Abstract
AbstractConcurrent 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%, χ2(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.
Funder
National Institute of Mental Health
National Institute on Drug Abuse
National Institute on Alcohol Abuse and Alcoholism
Publisher
Springer Science and Business Media LLC
Subject
Infectious Diseases,Public Health, Environmental and Occupational Health,Social Psychology
Reference89 articles.
1. Centers for Disease Control and Prevention. HIV surveillance report, volume 28: diagnosis of HIV infection in the United States and dependent areas, 2016 Atlanta, GA: CDC; 2017. https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2016-vol-28.pdf. Accessed 24 Jan 2018.
2. Centers for Disease Control and Prevention. HIV in the United States by geographic distribution Atlanta, GA: CDC; 2016 [updated November 29 2016]. https://www.cdc.gov/hiv/statistics/overview/geographicdistribution.html. Accessed 13 Dec 2016.
3. Hess KL, Hu X, Lansky A, Mermin J, Hall HI. Lifetime risk of a diagnosis of HIV infection in the United States. Ann Epidemiol. 2017;27(4):238–43.
4. Mississippi State Department of Health. 2015 STD/HIV Epidemiologic Profile Mississippi: Department of Health, STD/HIV Office; 2017. https://www.webcitation.org/query?url=https%3A%2F%2Fmsdh.ms.gov%2Fmsdhsite%2F_static%2Fresources%2F7543.pdf&date=2018-03-15. Accessed 15 Mar 2018.
5. Aral SO, Adimora AA, Fenton KA. Understanding and responding to disparities in HIV and other sexually transmitted infections in African Americans. Lancet. 2008;372(9635):337–40.
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