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Neighborhood social disorganization and the acquisition of trichomoniasis among young adults inthe United States

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  • Ford, J.L.
  • Browning, C.R.

Abstract

Objectives: We examined relationships between neighborhood social disorganization and trichomoniasis among young US adults. Methods: We employed multilevel logistic regression modeling with secondary data from wave III of the National Longitudinal Study of Adolescent Health (2001-2002). The dependent variable - trichomoniasis - was measured via urine testing. The measures for neighborhood social disorganization were derived from the 2000 US Census - racial and ethnic composition, concentrated poverty, and residential instability. The sample comprised 11370 individuals across 4912 neighborhoods. Results: Trichomoniasis was more likely in neighborhoods with higher concentrations of Black residents (adjusted odds ratio [AOR]=1.16; 95% confidence interval [CI]=1.03, 1.30). However, this association was mediated by neighborhood concentrated poverty. Furthermore, young adults who lived in neighborhoods with higher concentrations of poverty were significantly more likely to have trichomoniasis (AOR=1.25; 95% CI=1.07, 1.46). Neither immigrant concentration nor residential instability was significantly associated with trichomoniasis. Conclusions: These findings strengthen the evidence that neighborhood structural conditions are associated with individual sexually transmitted infection (STI) acquisition. Research is needed to explore the mechanisms through which these conditions influence STI. In addition, STI-prevention programs that include structural interventions targeting neighborhood disadvantage are needed.

Suggested Citation

  • Ford, J.L. & Browning, C.R., 2011. "Neighborhood social disorganization and the acquisition of trichomoniasis among young adults inthe United States," American Journal of Public Health, American Public Health Association, vol. 101(9), pages 1696-1703.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300213_3
    DOI: 10.2105/AJPH.2011.300213
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    1. Umedjon Ibragimov & Stephanie Beane & Samuel R Friedman & Kelli Komro & Adaora A Adimora & Jessie K Edwards & Leslie D Williams & Barbara Tempalski & Melvin D Livingston & Ronald D Stall & Gina M Wing, 2019. "States with higher minimum wages have lower STI rates among women: Results of an ecological study of 66 US metropolitan areas, 2003-2015," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-18, October.
    2. Ariane Ghekiere & Jelle Van Cauwenberg & Ann Vandendriessche & Joanna Inchley & Margarida Gaspar de Matos & Alberto Borraccino & Inese Gobina & Jorma Tynjälä & Benedicte Deforche & Bart De Clercq, 2019. "Trends in sleeping difficulties among European adolescents: Are these associated with physical inactivity and excessive screen time?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(4), pages 487-498, May.
    3. Jannah Wigle & Stewart Paul & Anne-Emanuelle Birn & Brenda Gladstone & Paula Braitstein, 0. "Youth participation in sexual and reproductive health: policy, practice, and progress in Malawi," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-11.
    4. Hoang Minh & Kim Bao Giang & Nguyen Bao Ngoc & Phan Thi Hai & Doan Thi Thu Huyen & Luong Ngoc Khue & Nguyen Tuan Lam & Pham Thi Quynh Nga & Nguyen The Quan & Nguyen Thi Xuyen, 2017. "Prevalence of tobacco smoking in Vietnam: findings from the Global Adult Tobacco Survey 2015," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 121-129, February.
    5. Ivor Langley & Basra Doulla & Hsien-Ho Lin & Kerry Millington & Bertie Squire, 2012. "Modelling the impacts of new diagnostic tools for tuberculosis in developing countries to enhance policy decisions," Health Care Management Science, Springer, vol. 15(3), pages 239-253, September.
    6. Sharon Goldman & Irina Radomislensky & Arnona Ziv & Kobi Peleg, 2018. "The impact of neighborhood socioeconomic disparities on injury," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(7), pages 855-863, September.
    7. Jannah Wigle & Stewart Paul & Anne-Emanuelle Birn & Brenda Gladstone & Paula Braitstein, 2020. "Youth participation in sexual and reproductive health: policy, practice, and progress in Malawi," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(4), pages 379-389, May.
    8. Ousey, Graham C., 2017. "Crime is not the only problem: Examining why violence & adverse health outcomes co-vary across large U.S. counties," Journal of Criminal Justice, Elsevier, vol. 50(C), pages 29-41.

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