Lutfi Khaleeq, Trepka Mary Jo, Fennie Kristopher P, Ibañez Gladys, Gladwin Hugh
Robert Stempel College of Public Health & Social Work, Florida International University, AHC-5, Room 487, 11200 SW 8th St, Miami, FL, 33199, USA.
Robert Stempel College of Public Health & Social Work, Florida International University, AHC-5, Room 480, 11200 SW 8th St, Miami, FL, 33199, USA.
J Immigr Minor Health. 2018 Jun;20(3):577-583. doi: 10.1007/s10903-017-0668-3.
Sexually transmitted infections (STI) disproportionately impact non-Hispanic blacks. Racial residential segregation has been associated with negative socioeconomic outcomes. We sought to examine the association between segregation and STI diagnosis among blacks. The National Survey of Family Growth and US Census served as data sources. Five distinct dimensions represent segregation. The association between STI diagnosis and each segregation dimension was assessed with multilevel logistic regression modeling. 305 (7.4%) blacks reported STI diagnosis during the past 12 months. Depending on the dimension, segregation was a risk factor [dissimilarity aOR 2.41 (95% CI 2.38-2.43)] and a protective factor [isolation aOR 0.90 (95% CI 0.89-0.91)] for STI diagnosis. Findings suggest that STI diagnosis among blacks is associated with segregation. Additional research is needed to identify mechanisms for how segregation affects STI diagnosis and to aid in the development of interventions to decrease STIs.
性传播感染（STI）对非西班牙裔黑人的影响尤为严重。种族居住隔离与负面的社会经济结果相关。我们试图研究黑人中隔离与性传播感染诊断之间的关联。全国家庭成长调查和美国人口普查作为数据源。五个不同维度代表隔离。通过多水平逻辑回归模型评估性传播感染诊断与每个隔离维度之间的关联。305名（7.4%）黑人报告在过去12个月内有性传播感染诊断。根据维度不同，隔离对于性传播感染诊断既是一个风险因素[差异比优势比（aOR）2.41（95%置信区间2.38 - 2.43）]，也是一个保护因素[隔离aOR 0.90（95%置信区间0.89 - 0.91）]。研究结果表明，黑人中的性传播感染诊断与隔离有关。需要进一步研究以确定隔离影响性传播感染诊断的机制，并有助于制定减少性传播感染的干预措施。
