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Journal article
Is race-specific neighborhood social cohesion key to reducing racial disparities in late HIV diagnosis: A multiyear ecological study
Spatial and spatio-temporal epidemiology, v 42, 100508
Aug 2022
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
•Race/ethnic-specific social cohesion and social capital are associated with race/ethnic-specific late HIV diagnosis.•Trust in neighbors’ association with late HIV diagnosis varied by race/ethnicity.•Social cohesion and social capital reported by Black/African Americans and Hispanic/Latinos are associated with better HIV outcomes among whites but not the specific ethnic/racial groups.•Race-specific differences in distribution of social capital and social cohesion should be considered in HIV prevention interventions.
We examined whether race/ethnic-specific social cohesion is associated with race/ethnic-specific HIV diagnosis rates using Bayesian space-time zero-inflated Poisson multivariable models, across 376 Census tracts. Social cohesion data were from the Southeastern Pennsylvania Household Health Survey, 2008—2015 and late HIV diagnosis data from eHARS system, 2009—2016. Areas where trust in neighbors reported by Black/African Americans was medium (compared to low) had lower rates of late HIV diagnosis among Black/African Americans (Relative Risk (RR)=0.52, 95% credible interval (CrI)= 0.34, 0.80). In contrast, areas where trust in neighbors reported by Black/African Americans were highest had lower late HIV diagnosis rates among Whites (RR=0.35, 95% CrI= 0.16, 0.76). Race/ethnic-specific differences in social cohesion may have implications for designing interventions aimed at modifying area-level social factors to reduce racial disparities in late HIV diagnosis.
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Details
- Title
- Is race-specific neighborhood social cohesion key to reducing racial disparities in late HIV diagnosis: A multiyear ecological study
- Creators
- Yusuf Ransome - Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, LEPH 4th Floor, New Haven, CT 06520Hui Luan - University of OregonLorraine T Dean - BloombergHarrison Quick - Drexel UniversityTanner Nassau - AIDS Activities Coordinating OfficeIchiro Kawachi - Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge Building 7th Floor, Boston MA, 02115Kathleen A Brady - AIDS Activities Coordinating Office
- Publication Details
- Spatial and spatio-temporal epidemiology, v 42, 100508
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Dana and David Dornsife School of Public Health; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000832984600001
- Scopus ID
- 2-s2.0-85129992777
- Other Identifier
- 991019169672304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health