Impact of public housing relocations: Are changes in neighborhood conditions related to STIs among relocaters?
Methods:Baseline data were collected from 172 public housing residents before relocations occurred; three additional waves of post-relocation data were collected every 6 months thereafter. PCR methods were used to test participants' urine for Chlamydia, Gonorrhea, and Trichomonas. Individual-level characteristics were assessed via survey. Administrative data describe the census tracts where participants lived at each wave (e.g., sex ratios, STI prevalence, poverty rates, violent crime rates, and alcohol outlet density). Multilevel models will be used to test hypotheses.
Results:At baseline, 27.3% of participants tested positive for an STI; at Wave 4, 15.7% of participants tested positive. Tract conditions improved as well. For example, the mean tract-level poverty rate declined from 46% at baseline to 28% at Wave 4, and the violent crime rate dropped from 3.4 to 2.3 per 1000 residents. Results of multilevel analyses testing associations between tract-level changes and STI are pending.
Discussion:Relocaters experienced significant post-relocation declines in STIs and substantial improvements in multiple tract-level conditions. Multilevel analyses will determine whether tract-level improvements were associated declining probability of testing positive for an STI, and will identify which were most important. We will discuss implications for future research, interventions, and housing policies.
Learning Areas:Protection of the public in relation to communicable diseases including prevention or control
Public health or related research
Describe changes in the probability of testing positive for an STI over time in a sample of African-American adults relocating from public housing complexes. Describe changes in tract-level neighborhood characteristics over time in this sample. Evaluate the relationship between changes in tract-level exposures and the probability of testing positive for an STI. Consider non-traditional structural interventions to control STI in a vulnerable population.
Keyword(s): STD, Housing
Qualified on the content I am responsible for because: I serve as co-investigator on this project.
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.