AIDS and Behavior

, Volume 21, Issue 12, pp 3353–3365 | Cite as

Neighborhood Environments and Sexual Risk Behaviors for HIV Infection Among U.S. Women: A Systematic Review

  • Chanelle J. Howe
  • Hayley Siegel
  • Akilah Dulin-Keita
Substantive Review


Empirical evidence indicates that aspects of the neighborhood environment may affect HIV prevention efforts. Therefore, the neighborhood environment should be considered when implementing prevention interventions. However, much of the empirical evidence is derived from studies conducted among drug users, men, or adolescents. Such evidence may not be as applicable to adult women whose primary risk for HIV infection is via heterosexual sexual behavior. Therefore, a systematic review examining the relationship between neighborhood environments and HIV sexual risk behaviors among adult U.S. women was conducted. Three databases were searched for articles published in English in peer-reviewed journals between 1/1/1980 and 12/31/2016 meeting relevant criteria. Seven articles identified from the three databases or additional hand searches met inclusion criteria and were summarized. Findings were mixed with several studies indicating associations between neighborhood environments and HIV sexual risk behaviors. However, all summarized studies were cross-sectional. Longitudinal studies conducted among women are needed.


HIV Neighborhoods Women Sexual risk behaviors 


Compliance with Ethical Standards

Conflicts of interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of Epidemiology, Centers for Epidemiology and Environmental HealthBrown University School of Public HealthProvidenceUSA
  2. 2.Department of Behavioral and Social Sciences, Center for Health Equity ResearchBrown University School of Public HealthProvidenceUSA

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