Multiplex Relationships and HIV

Implications for Network‐Based Interventions

Abby E. Rudolph, Natalie D. Crawford, Carl A Latkin, Crystal Fuller Lewis

Research output: Contribution to journalArticle

Abstract

The number of network members and the roles they play can influence risk behaviors and consequently intervention strategies to reduce HIV transmission. We recruited 652 people who use drugs (PWUD) from socially disadvantaged neighborhoods in New York City (07/2006–06/2009). Interviewer-administered surveys ascertained demographic, behavioral, and network data. We used logistic regression, stratified by exchange sex, to assess the relationship between HIV status and the number of network members with different roles, treated as independent and multiplex (i.e., drug + sex). Those with more multiplex risk ties were significantly more likely to be HIV positive, but only among those not reporting exchange sex (AOR = 3.2). Among those reporting exchange sex, men reporting recent male sex partners were more likely to report HIV positive status (AOR = 12.6). These data suggest that sex and drug relationships among PWUD are interrelated. Interventions that target multiplex rather than single-role relationships may be more effective in influencing behavior change.

Original languageEnglish (US)
Pages (from-to)1219-1227
Number of pages9
JournalAIDS and Behavior
Volume21
Issue number4
DOIs
StatePublished - Apr 1 2017

Fingerprint

HIV
Pharmaceutical Preparations
Vulnerable Populations
Risk-Taking
Logistic Models
Demography
Interviews

Keywords

  • Exchange sex
  • Multiplexity
  • Risk networks
  • Social networks

ASJC Scopus subject areas

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

Cite this

Multiplex Relationships and HIV : Implications for Network‐Based Interventions. / Rudolph, Abby E.; Crawford, Natalie D.; Latkin, Carl A; Lewis, Crystal Fuller.

In: AIDS and Behavior, Vol. 21, No. 4, 01.04.2017, p. 1219-1227.

Research output: Contribution to journalArticle

Rudolph, Abby E. ; Crawford, Natalie D. ; Latkin, Carl A ; Lewis, Crystal Fuller. / Multiplex Relationships and HIV : Implications for Network‐Based Interventions. In: AIDS and Behavior. 2017 ; Vol. 21, No. 4. pp. 1219-1227.
@article{4c2e29c2021e452bb02d7d6a230b47c1,
title = "Multiplex Relationships and HIV: Implications for Network‐Based Interventions",
abstract = "The number of network members and the roles they play can influence risk behaviors and consequently intervention strategies to reduce HIV transmission. We recruited 652 people who use drugs (PWUD) from socially disadvantaged neighborhoods in New York City (07/2006–06/2009). Interviewer-administered surveys ascertained demographic, behavioral, and network data. We used logistic regression, stratified by exchange sex, to assess the relationship between HIV status and the number of network members with different roles, treated as independent and multiplex (i.e., drug + sex). Those with more multiplex risk ties were significantly more likely to be HIV positive, but only among those not reporting exchange sex (AOR = 3.2). Among those reporting exchange sex, men reporting recent male sex partners were more likely to report HIV positive status (AOR = 12.6). These data suggest that sex and drug relationships among PWUD are interrelated. Interventions that target multiplex rather than single-role relationships may be more effective in influencing behavior change.",
keywords = "Exchange sex, Multiplexity, Risk networks, Social networks",
author = "Rudolph, {Abby E.} and Crawford, {Natalie D.} and Latkin, {Carl A} and Lewis, {Crystal Fuller}",
year = "2017",
month = "4",
day = "1",
doi = "10.1007/s10461-016-1454-2",
language = "English (US)",
volume = "21",
pages = "1219--1227",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Multiplex Relationships and HIV

T2 - Implications for Network‐Based Interventions

AU - Rudolph, Abby E.

AU - Crawford, Natalie D.

AU - Latkin, Carl A

AU - Lewis, Crystal Fuller

PY - 2017/4/1

Y1 - 2017/4/1

N2 - The number of network members and the roles they play can influence risk behaviors and consequently intervention strategies to reduce HIV transmission. We recruited 652 people who use drugs (PWUD) from socially disadvantaged neighborhoods in New York City (07/2006–06/2009). Interviewer-administered surveys ascertained demographic, behavioral, and network data. We used logistic regression, stratified by exchange sex, to assess the relationship between HIV status and the number of network members with different roles, treated as independent and multiplex (i.e., drug + sex). Those with more multiplex risk ties were significantly more likely to be HIV positive, but only among those not reporting exchange sex (AOR = 3.2). Among those reporting exchange sex, men reporting recent male sex partners were more likely to report HIV positive status (AOR = 12.6). These data suggest that sex and drug relationships among PWUD are interrelated. Interventions that target multiplex rather than single-role relationships may be more effective in influencing behavior change.

AB - The number of network members and the roles they play can influence risk behaviors and consequently intervention strategies to reduce HIV transmission. We recruited 652 people who use drugs (PWUD) from socially disadvantaged neighborhoods in New York City (07/2006–06/2009). Interviewer-administered surveys ascertained demographic, behavioral, and network data. We used logistic regression, stratified by exchange sex, to assess the relationship between HIV status and the number of network members with different roles, treated as independent and multiplex (i.e., drug + sex). Those with more multiplex risk ties were significantly more likely to be HIV positive, but only among those not reporting exchange sex (AOR = 3.2). Among those reporting exchange sex, men reporting recent male sex partners were more likely to report HIV positive status (AOR = 12.6). These data suggest that sex and drug relationships among PWUD are interrelated. Interventions that target multiplex rather than single-role relationships may be more effective in influencing behavior change.

KW - Exchange sex

KW - Multiplexity

KW - Risk networks

KW - Social networks

UR - http://www.scopus.com/inward/record.url?scp=85014947200&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85014947200&partnerID=8YFLogxK

U2 - 10.1007/s10461-016-1454-2

DO - 10.1007/s10461-016-1454-2

M3 - Article

VL - 21

SP - 1219

EP - 1227

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - 4

ER -