title: Neighborhood Condition and Geographic Locale in Assessing HIV/STI Risk Among African American Adolescents.
abstract: Although region and neighborhood condition's effect on HIV/sexually transmitted infection (STI) risk has been studied separately, there is little research examining their interplay. African American adolescents (n = 1,602) from four matched cities in the Northeastern and Southeastern US completed Audio Computer Assisted Self-Interviews and submitted biospecimen samples to detect Sexually Transmitted Infections (chlamydia, gonorrhea, and trichomonas). Logistic and negative binomial regressions determined HIV/STI risk differences by region, neighborhood stress, and stress-region dyads. Northeastern participants demonstrated lower HIV/STI risk while participants from higher stress neighborhoods exhibited greater risk. Relationships between neighborhood condition and ever having anal sex (p < 0.01), anal condom use (p < 0.05), and number of anal partners (p < 0.05) were significant in the Northeast only. Participants in unstressed Northeastern neighborhoods were less likely to have vaginal sex than those in comparable Southeastern neighborhoods (p < 0.05). Participants in unfavorable Northeastern neighborhoods had fewer anal partners than participants in comparable Southeastern neighborhoods (p < 0.01). In concert, neighborhood and region differentially affect HIV/STI risk.
authors.affiliation: Department of Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA, j.kerr@louisville.edu.
authors.forename: Jelani C
authors.initials: JC
authors.lastname: Kerr
authors.forename: Robert F
authors.initials: RF
authors.lastname: Valois
authors.forename: Arjumand
authors.initials: A
authors.lastname: Siddiqi
authors.forename: Peter
authors.initials: P
authors.lastname: Vanable
authors.forename: Michael P
authors.initials: MP
authors.lastname: Carey
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: DiClemente
authors.forename: Daniel
authors.initials: D
authors.lastname: Romer
authors.forename: Larry K
authors.initials: LK
authors.lastname: Brown
authors.forename: Naomi B
authors.initials: NB
authors.lastname: Farber
authors.forename: Laura F
authors.initials: LF
authors.lastname: Salazar
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000706:statistics & numerical data*; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D015995:Prevalence; D012111:Residence Characteristics; D018570:Risk Assessment; D012309:Risk-Taking; D021841:Safe Sex / Q000208:ethnology / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000208:ethnology*; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000208:ethnology*; D012923:Social Class; D012931:Social Environment; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology
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