title: Neighborhood social disorganization and the acquisition of trichomoniasis among young adults in the United States.
abstract: OBJECTIVE
  We examined relationships between neighborhood social disorganization and trichomoniasis among young US adults.
  
  
  METHODS
  We employed multilevel logistic regression modeling with secondary data from wave III of the National Longitudinal Study of Adolescent Health (2001-2002). The dependent variable-trichomoniasis-was measured via urine testing. The measures for neighborhood social disorganization were derived from the 2000 US Census-racial and ethnic composition, concentrated poverty, and residential instability. The sample comprised 11 370 individuals across 4912 neighborhoods.
  
  
  RESULTS
  Trichomoniasis was more likely in neighborhoods with higher concentrations of Black residents (adjusted odds ratio [AOR] = 1.16; 95% confidence interval [CI] = 1.03, 1.30). However, this association was mediated by neighborhood concentrated poverty. Furthermore, young adults who lived in neighborhoods with higher concentrations of poverty were significantly more likely to have trichomoniasis (AOR = 1.25; 95% CI = 1.07, 1.46). Neither immigrant concentration nor residential instability was significantly associated with trichomoniasis.
  
  
  CONCLUSIONS
  These findings strengthen the evidence that neighborhood structural conditions are associated with individual sexually transmitted infection (STI) acquisition. Research is needed to explore the mechanisms through which these conditions influence STI. In addition, STI-prevention programs that include structural interventions targeting neighborhood disadvantage are needed.
authors.affiliation: College of Nursing, The Ohio State University, Columbus, 43210, USA. ford.553@osu.edu
authors.forename: Jodi L
authors.initials: JL
authors.lastname: Ford
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Browning
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005260:Female; D006306:Health Surveys / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008403:Mass Screening; D011203:Poverty / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000208:ethnology; D012959:Socioeconomic Factors; D014245:Trichomonas Infections / Q000453:epidemiology* / Q000208:ethnology; D014481:United States / Q000453:epidemiology; D055815:Young Adult