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Explaining HIV Risk Multiplexity: A Social Network Analysis
Journal article   Open access   Peer reviewed

Explaining HIV Risk Multiplexity: A Social Network Analysis

Marisa Felsher and Emmanuel Koku
AIDS and behavior, v 22(11), pp 3500-3507
01 Nov 2018
PMID: 29680933
url
https://doi.org/10.1177/13623613221092195View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Biomedical Social Sciences Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology Social Sciences Social Sciences, Biomedical
Risk multiplexity (i.e., overlap in drug-use, needle exchange and sexual relations) is a known risk factor for HIV. However, little is known about predictors of multiplexity. This study uses egocentric data from the Colorado Springs study to examine how individual, behavioral and social network factors influence engagement in multiplex risk behavior. Analyses revealed that compared to Whites, Hispanics were significantly more likely to engage in risk multiplexity and Blacks less so. Respondents who were similar to each other (e.g., in terms of race) had significantly higher odds of being in risk multiplex relationships, and respondents' risk perceptions and network size were significantly associated with engaging in multiplex risk behaviors. Findings from interaction analysis showed the effect of knowing someone with HIV on the odds of multiplexity depends partly on whether respondents' know their HIV status. Findings suggest that demographics, HIV behaviors and network factors impact engagement in multiplex risk behaviors, highlighting the need for multi-level interventions aimed at reducing HIV risk behavior. ResumenLa multiplexidad de riesgo (es decir, la superposicion en el uso de drogas, el intercambio de agujas y las relaciones sexuales) es un factor de riesgo conocido para el VIH. Sin embargo, se sabe poco sobre los predictores de multiplexidad. Este estudio utiliza datos egocentricos del estudio de Colorado Springs para examinar como los factores individuales, conductuales y de las redes sociales influyen en el compromiso en el comportamiento de riesgo multiple. Los analisis revelaron que, en comparacion con los blancos, los hispanos tenian una probabilidad significativamente mayor de participar en la multiplexidad de riesgo y los negros lo eran menos. Los encuestados que eran similares entre si (por ejemplo, en terminos de raza) tenian probabilidades significativamente mayores de estar en relaciones multiplex de riesgo, y las percepciones de riesgo y el tamano de la red de los encuestados se asociaron significativamente con comportamientos de riesgo multiples. Los resultados del analisis de interaccion mostraron que el efecto de conocer a alguien con VIH sobre la probabilidad de multiplexidad depende en parte de si los encuestados conocen su estado de VIH. Los hallazgos sugieren que los datos demograficos, los comportamientos relacionados con el VIH y los factores de red influyen en la participacion en comportamientos de riesgo multiples, destacando la necesidad de intervenciones con varios niveles destinadas a reducir las conductas de riesgo del VIH.

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Web of Science research areas
Public, Environmental & Occupational Health
Social Sciences, Biomedical
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