Full Citation
Title: Is race-specific neighborhood social cohesion key to reducing racial disparities in late HIV diagnosis: A multiyear ecological study
Citation Type: Journal Article
Publication Year: 2022
ISBN:
ISSN: 1877-5845
DOI: 10.1016/J.SSTE.2022.100508
NSFID:
PMCID:
PMID: 35934322
Abstract: 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.
User Submitted?: No
Authors: Ransome, Yusuf; Luan, Hui; Dean, Lorraine T.; Quick, Harrison; Nassau, Tanner; Kawachi, Ichiro; Brady, Kathleen A.
Periodical (Full): Spatial and Spatio-temporal Epidemiology
Issue:
Volume: 42
Pages: 100508
Countries: