Neighborhood crime and sexual behavior among Black men living with HIV in Los Angeles, CA
Methods: HIV-positive Black men on antiretroviral therapy in Los Angeles, California completed an audio computer-assisted self-interview measuring demographics and behavior. Participant addresses were geocoded. Crime risk per census block group was obtained from the National Uniform Crime Report. Multivariate logistic regression was used to generate adjusted estimates of associations between neighborhood crime and sexual behavior.
Results: Among 193 men, 36% reported having multiple partners during the last 3 months [among sexually active, mean (SD)=2.7 (3.3) sexual partners], 36% reported condomless sex, and 43% reported sex with an HIV-negative or unknown status partner. In univariate analysis, crime (violent and non-violent) (p=0.003), depression (p=0.05), and drug use (p=0.002) were significantly associated with multiple sexual partners in the past 3 months. Crime [AOR=1.49, 95%CI (1.13–1.97)] and drug use [AOR=3.13, 95%CI (1.52-6.47)] remained significant in multivariate analysis. No significant associations emerged between crime and condomless sex or sex with an HIV-negative/unknown partner.
Conclusion: Among Black men living with HIV, neighborhood crime is associated with having multiple sexual partners. Interventions to reduce transmission risk should incorporate structural components to reduce potential crime exposure.
Learning Areas:Diversity and culture
Public health or related public policy
Public health or related research
Describe the relationship between neighborhood-level crime and sexual HIV transmission risk behavior in Black men living with HIV
Keyword(s): HIV/AIDS, HIV Risk Behavior
Qualified on the content I am responsible for because: I am an Assistant Professor of Medicine at Harvard Medical School based in the Division of Global Health Equity at Brigham and Women's Hospital. My research focuses on understanding structural factors impacting risk, clinical outcomes and sexual transmission of HIV.
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.