Direct and Indirect Associations of Neighborhood Disorder With Drug Use and High-Risk Sexual Partners

Carl A Latkin, Aaron D. Curry, Wei Hua, Melissa Davey-Rothwell

Research output: Contribution to journalArticle

Abstract

Background: On a macrosocial level, neighborhood characteristics have been found to be associated with the prevalence of HIV and other bloodborne and sexually transmitted infections. The current study used structural equation modeling to examine the relationship between neighborhood social and physical disorder and high-risk sexual partners. Methods: A cohort (N=838) recruited for an HIV prevention study of drug users (2002-2004) in Baltimore, Maryland, was interviewed about their neighborhood characteristics, drug use, depressive symptoms (using the Centers for Epidemiological Studies Depression Scale), and HIV/sexually transmitted infection risk behaviors of exchanging sex for money or drugs, having multiple sexual partners, and having partners who injected drugs or smoked crack cocaine. Data were analyzed in February 2005. Results: Model fit statistics from Mplus (Muthen & Muthen, Los Angeles CA, 2004) indicated statistically significant direct associations between neighborhood disorder and psychologic distress, neighborhood disorder and sexual risk behaviors, and neighborhood disorder and drug use. There were also significant indirect associations of neighborhood disorder on sexual risk behaviors. Conclusions: These results highlight the importance of viewing drug use, chronic stress, depression and hopelessness, and infectious diseases such as HIV and hepatitis C as interlinked epidemics that are fostered by neighborhood social and physical disorder. Neighborhood, network, and community level interventions are needed to address these intertwined public health issues.

Original languageEnglish (US)
JournalAmerican Journal of Preventive Medicine
Volume32
Issue number6 SUPPL.
DOIs
StatePublished - Jun 2007

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Sexual Partners
Substance-Related Disorders
Risk-Taking
HIV
Depression
Sexually Transmitted Diseases
Sexual Behavior
Pharmaceutical Preparations
Crack Cocaine
Baltimore
Los Angeles
Hepatitis C
Drug Users
Communicable Diseases
Epidemiologic Studies
Public Health

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health

Cite this

Direct and Indirect Associations of Neighborhood Disorder With Drug Use and High-Risk Sexual Partners. / Latkin, Carl A; Curry, Aaron D.; Hua, Wei; Davey-Rothwell, Melissa.

In: American Journal of Preventive Medicine, Vol. 32, No. 6 SUPPL., 06.2007.

Research output: Contribution to journalArticle

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