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Associations Between Neighborhood Characteristics, Social Cohesion, and Perceived Sex Partner Risk and Non-Monogamy Among HIV-Seropositive and HIV-Seronegative Women in the Southern U.S.
- Source :
- Archives of Sexual Behavior; Jul2018, Vol. 47 Issue 5, p1451-1463, 13p, 5 Charts
- Publication Year :
- 2018
-
Abstract
- Neighborhood social and physical factors shape sexual network characteristics in HIV-seronegative adults in the U.S. This multilevel analysis evaluated whether these relationships also exist in a predominantly HIV-seropositive cohort of women. This cross-sectional multilevel analysis included data from 734 women enrolled in the Women's Interagency HIV Study's sites in the U.S. South. Census tract-level contextual data captured socioeconomic disadvantage (e.g., tract poverty), number of alcohol outlets, and number of non-profits in the census tracts where women lived; participant-level data, including perceived neighborhood cohesion, were gathered via survey. We used hierarchical generalized linear models to evaluate relationships between tract characteristics and two outcomes: perceived main sex partner risk level (e.g., partner substance use) and perceived main sex partner non-monogamy. We tested whether these relationships varied by women's HIV status. Greater tract-level socioeconomic disadvantage was associated with greater sex partner risk (OR 1.29, 95% CI 1.06-1.58) among HIV-seropositive women and less partner non-monogamy among HIV-seronegative women (OR 0.69, 95% CI 0.51-0.92). Perceived neighborhood trust and cohesion was associated with lower partner risk (OR 0.83, 95% CI 0.69-1.00) for HIV-seropositive and HIV-seronegative women. The tract-level number of alcohol outlets and non-profits were not associated with partner risk characteristics. Neighborhood characteristics are associated with perceived sex partner risk and non-monogamy among women in the South; these relationships vary by HIV status. Future studies should examine causal relationships and explore the pathways through which neighborhoods influence partner selection and risk characteristics. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV-positive women
SOCIAL factors
SEXUAL partners
NEIGHBORHOODS
PUBLIC health
HIV infection epidemiology
NON-monogamous relationships
CROSS-sectional method
EVALUATION research
RISK-taking behavior
RESEARCH funding
HUMAN sexuality
RESIDENTIAL patterns
HIV seronegativity
RESEARCH methodology
RESEARCH
INTERPERSONAL relations
COMPARATIVE studies
PSYCHOLOGICAL tests
SOCIAL participation
Subjects
Details
- Language :
- English
- ISSN :
- 00040002
- Volume :
- 47
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Archives of Sexual Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 129628691
- Full Text :
- https://doi.org/10.1007/s10508-018-1205-8