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Neighborhood Condition and Geographic Locale in Assessing HIV/STI Risk Among African American Adolescents

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An Erratum to this article was published on 30 October 2014

Abstract

Although region and neighborhood condition’s effect on HIV/sexually transmitted infection (STI) risk has been studied separately, there is little research examining their interplay. African American adolescents (n = 1,602) from four matched cities in the Northeastern and Southeastern US completed Audio Computer Assisted Self-Interviews and submitted biospecimen samples to detect Sexually Transmitted Infections (chlamydia, gonorrhea, and trichomonas). Logistic and negative binomial regressions determined HIV/STI risk differences by region, neighborhood stress, and stress-region dyads. Northeastern participants demonstrated lower HIV/STI risk while participants from higher stress neighborhoods exhibited greater risk. Relationships between neighborhood condition and ever having anal sex (p < 0.01), anal condom use (p < 0.05), and number of anal partners (p < 0.05) were significant in the Northeast only. Participants in unstressed Northeastern neighborhoods were less likely to have vaginal sex than those in comparable Southeastern neighborhoods (p < 0.05). Participants in unfavorable Northeastern neighborhoods had fewer anal partners than participants in comparable Southeastern neighborhoods (p < 0.01). In concert, neighborhood and region differentially affect HIV/STI risk.

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References

  1. Centers for Disease Control and Prevention. HIV Among African Americans Fact Sheet [Internet]. 2013. http://www.cdc.gov/hiv/topics/aa/pdf/HIV_among_African_Americans_final.pdf.

  2. Prejean J, Song R, Hernandez A, Ziebell R, Green T, Lin L, et al. Estimated HIV incidence in the United States, 2006–2009. Plos One. 2011; 6(8):doi:10.1371/journal.pone.0017502.

  3. Adimora AA, Schoenbach VJ, Bonas D, Martinson F, Donaldson K, Stancil T. Concurrent sexual partnerships among women in the United States. Epidemiology. 2002;13:320–7.

    Article  PubMed  Google Scholar 

  4. Manlove J, Ikramulla E, Terry-Humen E. Condom use and consistency among male adolescents in the United States. J Adolesc Health. 2008;43(4):325–33.

    Article  PubMed  Google Scholar 

  5. Centers for Disease Control and Prevention. Youth risk behavior surveillance-United States. Surveill Summ MMWR. 2008;57(4):1–131.

    Google Scholar 

  6. Annang L, Walsemann KM, Maitra D, Kerr JC. Racial differences in the relationship between education and STI diagnosis among young adult females. Public Health Rep. 2010;125(SS4):110–21.

    PubMed Central  PubMed  Google Scholar 

  7. Millet GA, Peterson JL, Wolitski RJ, Stall R. Greater risk for HIV infection of Black men who have sex with men: a critical literature review. Am J Public Health. 2006;96(6):1007–19.

    Article  Google Scholar 

  8. Fife D, Mode C. AIDS incidence and income. J Acquir Immune Defic Syndr. 1992;5(11):1105–10.

    CAS  PubMed  Google Scholar 

  9. Blankenship KM, Smoyer AB, Bray SJ, Mattocks K. Black-White disparities in HIV/AIDS: the role of drug policy and the corrections system. J Health Care Poor Underserved. 2006;16(4 Suppl B):140–56.

    Google Scholar 

  10. Alexander M. The New Jim Crow: mass incarceration in the age of colorblindness. New York: The New Press; 2010.

    Google Scholar 

  11. Macartney S, Bishaw A, Fontenot K. Poverty rates for selected detailed race and Hispanic groups by state and place: 2007–2011. Am Community Surv Briefs. 2013; ACSBR/11-17. http://www.census.gov/prod/2013pubs/acsbr11-17.pdf. Accessed May 27, 2014.

  12. Centers for Disease Control and Prevention. Social determinants of health among adults with diagnosed HIV infection in 18 areas, 2005–2009. HIV Surveill Suppl Rep. 2013;18(4). http://www.cdc.gov/hiv/topics/surveillance/resources/reports/#supplemental. Accessed May 14, 2014.

  13. Krieger N, Chen JT, Waterman PD, et al. Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: the Public Health Disparities Geocoding Project. Am J Public Health. 2005;95:312–23.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Hixson BA, Omer SB, del Rio C, Frew PM. Spatial clustering of HIV prevalence in Atlanta, Georgia and population characteristics associated with case concentrations. J Urban Health. 2011;88(1):129–41.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Farley TA. Sexually transmitted diseases in the Southeastern United States: location, race, and social context. Sex Transm Dis. 2006;33(7):s58–64.

    Article  PubMed  Google Scholar 

  16. Gant Z, Lomotey M, Hall HI, Hu X, Guo X, Song R. A county-level examination of the relationship between HIV and social determinants of health: 40 states 2006–2008. Open AIDS J. 2012;6:1–7.

    Article  Google Scholar 

  17. Williams DR, Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep. 2001;116:404–16.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  18. Latkin CA, Curry AD, Hua W, Davey MA. Direct and indirect associations of neighborhood disorder with drug use and high-risk sexual partners. Am J Prev Med. 2007;32(6S):S234–41.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Adimora AA, Schoenbach VJ. Contextual factors and the Black-White disparity in heterosexual HIV transmission. Epidemiology. 2002;13:707–12.

    Article  PubMed  Google Scholar 

  20. Centers for Disease Control and Prevention. HIV and AIDS in the United States by Geographic Distribution [Internet]. 2012 [cited 2013 Aug 30]. http://www.cdc.gov/hiv/resources/factsheets/PDF/geographic.pdf.

  21. Anderson JE, Wilson R, Doll L, Jones TS, Barker P. Condom use and HIV risk behaviors among US adults: data from a national survey. Fam Plann Perspect. 1999;31(1):24–8.

    Article  CAS  PubMed  Google Scholar 

  22. Romer D, Sznitman S, DiClemente R, Salazar L, Vanable P, Carey M, et al. Mass media as an HIV-prevention strategy: using culturally sensitive messages to reduce HIV-associated sexual behavior of at-risk African American youth. Am J Public Health. 2009;99(12):1–10.

    Article  Google Scholar 

  23. Hennessy M, Romer D, Valois RF, Vanable PA, Carey M, Stanton B, et al. Safer sex media messages and adolescent sexual behavior: 3-year follow-up results from Project iMPPACS. Am J Public Health. 2013;103(1):134–40.

    Article  PubMed Central  PubMed  Google Scholar 

  24. Wen M, Hawkley LC, Cacioppo JT. Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: an analysis of older adults in Cook County, Illinois. Soc Sci Med. 2006;63(10):2575–90.

    Article  PubMed  Google Scholar 

  25. Ellaway A, Macintyre S, Kearns A. Perceptions of place and health in socially contrasting neighbourhoods. Urban Stud. 2001;38(12):2299–316.

    Article  Google Scholar 

  26. Sampson RJ, Raudenbush SW. Seeing disorder: neighborhood stigma and the social construction of “broken windows”. Soc Psychol Q. 2004;67(4):319–42.

    Article  Google Scholar 

  27. Lang DL, Salazar LF, Crosby RA, DiClemente RJ, Brown LK, Donenberg GR. Neighborhood environment, sexual risk behaviors and acquisition of sexually transmitted infections among adolescents diagnosed with psychological disorders. Am J Community Psychol. 2010;46:303–11.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Ewart CK, Suchday S. Discovering how urban poverty and violence affect health: development and validation of a neighborhood stress index. Health Psychol. 2002;21(3):254–62.

    Article  PubMed  Google Scholar 

  29. Centers for Disease Control and Prevention. 1991–2011 high school youth risk behavior survey data. [Internet]. 2013. http://apps.nccd.cdc.gov/youthonline.

  30. Herek G. Heterosexuals’ attitudes toward bisexual men and women in the United States. J Sex Res. 2002;39(4):264–74.

    Article  PubMed  Google Scholar 

  31. Kerr JC, Valois RF, DiClemente RJ, Fletcher FE, Carey M, Romer D, et al. HIV-related Stigma among African-American youth in the Northeast and Southeast US. Under Review.

  32. Folch C, Muñoz R, Zaragoza K, Casabona J. Sexual risk behaviour and its determinants among men who have sex with men in Catalonia, Spain. Eurosurveillance. 2009;14(47):24–30.

    Google Scholar 

  33. Guttmacher Institute. Sex and HIV education [Internet]. New York: Guttmacher Institute; 2013. http://www.guttmacher.org/statecenter/spibs/spib_SE.pdf.

  34. Landry DJ, Darroch JE, Singh S, Higgins J. Factors associated with the content of sex education in US public secondary schools. Perspect Sex Reprod Heal. 2003;35(6):261–9.

    Article  Google Scholar 

  35. Kaiser Family Foundation. Health care expenditures per Capita by State of residence [Internet]. 2013 [cited 2013 Aug 20]. http://kff.org/other/state-indicator/health-spending-per-capita/.

  36. Hanna DB, Selik RM, Tang T, Gange SJ. Disparities among states in HIV-related mortality in persons with HIV infection, 37 US states, 2001–2007. AIDS. 2012;26(1):95–103.

    Article  PubMed Central  PubMed  Google Scholar 

  37. Prejean J, Tang T, Hall I. HIV diagnosis and prevalence in the Southern region of the United States, 2007–2010. J Community Health. 2013;38:414–26.

    Article  PubMed  Google Scholar 

  38. Southern State AIDS/STD Directors Work Group. Southern states Manifesto HIV/AIDS and STD’s in the South. 2003. http://www.vdh.virginia.gov/epidemiology/DiseasePrevention/documents/pdf/FinalSouthernManifesto.pdf.

  39. DeNavas-Walt C, Proctor BD, Smith JC, Bureau USC. Current Population Reports, P60–245. Income, Poverty, and Health Insurance Coverage in the United States. Washington. DC: United States Government Printing Office; 2012. p. 2013.

    Google Scholar 

  40. Adimora A, Ramirez C, Schoenbach VJ, Cohen MS. Policies and politics that promote HIV infection in the southern United States. AIDS. 2014. doi:10.1097/QAD.0000000000000225.

  41. Cohen D, Spear S, Scribner R, Kissinger P, Mason K, Wildgen J. “Broken windows” and the risk of gonorrhea. Am J Public Health. 2000;90(2):230–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  42. Browning CR, Leventhal T, Brooks-Gunn J. Neighborhood context and racial differences in early adolescent sexual activity. Demography. 2004;41(4):697–720.

    Article  PubMed  Google Scholar 

  43. Fichtenberg CM, Jennings JM, Glass TM, Ellen JM. Neighborhood socioeconomic environment and sexual network position. J Urban Health. 2010;87(2):225–35.

    Article  PubMed Central  PubMed  Google Scholar 

  44. Centers for Disease Control and Prevention. Characteristics associated with HIV infection among heterosexuals in urban areas with high AIDS prevalence-24 cities, United States, 2006–2007. MMWR Morb Mortal Wkly Rep. 2011;60(31):1045–9.

    Google Scholar 

  45. Gindi RM, Sifakis F, Sherman SG, Towe VL, Flynn C, Zenilman JM. The geography of heterosexual partnerships in Baltimore city adults. Sexually Transm Dis. 2011;38(4):260–6.

    Google Scholar 

  46. Poundstone SA, Strathdee SA, Celentano DD. The social epidemiology of human immunodeficiency virus/acquired immunodeficiency syndrome. Epidemiol Rev. 2004;26:22–35.

    Article  CAS  PubMed  Google Scholar 

  47. Laumann EO, Youm Y. Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: a network explanation. Sex Transm Dis. 1999;26:250–61.

    Article  CAS  PubMed  Google Scholar 

  48. Zenilman JM, Ellish N, Fresia A, Glass G. The geography of sexual partnerships in Baltimore: applications of core theory dynamics using a geographic information system. Sex Transm Dis. 1999;26:75–81.

    Article  CAS  PubMed  Google Scholar 

  49. Auerbach JD, Parkhurst JO, Caceres CF. Addressing social drivers of HIV/AIDS for the long-term response: conceptual and methodological considerations. Glob Public Health. 2011;6(3):s293–309.

    Article  PubMed  Google Scholar 

  50. Morrison-Beedy D, Carey M, Xin T. Accuracy of audio computer-assisted self-interviewing (ACASI) and self-administered questionnaires for the assessment of sexual behavior. AIDS Behav. 2006;10:541–52.

    Article  PubMed Central  PubMed  Google Scholar 

  51. Turner CF, Ku L, Rogers SM. Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science. 1998;280:867–73.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This research was supported by the National Institutes of Health; National Institute of Mental Health (Grant Number 1-UO1-MH66802).

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Authors and Affiliations

  1. Department of Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA

    Jelani C. Kerr

  2. Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

    Robert F. Valois

  3. Department of Family and Preventive Medicine, School of Medicine, University of South Carolina, Columbia, SC, USA

    Robert F. Valois

  4. Department of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

    Arjumand Siddiqi

  5. Department of Social and Behavioural Health Sciences, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

    Arjumand Siddiqi

  6. Department of Psychology, Center for Health and Behavior, Syracuse University, Syracuse, NY, USA

    Peter Vanable

  7. The Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA

    Michael P. Carey

  8. Department of Sociology, Anthropology, and Criminology, University of Windsor, 401 Sunset Ave, CHS 50-1, Windsor, ON, N9B 3P4, Canada

    Jelani C. Kerr

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Correspondence to Jelani C. Kerr.

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Kerr, J.C., Valois, R.F., Siddiqi, A. et al. Neighborhood Condition and Geographic Locale in Assessing HIV/STI Risk Among African American Adolescents. AIDS Behav 19, 1005–1013 (2015). https://doi.org/10.1007/s10461-014-0868-y

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  • DOI: https://doi.org/10.1007/s10461-014-0868-y

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