TY - JOUR
T1 - Identifying Patterns of Social and Economic Hardship Among Structurally Vulnerable Women
T2 - A Latent Class Analysis of HIV/STI Risk
AU - Brantley, Meredith L.
AU - Kerrigan, Deanna
AU - German, Danielle
AU - Lim, Sahnah
AU - Sherman, Susan G.
N1 - Funding Information:
We are grateful for the support of the Baltimore City Health Department, recruitment and data collection by the STILETTO study team, and for the women who participated. The STILETTO Study was supported by the National Institute of Drug Abuse (NIDA R21 DA033855) and the Johns Hopkins Center for AIDS Research (JHU CFAR; NIAID 1P30AI094189). M.L. Brantley was supported by the National Institute of Allergy and Infectious Disease (T32 AI050056-12) and the National Institute on Drug Abuse (F31 DA038540). S. Lim was supported by the National Institute of Allergy and Infectious Disease (T32 AI050056-12).
Funding Information:
Funding The STILETTO Study was supported by the National Institute of Drug Abuse (NIDA R21 DA033855) and the Johns Hopkins Center for AIDS Research (JHU CFAR; NIAID 1P30AI094189). M.L. Brantley was supported by the National Institute of Allergy and Infectious Disease (T32 AI050056-12) and the National Institute on Drug Abuse (F31 DA038540). S. Lim was supported by the National Institute of Allergy and Infectious Disease (T32 AI050056-12).
Publisher Copyright:
© 2017, Springer Science+Business Media New York.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Women who are structurally vulnerable are at heightened risk for HIV/STIs. Identifying typologies of structural vulnerability that drive HIV/STI risk behavior is critical to understanding the nature of women’s risk. Latent class analysis (LCA) was used to classify exotic dancers (n = 117) into subgroups based on response patterns of four vulnerability indicators. Latent class regression models tested whether sex- and drug-related risk behavior differed by vulnerability subgroup. Prevalence of vulnerability indicators varied across housing instability (39%), financial insecurity (39%), limited education (67%), and arrest history (36%). LCA yielded a two-class model solution, with 32% of participants expected to belong to a “high vulnerability” subgroup. Dancers in the high vulnerability subgroup were more likely to report sex exchange (OR = 8.1, 95% CI, 1.9–34.4), multiple sex partnerships (OR = 6.4, 95% CI, 1.9–21.5), and illicit drug use (OR = 17.4, 95% CI, 2.5–123.1). Findings underscore the importance of addressing inter-related structural factors contributing to HIV/STI risk.
AB - Women who are structurally vulnerable are at heightened risk for HIV/STIs. Identifying typologies of structural vulnerability that drive HIV/STI risk behavior is critical to understanding the nature of women’s risk. Latent class analysis (LCA) was used to classify exotic dancers (n = 117) into subgroups based on response patterns of four vulnerability indicators. Latent class regression models tested whether sex- and drug-related risk behavior differed by vulnerability subgroup. Prevalence of vulnerability indicators varied across housing instability (39%), financial insecurity (39%), limited education (67%), and arrest history (36%). LCA yielded a two-class model solution, with 32% of participants expected to belong to a “high vulnerability” subgroup. Dancers in the high vulnerability subgroup were more likely to report sex exchange (OR = 8.1, 95% CI, 1.9–34.4), multiple sex partnerships (OR = 6.4, 95% CI, 1.9–21.5), and illicit drug use (OR = 17.4, 95% CI, 2.5–123.1). Findings underscore the importance of addressing inter-related structural factors contributing to HIV/STI risk.
KW - Exotic dance club
KW - HIV
KW - Sexually transmitted infections
KW - Social determinants
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U2 - 10.1007/s10461-017-1673-1
DO - 10.1007/s10461-017-1673-1
M3 - Article
C2 - 28138802
AN - SCOPUS:85010961111
SN - 1090-7165
VL - 21
SP - 3047
EP - 3056
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 10
ER -