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Neighborhood Social Capital in Relation to Late HIV Diagnosis, Linkage to HIV Care, and HIV Care Engagement

Ransome, Y; Kawachi, I; Dean, LT; (2017) Neighborhood Social Capital in Relation to Late HIV Diagnosis, Linkage to HIV Care, and HIV Care Engagement. AIDS and Behavior , 21 (3) pp. 891-904. 10.1007/s10461-016-1581-9. Green open access

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Abstract

High neighborhood social capital could facilitate earlier diagnosis of HIV and higher rates of linkage and HIV care engagement. Multivariate analysis was used to examine whether social capital (social cohesion, social participation, and collective engagement) in 2004/2006 was associated with lower 5-year average (2007–2011) prevalence of (a) late HIV diagnosis, (b) linked to HIV care, and (c) engaged in HIV care within Philadelphia, PA, United States. Census tracts (N = 332). Higher average neighborhood social participation was associated with higher prevalence of late HIV diagnosis (b = 1.37, se = 0.32, p  <  0.001), linked to HIV care (b = 1.13, se = 0.20, p  <  0.001) and lower prevalence of engaged in HIV care (b = −1.16, se = 0.30, p  <  0.001). Higher collective engagement was associated with lower prevalence of linked to HIV care (b = −0.62, se = 0.32, p  <  0.05).The findings of different directions of associations among social capital indicators and HIV-related outcomes underscore the need for more nuanced research on the topic that include longitudinal assessment across key populations.

Type: Article
Title: Neighborhood Social Capital in Relation to Late HIV Diagnosis, Linkage to HIV Care, and HIV Care Engagement
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10461-016-1581-9
Publisher version: https://doi.org/10.1007/s10461-016-1581-9
Language: English
Additional information: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://crea tivecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Social capital, Philadelphia, USA, Late HIV diagnosis, Neighborhood, HIV care, engagement
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10027765
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