AIDS and Behavior

, Volume 19, Issue 6, pp 1005–1013 | Cite as

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

  • Jelani C. Kerr
  • Robert F. Valois
  • Arjumand Siddiqi
  • Peter Vanable
  • Michael P. Carey
Original Paper


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.


HIV Neighborhoods Adolescence Regional differences 



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


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Jelani C. Kerr
    • 1
    • 8
  • Robert F. Valois
    • 2
    • 3
  • Arjumand Siddiqi
    • 4
    • 5
  • Peter Vanable
    • 6
  • Michael P. Carey
    • 7
  1. 1.Department of Health Promotion and Behavioral Sciences, School of Public Health and Information SciencesUniversity of LouisvilleLouisvilleUSA
  2. 2.Department of Health Promotion, Education and Behavior, Arnold School of Public HealthUniversity of South CarolinaColumbiaUSA
  3. 3.Department of Family and Preventive Medicine, School of MedicineUniversity of South CarolinaColumbiaUSA
  4. 4.Department of Epidemiology, Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
  5. 5.Department of Social and Behavioural Health Sciences, Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
  6. 6.Department of Psychology, Center for Health and BehaviorSyracuse UniversitySyracuseUSA
  7. 7.The Centers for Behavioral and Preventive MedicineThe Miriam HospitalProvidenceUSA
  8. 8.Department of Sociology, Anthropology, and CriminologyUniversity of WindsorWindsorCanada

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