Both neighborhood and individual-level social cohesion are associated with testing for HIV in Southeastern Pennsylvania adult population

IF 3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology Pub Date : 2025-06-25 DOI:10.1016/j.annepidem.2025.06.013

Joyonna C. Gamble-George PhD , Kamden Hayashi PhD , Lorraine T. Dean ScD , Ester Villalonga-Olives PhD , Isabel Martinez PhD , Yusuf Ransome DrPH

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引用次数: 0

Abstract

Purpose

Neighborhood social capital is hypothesized to influence whether people test for infectious diseases. However, it is unknown whether neighborhood and individual social capital simultaneously influence HIV testing.

Methods

We used multivariable multilevel logistic regression to examine whether census tract-level and individual-level social capital (collective engagement and civic and social participation), as well as social cohesion (trust in neighbors, neighbors willing to help, feelings of belongingness), were associated with testing for HIV in the past 12 months. Participants were white, Black/African American, and Hispanic/Latino adults ages 18–49 (N = 1418) who participated in the Southeastern Pennsylvania Household Health Surveys 2010 and 2012. There were 106 census tracts in this sample from Philadelphia, PA.

Results

Forty-three percent of participants had an HIV test within the past 12 months. The mean HIV testing across census tracts in the past 12 months was 44 % (SD = 19 %). Neighborhoods (census tracts) explained 8.9 % of the individual-level variance in testing for HIV (Median Odds Ratio [MOR] = 1.72). Greater individual-level trust in neighbors was associated with lower odds of testing for HIV (adjusted Odds Ratio [aOR]:0.76, 95 % CI = 0.66–0.88). Both individual-level (adjusted Odds Ratio [aOR]:1.18, 95 % CI = 1.02–1.37) and census tract-level (adjusted Odds Ratio [aOR]:1.94, 95 % CI = 1.10–3.40) indicators of belonging were associated with higher odds of testing for HIV.

Conclusion

Neighborhood-level and individual-level social capital components should be integrated into interventions to increase HIV testing.

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社区和个人层面的社会凝聚力都与宾夕法尼亚州东南部成年人的艾滋病毒检测有关。

目的：假设邻里社会资本影响人们是否进行传染病检测。然而，社区和个人社会资本是否同时影响HIV检测尚不清楚。方法：我们使用多变量多水平逻辑回归来检验人口普查水平和个人水平的社会资本（集体参与、公民和社会参与）以及社会凝聚力（对邻居的信任、邻居愿意帮助、归属感）是否与过去12个月的艾滋病毒检测有关。参与者是参加2010年和2012年宾夕法尼亚州东南部家庭健康调查的18至49岁的白人、黑人/非裔美国人和西班牙裔/拉丁裔成年人（N = 1,418）。这个样本来自宾夕法尼亚州费城，共有106个人口普查区。结果：43%的参与者在过去12个月内进行了艾滋病毒检测。过去12个月，人口普查区的平均艾滋病毒检测率为44% （SD = 19%）。社区（人口普查区）解释了8.9%的HIV检测个体水平差异（中位优势比[MOR] = 1.72）。个体对邻居的信任程度越高，HIV检测的几率越低（校正比值比[aOR]:0.76, 95% CI = 0.66-0.88）。个体水平（校正比值比[aOR]:1.18, 95% CI = 1.02-1.37）和人口普查水平（校正比值比[aOR]:1.94, 95% CI = 1.10-3.40）的归属指标与较高的HIV检测几率相关。结论：应将社区层面和个人层面的社会资本成分纳入干预措施，以提高HIV检测水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.40

自引率

1.80%

发文量

207

审稿时长

59 days

期刊介绍： The journal emphasizes the application of epidemiologic methods to issues that affect the distribution and determinants of human illness in diverse contexts. Its primary focus is on chronic and acute conditions of diverse etiologies and of major importance to clinical medicine, public health, and health care delivery.