NDLI: Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women

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Individual- and Neighborhood-Level Characteristics Associated with Support of In-Pharmacy Vaccination among ESAP-Registered Pharmacies: Pharmacists’ Role in Reducing Racial/Ethnic Disparities in Influenza Vaccinations in New York City

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Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women

Content Provider	PubMed Central
Author	Neblett, Robyn C. Davey-rothwell, Melissa Chander, Geetanjali Latkin, Carl A.
Abstract	HIV/AIDS has emerged as a significant health threat for African American women with well-documented disparities. The purpose of this study was to assess the association between social network characteristics and high-risk sexual behaviors among a sample of urban African American women at risk of heterosexually acquired HIV/STIs. We performed a cross-sectional study of baseline data collected from the CHAT study, a randomized HIV-prevention trial targeting urban HIV-at-risk women in Baltimore, MD. Our primary outcomes were risky sexual behaviors defined as either (a) two or more sexual partners or (b) having a risky sex partner within the past 90 days. Bivariable and multivariable logistic regression examining the associations between individual and social network factors and our two outcomes of interest were conducted. The study population included 513 sexually active African American women with a mean age of 41.1 years. High levels of unemployment (89.5%), depressive symptoms (60.0%), and drug use (68.8%) were present among this high-risk urban cohort. Controlling for individual factors including participant drug use, age, and depression, having two or more sex partners within the past 90 days was associated with having a larger personal network (OR = 1.11; 95% CI, 1.06 and 1.17); more network members who pitched in to help (OR = 1.22; 95% CI, 1.04 and 1.44), provided financial support (OR = 1.33; 95% CI, 1.11 and 1.60), or used heroin or cocaine (OR = 1.26; 95% CI, 1.14 and 1.40). Having a risky sexual partner within the past 90 days was associated with having a larger social network (OR = 1.06; 95% CI, 1.00 and 1.12) and having more social networks who used heroin or cocaine (OR = 1.30; 95% CI, 1.14 and 1.49).In summary, social network characteristics are associated with HIV sexual risk behaviors among African American urban women. Social-network-based interventions that promote norms pertaining to HIV risk reduction and provide social support are needed for African American women at risk of heterosexually acquired HIV/STIs.
Related Links	http://dx.doi.org/10.1007/s11524-010-9513-x
Ending Page	65
Page Count	12
Starting Page	54
File Format	PDF
ISSN	10993460
e-ISSN	14682869
Journal	Journal of Urban Health : Bulletin of the New York Academy of Medicine
Issue Number	1
Volume Number	88
Language	English
Publisher	Springer US
Publisher Date	2011-02-01
Access Restriction	Open
Rights Holder	Springer US
Subject Keyword	Public Health, Environmental and Occupational Health Health(social science) Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Urban Studies Health (social science) Public Health, Environmental and Occupational Health

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