241825 Association between individual-, peer- and network-characteristics and receipt of friendship and risk-behavior related social support among Latino adolescents

Monday, October 31, 2011

Farzana Kapadia, PhD MPH , Steinhardt School of Culture, Education and Human Development, New York University, New York, NY
Margaret Giorgio, MPH , Steinhardt School, Department of Nutrition, Food Studies, and Public Health, New York University, New York, NY
Victoria A. Frye, DrPH , Laboratory of Social and Behavioral SciencesProgram, New York Blood Center, New York, NY
Cathryn L. Samples, MD, MPH , Division of Adolescent / Young Adult Medicine, Children's Hospital Boston, Boston, MA
Patricia Emmanuel, MD , Division of Infectious Disease, University of South Florida, Tampa, FL
Sebastian Bonner, PhD , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Mary H. Latka, PhD , Aurum Insitute for Health Research, Johannesburg, Gauteng, South Africa
Background: Among adolescents, prior research has examined the influence of social support on HIV-related risk behaviors. However, less studied are individual- and network-level factors that may be associated with receipt of HIV risk reduction-related social support. Methods: Using data from a social network inventory administered to Latino adolescents, separate multivariate logistic regression models were constructed to examine associations between individual - and peer-network factors and receipt of (1) friendship and (2) risk reduction social support. Results: Fifty three adolescents reported on 179 network members (average network size=3.4; median network density score=5 and there was evidence of gender homophily, p <0.001). In multivariate analysis, being female, communicating daily with network members, and drinking together were positively associated with receipt of friendship-based social support. Meeting peers ‘on the street' and larger network size were inversely associated with receipt of friendship-based social support. Weekly communication with network members was associated with increased likelihood of receiving risk behavior-related social support. Index participants who were no longer in high school, met network members in non-school based settings and consumed alcohol on a weekly basis were less likely to report receipt of risk behavior-related social support. Conclusion: A more nuanced understanding of factors that may influence receipt of social support is critical to the design of effective peer-based HIV/AIDS interventions for adolescents. These findings suggest that while greater communication within networks increases receipt of social support, the behaviors of individuals as well as the settings in which networks are formed may negatively influence risk taking behavior.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. To be able to describe the various factors that influence the receipt of (a) friendship related social support and (b) drug use and sexual risk reduction related social support within social networks of Latino adolescents.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author and presenter because I was part of the design and development of this study, I oversaw the implementation of the study and conducted the data analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.