New York City Department of Health and Mental Hygiene, USA.
City University of New York (CUNY) Graduate School of Public Health and Health Policy, USA.
J Health Psychol. 2021 Mar;26(3):477-485. doi: 10.1177/1359105318810088. Epub 2018 Dec 5.
Social cohesion has varying effects on health. We investigated the association of perceived neighborhood social cohesion with HIV viral suppression using individual-level data from the New York City HIV registry and surveillance-based interviews ( = 92). Suppression was achieved within 12 months of HIV diagnosis by 60 percent of persons perceiving low cohesion and 71 percent of those perceiving high ( = 0.31). Controlling for demographic and clinical characteristics and neighborhood poverty, per proportional hazards regression, cohesion was not associated with suppression (adjusted hazards ratio (95% confidence interval) for high versus low cohesion: 0.79 (0.49-1.28)). Cohesion may have heterogeneous effects on HIV medication adherence.
社会凝聚力对健康有不同的影响。我们利用来自纽约市艾滋病毒登记处和基于监测的访谈的个体数据（n=92），研究了感知到的邻里社会凝聚力与艾滋病毒病毒抑制之间的关联。在艾滋病毒诊断后 12 个月内，60%的低凝聚力感知者和 71%的高凝聚力感知者实现了抑制（n=92）（=0.31）。通过比例风险回归控制人口统计学和临床特征以及邻里贫困因素，凝聚力与抑制无关（高凝聚力与低凝聚力的调整后的危险比（95%置信区间）：0.79（0.49-1.28））。凝聚力对艾滋病毒药物治疗的依从性可能有不同的影响。
