyses will employ sophisticated statistical techniques and high quality data sources to investigate the distribution and etiology of co-occurring HIV risk behaviors. The combination of data sources on Chicago will offer a rare opportunity to investigate the individual level organization of risk behaviors in neighborhood context.