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

doi:10.1007/s10508-018-1205-8

. 2018 Jul;47(5):1451-1463.

doi: 10.1007/s10508-018-1205-8. Epub 2018 Apr 25.

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

Danielle F Haley^{1

2}, Gina M Wingood³, Michael R Kramer⁴, Regine Haardörfer⁵, Adaora A Adimora^{6

7}, Anna Rubtsova⁵, Andrew Edmonds⁷, Neela D Goswami^{4

8}, Christina Ludema⁶, DeMarc A Hickson⁹, Catalina Ramirez⁶, Zev Ross¹⁰, Hector Bolivar¹¹, Hannah L F Cooper⁵

Affiliations

¹ Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, 130 Mason Farm Road, Chapel Hill, NC, 27599, USA. danielle_haley@med.unc.edu.
² Department of Behavioral Sciences and Health Education, Rollins School of Public Health at Emory University, Atlanta, GA, USA. danielle_haley@med.unc.edu.
³ Department of Sociomedical Sciences, Lerner Center for Public Health Promotion, Mailman School of Public Health at Columbia University, New York, NY, USA.
⁴ Department of Epidemiology, Rollins School of Public Health at Emory University, Atlanta, GA, USA.
⁵ Department of Behavioral Sciences and Health Education, Rollins School of Public Health at Emory University, Atlanta, GA, USA.
⁶ Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, 130 Mason Farm Road, Chapel Hill, NC, 27599, USA.
⁷ Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
⁸ Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
⁹ Department of Epidemiology and Biostatistics, Jackson State University School of Public Health, Jackson, MS, USA.
¹⁰ ZevRoss Spatial Analysis, Ithaca, NY, USA.
¹¹ Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL, USA.

PMID: 29696553
PMCID: PMC5955810
DOI: 10.1007/s10508-018-1205-8

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

Danielle F Haley et al. Arch Sex Behav. 2018 Jul.

. 2018 Jul;47(5):1451-1463.

doi: 10.1007/s10508-018-1205-8. Epub 2018 Apr 25.

Authors

Affiliations

¹ Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, 130 Mason Farm Road, Chapel Hill, NC, 27599, USA. danielle_haley@med.unc.edu.
² Department of Behavioral Sciences and Health Education, Rollins School of Public Health at Emory University, Atlanta, GA, USA. danielle_haley@med.unc.edu.
³ Department of Sociomedical Sciences, Lerner Center for Public Health Promotion, Mailman School of Public Health at Columbia University, New York, NY, USA.
⁴ Department of Epidemiology, Rollins School of Public Health at Emory University, Atlanta, GA, USA.
⁵ Department of Behavioral Sciences and Health Education, Rollins School of Public Health at Emory University, Atlanta, GA, USA.
⁶ Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, 130 Mason Farm Road, Chapel Hill, NC, 27599, USA.
⁷ Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
⁸ Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
⁹ Department of Epidemiology and Biostatistics, Jackson State University School of Public Health, Jackson, MS, USA.
¹⁰ ZevRoss Spatial Analysis, Ithaca, NY, USA.
¹¹ Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL, USA.

PMID: 29696553
PMCID: PMC5955810
DOI: 10.1007/s10508-018-1205-8

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.

Keywords: HIV; Multilevel analyses; Neighborhood characteristics; Sexual risk; Social cohesion.

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Conflict of interest statement

Conflict of Interest: The authors declare that they have no conflict of interest.

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References

1. Adimora A, Schoenbach V, Martinson F, Coyne-Beasley T, Doherty I, Stancil TR, Fullilove RE. Risk factors for heterosexually transmitted HIV infection among African Americans in North Carolina. Journal of Acquired Immune Deficiency Syndrome. 2006a;41:616–623. - PubMed
1. Adimora AA, Hughes JP, Wang J, Haley DF, Golin CE, Magnus M, et al. Hodder SL. Characteristics of multiple and concurrent partnerships among women at high risk for HIV infection. Journal of Acquired Immune Deficiency Syndrome. 2013a;65(1):99–106. doi: 10.1097/QAI.0b013e3182a9c22a. - DOI - PMC - PubMed
1. Adimora AA, Ramirez C, Schoenbach VJ, Cohen MS. Policies and politics that promote HIV infection in the Southern United States. AIDS. 2014;28(10):1393–1397. doi: 10.1097/QAD.0000000000000225. - DOI - PMC - PubMed
1. Adimora AA, Schoenbach VJ, Martinson FE, Coyne-Beasley T, Doherty I, Stancil TR, Fullilove RE. Heterosexually transmitted HIV infection among African Americans in North Carolina. Journal of Acquired Immune Deficiency Syndrome. 2006b;41(5):616–623. doi: 10.1097/01.qai.0000191382.62070.a5. - DOI - PubMed
1. Adimora AA, Schoenbach VJ, Martinson FE, Donaldson KH, Fullilove RE, Aral SO. Social context of sexual relationships among rural African Americans. Sexually Transmitted Diseases. 2001;28(2):69–76. - PubMed

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[1] Adimora A, Schoenbach V, Martinson F, Coyne-Beasley T, Doherty I, Stancil TR, Fullilove RE. Risk factors for heterosexually transmitted HIV infection among African Americans in North Carolina. Journal of Acquired Immune Deficiency Syndrome. 2006a;41:616–623. - PubMed

[2] Adimora A, Schoenbach V, Martinson F, Coyne-Beasley T, Doherty I, Stancil TR, Fullilove RE. Risk factors for heterosexually transmitted HIV infection among African Americans in North Carolina. Journal of Acquired Immune Deficiency Syndrome. 2006a;41:616–623. - PubMed

[3] Adimora AA, Hughes JP, Wang J, Haley DF, Golin CE, Magnus M, et al. Hodder SL. Characteristics of multiple and concurrent partnerships among women at high risk for HIV infection. Journal of Acquired Immune Deficiency Syndrome. 2013a;65(1):99–106. doi: 10.1097/QAI.0b013e3182a9c22a. - DOI - PMC - PubMed

[4] Adimora AA, Hughes JP, Wang J, Haley DF, Golin CE, Magnus M, et al. Hodder SL. Characteristics of multiple and concurrent partnerships among women at high risk for HIV infection. Journal of Acquired Immune Deficiency Syndrome. 2013a;65(1):99–106. doi: 10.1097/QAI.0b013e3182a9c22a. - DOI - PMC - PubMed

[5] Adimora AA, Ramirez C, Schoenbach VJ, Cohen MS. Policies and politics that promote HIV infection in the Southern United States. AIDS. 2014;28(10):1393–1397. doi: 10.1097/QAD.0000000000000225. - DOI - PMC - PubMed

[6] Adimora AA, Ramirez C, Schoenbach VJ, Cohen MS. Policies and politics that promote HIV infection in the Southern United States. AIDS. 2014;28(10):1393–1397. doi: 10.1097/QAD.0000000000000225. - DOI - PMC - PubMed

[7] Adimora AA, Schoenbach VJ, Martinson FE, Coyne-Beasley T, Doherty I, Stancil TR, Fullilove RE. Heterosexually transmitted HIV infection among African Americans in North Carolina. Journal of Acquired Immune Deficiency Syndrome. 2006b;41(5):616–623. doi: 10.1097/01.qai.0000191382.62070.a5. - DOI - PubMed

[8] Adimora AA, Schoenbach VJ, Martinson FE, Coyne-Beasley T, Doherty I, Stancil TR, Fullilove RE. Heterosexually transmitted HIV infection among African Americans in North Carolina. Journal of Acquired Immune Deficiency Syndrome. 2006b;41(5):616–623. doi: 10.1097/01.qai.0000191382.62070.a5. - DOI - PubMed

[9] Adimora AA, Schoenbach VJ, Martinson FE, Donaldson KH, Fullilove RE, Aral SO. Social context of sexual relationships among rural African Americans. Sexually Transmitted Diseases. 2001;28(2):69–76. - PubMed

[10] Adimora AA, Schoenbach VJ, Martinson FE, Donaldson KH, Fullilove RE, Aral SO. Social context of sexual relationships among rural African Americans. Sexually Transmitted Diseases. 2001;28(2):69–76. - PubMed

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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

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

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