Changes in Exposure to Neighborhood Characteristics are Associated with Sexual Network Characteristics in a Cohort of Adults Relocating from Public Housing

Hannah L.F. Cooper, Sabriya Linton, Danielle F. Haley, Mary E. Kelley, Emily F. Dauria, Conny Chen Karnes, Zev Ross, Josalin Hunter-Jones, Kristen K. Renneker, Carlos del Rio, Adaora Adimora, Gina Wingood, Richard Rothenberg, Loida E. Bonney

Research output: Contribution to journalArticle

Abstract

Ecologic and cross-sectional multilevel analyses suggest that characteristics of the places where people live influence their vulnerability to HIV and other sexually-transmitted infections (STIs). Using data from a predominately substance-misusing cohort of African-American adults relocating from US public housing complexes, this multilevel longitudinal study tested the hypothesis that participants who experienced greater post-relocation improvements in economic disadvantage, violent crime, and male:female sex ratios would experience greater reductions in perceived partner risk and in the odds of having a partner who had another partner (i.e., indirect concurrency). Baseline data were collected from 172 public housing residents before relocations occurred; three waves of post-relocation data were collected every 9 months. Participants who experienced greater improvements in community violence and in economic conditions experienced greater reductions in partner risk. Reduced community violence was associated with reduced indirect concurrency. Structural interventions that decrease exposure to violence and economic disadvantage may reduce vulnerability to HIV/STIs.

Original languageEnglish (US)
Pages (from-to)1016-1030
Number of pages15
JournalAIDS and behavior
Volume19
Issue number6
DOIs
StatePublished - Jun 22 2015
Externally publishedYes

Keywords

  • HIV/AIDS
  • Health disparities
  • Multilevel analyses
  • Neighborhoods
  • Public housing

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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  • Cite this

    Cooper, H. L. F., Linton, S., Haley, D. F., Kelley, M. E., Dauria, E. F., Karnes, C. C., Ross, Z., Hunter-Jones, J., Renneker, K. K., del Rio, C., Adimora, A., Wingood, G., Rothenberg, R., & Bonney, L. E. (2015). Changes in Exposure to Neighborhood Characteristics are Associated with Sexual Network Characteristics in a Cohort of Adults Relocating from Public Housing. AIDS and behavior, 19(6), 1016-1030. https://doi.org/10.1007/s10461-014-0883-z