AIDS and Behavior

, Volume 19, Issue 6, pp 1016–1030 | Cite as

Changes in Exposure to Neighborhood Characteristics are Associated with Sexual Network Characteristics in a Cohort of Adults Relocating from Public Housing

  • Hannah L. F. Cooper
  • Sabriya Linton
  • Danielle F. Haley
  • Mary E. Kelley
  • Emily F. Dauria
  • Conny Chen Karnes
  • Zev Ross
  • Josalin Hunter-Jones
  • Kristen K. Renneker
  • Carlos del Rio
  • Adaora Adimora
  • Gina Wingood
  • Richard Rothenberg
  • Loida E. Bonney
Original Paper


Ecologic and cross-sectional multilevel analyses suggest that characteristics of the places where people live influence their vulnerability to HIV and other sexually-transmitted infections (STIs). Using data from a predominately substance-misusing cohort of African-American adults relocating from US public housing complexes, this multilevel longitudinal study tested the hypothesis that participants who experienced greater post-relocation improvements in economic disadvantage, violent crime, and male:female sex ratios would experience greater reductions in perceived partner risk and in the odds of having a partner who had another partner (i.e., indirect concurrency). Baseline data were collected from 172 public housing residents before relocations occurred; three waves of post-relocation data were collected every 9 months. Participants who experienced greater improvements in community violence and in economic conditions experienced greater reductions in partner risk. Reduced community violence was associated with reduced indirect concurrency. Structural interventions that decrease exposure to violence and economic disadvantage may reduce vulnerability to HIV/STIs.


Health disparities Public housing Multilevel analyses Neighborhoods HIV/AIDS 



This study was funded by a CFAR03 Grant awarded by the Emory Center for AIDS Research (P30 AI050409); a NIDA grant entitled “Public Housing Relocations: Impact on Healthcare Access, Drug Use & Sexual Health” (R21DA027072); and a NIDA grant entitled “Public Housing Relocations: Impact on HIV and Drug Use” (R01DA029513). Danielle Haley’s time was funded by the George W. Woodruff Fellowship of the Laney Graduate School, Emory University. Emily Dauria’s time was supported by an NIMH grant entitled “Male incarceration, the health care service environment, and sexual health (1F31MH096630-01). We would like to thank our NIDA Project Officer, Dr. Bethany Deeds, for her excellent help with this project; the Atlanta Housing Authority for permitting us to recruit participants on site; and study participants for sharing their time and experiences with the study.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Hannah L. F. Cooper
    • 1
  • Sabriya Linton
    • 1
  • Danielle F. Haley
    • 1
  • Mary E. Kelley
    • 2
  • Emily F. Dauria
    • 1
  • Conny Chen Karnes
    • 1
  • Zev Ross
    • 3
  • Josalin Hunter-Jones
    • 1
  • Kristen K. Renneker
    • 1
  • Carlos del Rio
    • 4
    • 5
  • Adaora Adimora
    • 6
  • Gina Wingood
    • 1
  • Richard Rothenberg
    • 7
  • Loida E. Bonney
    • 8
  1. 1.Department of Behavioral Sciences and Health EducationRollins School of Public Health at Emory UniversityAtlantaUSA
  2. 2.Department of Biostatistics and BioinformaticsRollins School of Public Health at Emory UniversityAtlantaUSA
  3. 3.Zev Ross Spatial AnalysisIthacaUSA
  4. 4.Department of Global HealthRollins School of Public Health at Emory UniversityAtlantaUSA
  5. 5.Emory Center for AIDS ResearchAtlantaUSA
  6. 6.University of North Carolina School of Medicine and Gillings School of Global Public HealthChapel HillUSA
  7. 7.School of Public HealthGeorgia State UniversityAtlantaUSA
  8. 8.Department of MedicineEmory University School of MedicineAtlantaUSA

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