+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Public Housing Relocations and Partnership Dynamics in Areas With High Prevalences of Sexually Transmitted Infections

Public Housing Relocations and Partnership Dynamics in Areas With High Prevalences of Sexually Transmitted Infections

Sexually Transmitted Diseases 43(4): 222-230

We investigated the implications of one structural intervention--public housing relocations--for partnership dynamics among individuals living areas with high sexually transmitted infection (STI) prevalence. High-prevalence areas fuel STI endemicity and are perpetuated by spatially assortative partnerships. We analyzed 7 waves of data from a cohort of black adults (n = 172) relocating from 7 public housing complexes in Atlanta, Georgia. At each wave, data on whether participants' sexual partners lived in the neighborhood were gathered via survey. Participant addresses were geocoded to census tracts, and measures of tract-level STI prevalence, socioeconomic conditions, and other attributes were created for each wave. "High-prevalence tracts" were tracts in the highest quartile of STI prevalence in Georgia. Descriptive statistics and hierarchical generalized linear models examined trajectories of spatially assortative partnerships and identified predictors of assortativity among participants in high-prevalence tracts. All 7 tracts containing public housing complexes at baseline were high-prevalence tracts; most participants relocated to high-prevalence tracts. Spatially assortative partnerships had a U-shaped distribution: the mean percent of partners living in participants' neighborhoods at baseline was 54%; this mean declined to 28% at wave 2 and was 45% at wave 7. Participants who experienced greater postrelocation improvements in tract-level socioeconomic conditions had a lower odds of having spatially assortative partnerships (adjusted odds ratio, 1.55; 95% confidence interval [95% CI], 1.06-2.26). Public housing relocation initiatives may disrupt high-prevalence areas if residents experience significant postrelocation gains in tract-level socioeconomic conditions.

(PDF emailed within 0-6 h: $19.90)

Accession: 058661261

Download citation: RISBibTeXText

PMID: 26967298

DOI: 10.1097/OLQ.0000000000000419

Related references

Effect of public-private partnership in treatment of sexually transmitted infections among female sex workers in Andhra Pradesh, India. Indian Journal of Medical Research 139(2): 285-293, 2015

Sexually transmitted infections and adverse pregnancy outcomes among women attending inner city public sexually transmitted diseases clinics. Sexually Transmitted Diseases 38(3): 167-171, 2011

Access to health services and sexually transmitted infections in a cohort of relocating African American public housing residents: an association between travel time and infection. Sexually Transmitted Diseases 39(2): 116-121, 2012

Identifying appropriate IUD candidates in areas with high prevalence of sexually transmitted infections. Contraception 75(3): 185-192, 2007

Risk behaviours and prevalences of HIV and sexually transmitted infections among female sex workers in various venues in Changzhou, China. International Journal of Std and Aids 28(11): 1135-1142, 2017

Most adolescents who participate in school-based screenings for sexually transmitted infections do not perceive themselves at high risk of sexually transmitted infection. International Journal of Std and Aids 23(11): 822-824, 2013

High incidence of new sexually transmitted infections in the year following a sexually transmitted infection: a case for rescreening. Annals of Internal Medicine 145(8): 564-572, 2006

Prevalence of sexually transmitted infections and high-risk sexual behaviors in heterosexual couples attending sexually transmitted disease clinics in Peru. Sexually Transmitted Diseases 34(6): 344-361, 2006

Prevalences of sexually transmitted infections in young adults and female sex workers in Peru: a national population-based survey. Lancet. Infectious Diseases 12(10): 765-773, 2012

Impact of a Supportive Housing Program on Housing Stability and Sexually Transmitted Infections Among Young Adults in New York City Who Were Aging Out of Foster Care. American Journal of Epidemiology 186(3): 297-304, 2017

Correlates of Sexually Transmitted Infections among Adolescents Attending Public High Schools, Panama, 2015. Plos One 11(9): E0163391, 2016

Pattern of sexually transmitted infections: A profile from a rural- and tribal-based sexually transmitted infections clinic of a tertiary care hospital of Eastern India. Journal of Family Medicine and Primary Care 7(5): 1042-1046, 2019

Modelling sexually transmitted infections: the effect of partnership activity and number of partners on R0. Theoretical Population Biology 72(3): 389-399, 2007

Sexually transmissible infections and characteristics of men aged 60 years and over attending a public sexually transmitted diseases (STD) clinic in South Australia. Sexual Health 12(5): 460-462, 2015

Genital ulcers and concomitant complaints in men attending a sexually transmitted infections clinic: implications for sexually transmitted infections management. Sexually Transmitted Diseases 35(6): 545-549, 2008