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yy Factors associated with low neighborhood cohesion among women living with HIV impacted by social-structural inequities in British Columbia

机译：与不列颠哥伦比亚省的社会结构不公平影响患有艾滋病病毒的妇女的低邻域内聚力的因素

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Built and social environments, including one's perception of their environment, are important determinants of health. The intersection of gender and HIV status may complicate the role of neighborhood cohesion in safety, personal well-being, and health outcomes for populations impacted by social and structural inequities. Among women in particular, social cohesion within the neighborhood they reside in may have a greater influence on health outcomes compared to their male counterparts. We sought to examine perception of neighborhood cohesion (validated scale with a range 0-100, with higher scores indicating higher perceived neighborhood cohesion) among women living with HIV, impacted by social-structural inequities, receiving combination antiretroviral therapy, and enrolled in the Longitudinal Investigations into Supportive Ancillary health services (LISA) study in British Columbia, Canada. Cross-sectional data on neighborhood cohesion and socio-demographic data were collected in an interviewer-administered survey. Of the 1,000 LISA participants interviewed, 908 (including 249 women and 659 men) had complete data for the variables of interest. At the bivariate level, women had worse perceived neighborhood cohesion scores compared to men (median: 56 [95% CI: 44-66] vs. 60 [95% CI: 47-71]). Multivariable model results indicated that for women living with HIV in our sample, greater neighborhood cohesion scores were positively associated with stable housing ( coefficient=7.85; 95% CI: 3.61, 12.10, p0.001), and negatively associated with greater perceived HIV stigma ( coefficient=-1.19; 95% CI: -2.24to-0.15; p=0.025). The results illustrate the gendered nature of experiencing built and social environments, and highlight the need for women-centred interventions to address the social determinants of HIV burden associated with negative perceptions of neighborhood cohesion.
机译：建造和社会环境，包括一个人对环境的看法，是健康的重要决定因素。性别和艾滋病毒状况的交叉点可能使邻里凝聚力在安全，个人福祉和社会结构不公平影响的人口的健康结果中的作用。在妇女中，与男性同行相比，他们居住在邻居内的社会凝聚力可能对健康结果产生了更大的影响。我们试图研究与艾滋病毒的女性患有艾滋病毒的妇女的邻里凝聚力的感知（验证规模，具有较高的分数，具有较高的感知社区内核），受到艾滋病毒的妇女，受到社会结构的不公平，接受组合抗逆转录病毒治疗，并在纵向中注册加拿大不列颠哥伦比亚省的支持辅助保健服务（LISA）研究。在采访者的调查中收集了关于邻里凝聚力和社会人口统计数据的横断面数据。在接受采访的1,000名丽莎参与者中，908（包括249名妇女和659名男性）对感兴趣的变量有完整的数据。在双年级水平，与男性相比，女性更糟糕的感知邻里凝聚得分（中位数：56 [95％CI：44-66] [95％CI：47-71]）。多变量模型结果表明，对于我们样本中艾滋病毒的妇女，更大的邻域内凝聚得分与稳定的壳体（系数= 7.85; 95％Ci：3.61,12.10，P <0.001）正相关，与更高的感知HIV耻辱相关（系数= -1.19; 95％CI：-2.24至0.15; p = 0.025）。结果说明了经历建造和社会环境的性质，并突出了妇女为中心的干预措施，以解决与邻里凝聚力的负面看法相关的艾滋病毒负担的社会决定因素。

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