Perceptions of Neighborhood Factors and Their Influence on Rates of Sexually Transmitted Infections (STIs)

In 2012, the Philadelphia Department of Public Health released a report on the number of sexually transmitted infection (STI) cases by ZIP code. Philadelphia’s 19143 ZIP code reported to have the highest cases of STIs, but its neighboring ZIP codes reported significantly lower cases. Studies have shown positive associations between neighborhood factors – crime, violence, and neighborhood satisfaction – and STI rates. This study utilized exploratory research through community members’ perceptions, beliefs, and attitudes of neighborhood factors and the possible link to STI rates. Qualitative methods were used through in-depth interviews with twelve community members – 4 adolescent residents (15-24 years old), 4 adult residents (25+ years old), and 4 community stakeholders – from the 19143 ZIP code. Residents were recruited through flyers and community stakeholders were approached by the researcher. The interview was divided into four topics: the neighborhood, STIs, neighborhood factors, and other thoughts. Participants completed a de-identified demographics survey and all interviews were audio recorded. The interviews were transcribed and the research team summarized each participant’s thoughts from the interview categories and collectively agreed upon the findings. The participants identified links between neighborhood factors and rates of STIs through criminal and violent acts. In addition, this study found a commonality surrounding dissatisfaction with the neighborhood as well as the breakdown of family structure linking to rates of STIs. Perceptions from community members add critical and significant information in addressing community-specific needs and can provide insight into potential ways to modify, sustain, and create health promotion efforts.