Neighborhood Condition and Geographic Locale in Assessing HIV/STI Risk Among African American Adolescents

Jelani C. Kerr, Robert F. Valois, Arjumand Siddiqi, Peter Vanable, Michael P. Carey

Research output: Contribution to journalArticle

8 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1005-1013
Number of pages9
JournalAIDS and Behavior
Volume19
Issue number6
DOIs
StatePublished - Jun 22 2015

Keywords

  • Adolescence
  • HIV
  • Neighborhoods
  • Regional differences

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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