Social Capital is Associated with Late HIV Diagnosis: An Ecological Analysis
Identifieur interne : 001954 ( Pmc/Corpus ); précédent : 001953; suivant : 001955Social Capital is Associated with Late HIV Diagnosis: An Ecological Analysis
Auteurs : Yusuf Ransome ; Sandro Galea ; Roman Pabayo ; Ichiro Kawachi ; Sarah Braunstein ; Denis NashSource :
- Journal of acquired immune deficiency syndromes (1999) [ 1525-4135 ] ; 2016.
Abstract
Late HIV diagnosis is associated with higher medical costs, early mortality among individuals, and HIV transmission in the population. Even under optimal configurations of stable or declining HIV incidence and increase in HIV case findings, no change in proportion of late HIV diagnosis is projected after year 2019. We investigated the association among social capital, gender, and late HIV diagnosis.
We conduct ecological analyses (ZIP code, N=166) using negative binomial regression of gender-specific rates of late HIV diagnoses (an AIDS defining illness or a CD4 count ≤200 cell/µL within 12 months of a new HIV diagnosis) in 2005 and 2006 obtained from the New York City HIV Surveillance Registry, and social capital indicators (civic engagement, political participation, social cohesion, and informal social control) from the New York Social Indicators Survey, 2004.
Overall, low to high political participation and social cohesion corresponded with significant (p<.0001) decreasing trends in late HIV diagnosis rates. Among men (RR=0.66, 95% CI [0.47—0.98]) and women (RR=0.43, 95% CI [0.28—0.67]), highest political participation was associated with lower relative odds of late HIV diagnosis, independent of income inequality. Highest informal social control (RR=0.67, 95% CI [0.48—0.93]) among men only, and moderate social cohesion (RR=0.71, 95% CI [0.55—0.92]) among women only, were associated with the outcome adjusting for social fragmentation, income inequality, and racial composition.
The magnitude of association between social capital and late HIV diagnosis varies by gender and by social capital indicator.
Url:
DOI: 10.1097/QAI.0000000000001043
PubMed: 27632146
PubMed Central: 5026389
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">100892005</journal-id><journal-id journal-id-type="pubmed-jr-id">21821</journal-id><journal-id journal-id-type="nlm-ta">J Acquir Immune Defic Syndr</journal-id><journal-id journal-id-type="iso-abbrev">J. Acquir. Immune Defic. Syndr.</journal-id><journal-title-group><journal-title>Journal of acquired immune deficiency syndromes (1999)</journal-title></journal-title-group><issn pub-type="ppub">1525-4135</issn><issn pub-type="epub">1944-7884</issn></journal-meta><article-meta><article-id pub-id-type="pmid">27632146</article-id><article-id pub-id-type="pmc">5026389</article-id><article-id pub-id-type="doi">10.1097/QAI.0000000000001043</article-id><article-id pub-id-type="manuscript">NIHMS779507</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Social Capital is Associated with Late HIV Diagnosis: An Ecological Analysis</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Ransome</surname><given-names>Yusuf</given-names></name><degrees>MPH, DrPH</degrees><aff id="A1">Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington Avenue, 7th Floor, Boston MA, 02215, Tel: 617-384-8814, Fax: 617-384-8859,<email>yransome@hsph.harvard.edu</email></aff></contrib><contrib contrib-type="author"><name><surname>Galea</surname><given-names>Sandro</given-names></name><degrees>MD, MPH, DrPH</degrees><aff id="A2">School of Public Health, Boston University, 715 Albany Street - Talbot 301, Boston, MA 02118</aff></contrib><contrib contrib-type="author"><name><surname>Pabayo</surname><given-names>Roman</given-names></name><degrees>PhD</degrees><aff id="A3">Community Health Sciences, University of Nevada School, 1644 North Virginia Street, Reno, NV 89557</aff></contrib><contrib contrib-type="author"><name><surname>Kawachi</surname><given-names>Ichiro</given-names></name><degrees>MD, PhD</degrees><aff id="A4">Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington Avenue, 7th Floor, Boston, MA 02215</aff></contrib><contrib contrib-type="author"><name><surname>Braunstein</surname><given-names>Sarah</given-names></name><degrees>PhD</degrees><aff id="A5">HIV Epidemiology and Field Services Program, New York City Department of Health and Mental Hygiene, 42-09 28<sup>th</sup> Street, Long Island City, NY 11101</aff></contrib><contrib contrib-type="author"><name><surname>Nash</surname><given-names>Denis</given-names></name><degrees>MPH, PhD</degrees><aff id="A6">Graduate School of Public Health and Health Policy, City University of New York 365 5th Avenue, 3rd Floor New York, NY 10016</aff></contrib></contrib-group><pub-date pub-type="nihms-submitted"><day>8</day><month>5</month><year>2016</year></pub-date><pub-date pub-type="ppub"><day>1</day><month>10</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>10</month><year>2017</year></pub-date><volume>73</volume><issue>2</issue><fpage>213</fpage><lpage>221</lpage><pmc-comment>elocation-id from pubmed: 10.1097/QAI.0000000000001043</pmc-comment>
<abstract><sec id="S1"><title>Background</title><p id="P1">Late HIV diagnosis is associated with higher medical costs, early mortality among individuals, and HIV transmission in the population. Even under optimal configurations of stable or declining HIV incidence and increase in HIV case findings, no change in proportion of late HIV diagnosis is projected after year 2019. We investigated the association among social capital, gender, and late HIV diagnosis.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We conduct ecological analyses (ZIP code, N=166) using negative binomial regression of gender-specific rates of late HIV diagnoses (an AIDS defining illness or a CD4 count ≤200 cell/µL within 12 months of a new HIV diagnosis) in 2005 and 2006 obtained from the New York City HIV Surveillance Registry, and social capital indicators (civic engagement, political participation, social cohesion, and informal social control) from the New York Social Indicators Survey, 2004.</p></sec><sec id="S3"><title>Results</title><p id="P3">Overall, low to high political participation and social cohesion corresponded with significant (p<.0001) decreasing trends in late HIV diagnosis rates. Among men (RR=0.66, 95% CI [0.47—0.98]) and women (RR=0.43, 95% CI [0.28—0.67]), highest political participation was associated with lower relative odds of late HIV diagnosis, independent of income inequality. Highest informal social control (RR=0.67, 95% CI [0.48—0.93]) among men only, and moderate social cohesion (RR=0.71, 95% CI [0.55—0.92]) among women only, were associated with the outcome adjusting for social fragmentation, income inequality, and racial composition.</p></sec><sec id="S4"><title>Discussion</title><p id="P4">The magnitude of association between social capital and late HIV diagnosis varies by gender and by social capital indicator.</p></sec></abstract><kwd-group><kwd>Social capital</kwd><kwd>late HIV diagnosis</kwd><kwd>social cohesion</kwd><kwd>income inequality</kwd><kwd>gender</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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