Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, LEPH 4th Floor, New Haven, CT 06520.
Department of Geography, Spatial Cognition, Computation, and Complexity (S3C) Lab, University of Oregon, 107D Condon Hall, 1251 University of Oregon, Eugene OR, 97403; School of Geodesy and Geomatics, Wuhan University, 129 Luoyu Road, Wuchang District, Wuhan, Hubei, China, 430079.
Spat Spatiotemporal Epidemiol. 2022 Aug;42:100508. doi: 10.1016/j.sste.2022.100508. Epub 2022 Apr 20.
We examined whether race/ethnic-specific social cohesion is associated with race/ethnic-specific HIV diagnosis rates using Bayesian space-time zero-inflated Poisson multivariable models, across 376 Census tracts. Social cohesion data were from the Southeastern Pennsylvania Household Health Survey, 2008-2015 and late HIV diagnosis data from eHARS system, 2009-2016. Areas where trust in neighbors reported by Black/African Americans was medium (compared to low) had lower rates of late HIV diagnosis among Black/African Americans (Relative Risk (RR)=0.52, 95% credible interval (CrI)= 0.34, 0.80). In contrast, areas where trust in neighbors reported by Black/African Americans were highest had lower late HIV diagnosis rates among Whites (RR=0.35, 95% CrI= 0.16, 0.76). Race/ethnic-specific differences in social cohesion may have implications for designing interventions aimed at modifying area-level social factors to reduce racial disparities in late HIV diagnosis.
我们使用贝叶斯时空零膨胀泊松多变量模型,在 376 个普查区检验了种族/民族特定的社会凝聚力是否与种族/民族特定的 HIV 诊断率相关。社会凝聚力数据来自于 2008 年至 2015 年宾夕法尼亚东南部家庭健康调查和 2009 年至 2016 年的 eHARS 系统的晚期 HIV 诊断数据。与低信任度地区相比,黑人和非洲裔美国人报告的邻里信任度为中等水平的地区,黑人/非洲裔美国人的晚期 HIV 诊断率较低(相对风险 (RR)=0.52,95%可信区间 (CrI)=0.34,0.80)。相比之下,黑人和非洲裔美国人报告的邻里信任度最高的地区,白人的晚期 HIV 诊断率较低(RR=0.35,95% CrI=0.16,0.76)。社会凝聚力的种族/民族差异可能对设计旨在改变地区社会因素的干预措施具有影响,以减少晚期 HIV 诊断方面的种族差异。