title: Changes in Exposure to Neighborhood Characteristics are Associated with Sexual Network Characteristics in a Cohort of Adults Relocating from Public Housing.
abstract: Ecologic and cross-sectional multilevel analyses suggest that characteristics of the places where people live influence their vulnerability to HIV and other sexually-transmitted infections (STIs). Using data from a predominately substance-misusing cohort of African-American adults relocating from US public housing complexes, this multilevel longitudinal study tested the hypothesis that participants who experienced greater post-relocation improvements in economic disadvantage, violent crime, and male:female sex ratios would experience greater reductions in perceived partner risk and in the odds of having a partner who had another partner (i.e., indirect concurrency). Baseline data were collected from 172 public housing residents before relocations occurred; three waves of post-relocation data were collected every 9 months. Participants who experienced greater improvements in community violence and in economic conditions experienced greater reductions in partner risk. Reduced community violence was associated with reduced indirect concurrency. Structural interventions that decrease exposure to violence and economic disadvantage may reduce vulnerability to HIV/STIs.
authors.affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health at Emory University, 1518 Clifton Road, NE Room 526, Atlanta, GA, 30322, USA, hcoope3@emory.edu.
authors.forename: Hannah L F
authors.initials: HL
authors.lastname: Cooper
authors.forename: Sabriya
authors.initials: S
authors.lastname: Linton
authors.forename: Danielle F
authors.initials: DF
authors.lastname: Haley
authors.forename: Mary E
authors.initials: ME
authors.lastname: Kelley
authors.forename: Emily F
authors.initials: EF
authors.lastname: Dauria
authors.forename: Conny Chen
authors.initials: CC
authors.lastname: Karnes
authors.forename: Zev
authors.initials: Z
authors.lastname: Ross
authors.forename: Josalin
authors.initials: J
authors.lastname: Hunter-Jones
authors.forename: Kristen K
authors.initials: KK
authors.lastname: Renneker
authors.forename: Carlos
authors.initials: C
authors.lastname: Del Rio
authors.forename: Adaora
authors.initials: A
authors.lastname: Adimora
authors.forename: Gina
authors.initials: G
authors.lastname: Wingood
authors.forename: Richard
authors.initials: R
authors.lastname: Rothenberg
authors.forename: Loida E
authors.initials: LE
authors.lastname: Bonney
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000208:ethnology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011638:Public Housing; D012111:Residence Characteristics; D012307:Risk Factors; D012449:Safety; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D012747:Sexual Partners; D012931:Social Environment; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000208:ethnology / Q000523:psychology; D014481:United States; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data; D035862:Vulnerable Populations / Q000208:ethnology; D055815:Young Adult