Social Capital and Risk of Concurrent Sexual Partners Among African Americans in Jackson, Mississippi

被引:5
作者
Ransome, Yusuf [1 ]
Cunningham, Karlene [2 ]
Paredes, Miguel [3 ]
Mena, Leandro [4 ]
Sutten-Coats, Cassandra [5 ,6 ]
Chan, Philip [7 ,8 ]
Simmons, Dantrell [9 ]
Willie, Tiara C. [8 ]
Nunn, Amy [5 ,6 ]
机构
[1] Yale Univ, Sch Publ Hlth, Dept Social & Behav Sci, LEPH, 60 Coll St, New Haven, CT 06510 USA
[2] East Carolina Univ, Brody Sch Med, Dept Psychiat & Behav Med, Greenville, NC 27858 USA
[3] Yale Univ, Sch Publ Hlth, Dept Epidemiol Microbial Dis, New Haven, CT USA
[4] Univ Mississippi, Med Ctr, Dept Med & Populat Hlth Sci, Jackson, MS 39216 USA
[5] Brown Univ, Dept Behav & Social Hlth Sci, Sch Publ Hlth, Providence, RI 02912 USA
[6] Rhode Isl Publ Hlth Inst, Providence, RI USA
[7] Brown Univ, Dept Med, Providence, RI 02912 USA
[8] Miriam Hosp, Div Infect Dis, Providence, RI 02906 USA
[9] US Dept HHS, Subst Abuse & Mental Hlth Serv Adm, Washington, DC 20201 USA
关键词
HIV; African american; Social capital; South; Mississippi; HIV-INFECTION; NEIGHBORHOOD CHARACTERISTICS; NATIONAL-SURVEY; ALCOHOL-USE; BLACK-MEN; WOMEN; PREVALENCE; SOUTH; INCARCERATION; EPIDEMIOLOGY;
D O I
10.1007/s10461-019-02770-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Concurrent sexual partnerships (i.e., relationships that overlap in time) contribute to higher HIV acquisition risk. Social capital, defined as resources and connections available to individuals is hypothesized to reduce sexual HIV risk behavior, including sexual concurrency. Additionally, we do not know whether any association between social capital and sexual concurrency is moderated by gender. Multivariable logistic regression tested the association between social capital and sexual concurrency and effect modification by gender. Among 1445 African Americans presenting for care at an urban STI clinic in Jackson, Mississippi, mean social capital was 2.85 (range 1-5), mean age was 25 (SD = 6), and 62% were women. Sexual concurrency in the current year was lower for women compared to men (45% vs. 55%, chi(2)(df = 1) = 11.07, p = .001). Higher social capital was associated with lower adjusted odds of sexual concurrency for women compared to men (adjusted Odds Ratio [aOR] = 0.62 (95% CI 0.39-0.97), p = 0.034), controlling for sociodemographic and psychosocial covariates. Interventions that add social capital components may be important for lowering sexual risk among African Americans in Mississippi.
引用
收藏
页码:2062 / 2072
页数:11
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