ArticleAnnals of epidemiology2025
Both neighborhood and individual-level social cohesion are associated with testing for HIV in Southeastern Pennsylvania adult population.
Article in Annals of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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Who cites it
1 citing paper in PubMed.
- The protective power of social connectedness: Individual vs. community influences on psychological distress in middle-aged Black adults.Social science & medicine (1982) · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
purposeNeighborhood social capital is hypothesized to influence whether people test for infectious diseases. However, it is unknown whether neighborhood and individual social capital simultaneously influence HIV testing.
methodsWe used multivariable multilevel logistic regression to examine whether census tract-level and individual-level social capital (collective engagement and civic and social participation), as well as social cohesion (trust in neighbors, neighbors willing to help, feelings of belongingness), were associated with testing for HIV in the past 12 months. Participants were white, Black/African American, and Hispanic/Latino adults ages 18-49 (N = 1418) who participated in the Southeastern Pennsylvania Household Health Surveys 2010 and 2012. There were 106 census tracts in this sample from Philadelphia, PA.
resultsForty-three percent of participants had an HIV test within the past 12 months. The mean HIV testing across census tracts in the past 12 months was 44 % (SD = 19 %). Neighborhoods (census tracts) explained 8.9 % of the individual-level variance in testing for HIV (Median Odds Ratio [MOR] = 1.72). Greater individual-level trust in neighbors was associated with lower odds of testing for HIV (adjusted Odds Ratio [aOR]:0.76, 95 % CI = 0.66-0.88). Both individual-level (adjusted Odds Ratio [aOR]:1.18, 95 % CI = 1.02-1.37) and census tract-level (adjusted Odds Ratio [aOR]:1.94, 95 % CI = 1.10-3.40) indicators of belonging were associated with higher odds of testing for HIV.
conclusionNeighborhood-level and individual-level social capital components should be integrated into interventions to increase HIV testing.
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