Racial and ethnic differences in the association of social cohesion and social capital with HIV testing
HIV testing rates vary by race and ethnicity. Whether social capital indicators are related to HIV testing and whether these associations differ by race or ethnicity is unknown. Multivariable analysis was used to examine whether social capital (collective engagement and civic and social participatio...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | SSM: Population Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827322003068 |
| _version_ | 1811164921441812480 |
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| author | Yusuf Ransome Kamden Hayashi Joyonna C. Gamble-George Lorraine T. Dean Ester Villalonga-Olives |
| author_facet | Yusuf Ransome Kamden Hayashi Joyonna C. Gamble-George Lorraine T. Dean Ester Villalonga-Olives |
| author_sort | Yusuf Ransome |
| collection | DOAJ |
| description | HIV testing rates vary by race and ethnicity. Whether social capital indicators are related to HIV testing and whether these associations differ by race or ethnicity is unknown. Multivariable analysis was used to examine whether social capital (collective engagement and civic and social participation), including 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 or African American, and Hispanic/Latino adults ages 18 to 44 (N = 2823) from the general population, in Philadelphia, PA who participated in the Southeastern Pennsylvania Household Health Surveys 2010 and 2012. Overall HIV testing in this sample was 42%, and was higher among women, and Black compared to white people. Mean social capital scores were significantly highest among whites. Greater trust in neighbors was associated with lower odds of testing for HIV (adjusted Odds Ratio[aOR]:0.61, 95% CI = 0.49–0.74), and this relationship varied by race/ethnicity, with stronger inverse associations among Hispanic/Latino (aOR = 0.43, p < 0.001) and white adults (aOR = 0.50, p < −0.001) than among Black adults (aOR = 0.75, p < 0.05). Greater neighborhood belongingness (aOR = 1.31, 95% CI = 1.11–1.54) and working together to improve the neighborhood (aOR = 1.33, 95%CI = 1.03–1.73) were associated with higher odds of testing for HIV. Different indicators of social capital were associated with higher as well as lower odds of testing for HIV. These patterns did not vary statistically by race or ethnicity. HIV testing prevention interventions will need to address social capital in design and implementation strategies. |
| first_indexed | 2024-04-10T15:30:09Z |
| format | Article |
| id | doaj.art-5d1cea59b7664f75a02f0e73bcde37c2 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-04-10T15:30:09Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-5d1cea59b7664f75a02f0e73bcde37c22023-02-14T04:06:59ZengElsevierSSM: Population Health2352-82732023-03-0121101327Racial and ethnic differences in the association of social cohesion and social capital with HIV testingYusuf Ransome0Kamden Hayashi1Joyonna C. Gamble-George2Lorraine T. Dean3Ester Villalonga-Olives4Social and Behavioral Sciences, Yale University, School of Public Health, 60 College Street, LEPH 4th Floor, New Haven, CT, 06520, USA; Corresponding author. Yale School of Public Health, 60 College Street, LEPH 4 th Floor, New Haven, CT, 06520, USA.Department of Health Behavior, University of North Carolina, Gillings School of Global Public Health, 135 Dauer Drive, Chapel Hill, NC, 27599, USABehavioral Science Training in Drug Abuse Research, New York University Rory Meyers College of Nursing, 380 2nd Avenue, Suite 306, NY, 10010, USA; Center for Interdisciplinary Research on AIDS, Yale University, School of Public Health, 135 College Street, Suite 200, New Haven, CT, 06510, USADepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Room E6650, Baltimore, MD, 21205, USADepartment of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch Street, 12th Floor, Baltimore, MD, 21201, USAHIV testing rates vary by race and ethnicity. Whether social capital indicators are related to HIV testing and whether these associations differ by race or ethnicity is unknown. Multivariable analysis was used to examine whether social capital (collective engagement and civic and social participation), including 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 or African American, and Hispanic/Latino adults ages 18 to 44 (N = 2823) from the general population, in Philadelphia, PA who participated in the Southeastern Pennsylvania Household Health Surveys 2010 and 2012. Overall HIV testing in this sample was 42%, and was higher among women, and Black compared to white people. Mean social capital scores were significantly highest among whites. Greater trust in neighbors was associated with lower odds of testing for HIV (adjusted Odds Ratio[aOR]:0.61, 95% CI = 0.49–0.74), and this relationship varied by race/ethnicity, with stronger inverse associations among Hispanic/Latino (aOR = 0.43, p < 0.001) and white adults (aOR = 0.50, p < −0.001) than among Black adults (aOR = 0.75, p < 0.05). Greater neighborhood belongingness (aOR = 1.31, 95% CI = 1.11–1.54) and working together to improve the neighborhood (aOR = 1.33, 95%CI = 1.03–1.73) were associated with higher odds of testing for HIV. Different indicators of social capital were associated with higher as well as lower odds of testing for HIV. These patterns did not vary statistically by race or ethnicity. HIV testing prevention interventions will need to address social capital in design and implementation strategies.http://www.sciencedirect.com/science/article/pii/S2352827322003068Social capitalSocial connectednessHIV testingRace/ethnicityAIDS |
| spellingShingle | Yusuf Ransome Kamden Hayashi Joyonna C. Gamble-George Lorraine T. Dean Ester Villalonga-Olives Racial and ethnic differences in the association of social cohesion and social capital with HIV testing SSM: Population Health Social capital Social connectedness HIV testing Race/ethnicity AIDS |
| title | Racial and ethnic differences in the association of social cohesion and social capital with HIV testing |
| title_full | Racial and ethnic differences in the association of social cohesion and social capital with HIV testing |
| title_fullStr | Racial and ethnic differences in the association of social cohesion and social capital with HIV testing |
| title_full_unstemmed | Racial and ethnic differences in the association of social cohesion and social capital with HIV testing |
| title_short | Racial and ethnic differences in the association of social cohesion and social capital with HIV testing |
| title_sort | racial and ethnic differences in the association of social cohesion and social capital with hiv testing |
| topic | Social capital Social connectedness HIV testing Race/ethnicity AIDS |
| url | http://www.sciencedirect.com/science/article/pii/S2352827322003068 |
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