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首页> 外文期刊>Social science and medicine >Racial residential segregation and risky sexual behavior among non-Hispanic blacks, 2006-2010
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Racial residential segregation and risky sexual behavior among non-Hispanic blacks, 2006-2010

机译：2006-2010年非西班牙裔黑人中的种族居民隔离和危险的性行为

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Sexually transmitted infections (STIs) including human immunodeficiency virus (HIV) have disproportionately affected the non-Hispanic black population in the United States. A person's community can affect his or her STI risk by the community's underlying prevalence of STIs, sexual networks, and social influences on individual behaviors. Racial residential segregation-the separation of racial groups in a residential context across physical environments-is a community factor that has been associated with negative health outcomes. The objective of this study was to examine if non-Hispanic blacks living in highly segregated areas were more likely to have risky sexual behavior. Demographic and sexual risk behavior data from non-Hispanic blacks aged 15-44 years participating in the National Survey of Family Growth were linked to Core-Based Statistical Area segregation data from the U.S. Census Bureau. Five dimensions measured racial residential segregation, each covering a different concept of spatial variation. Multilevel logistic regressions were performed to test the effect of each dimension on sexual risk behavior controlling for demographics and community poverty. Of the 3643 participants, 588 (14.5%) reported risky sexual behavior as defined as two or more partners in the last 12 months and no consistent condom use. Multilevel analysis results show that racial residential segregation was associated with risky sexual behavior with the association being stronger for the centralization [aOR (95% CI)][2.07 (2.05-2.08)1 and concentration [2.05 (2.03-2.07)] dimensions. This suggests risky sexual behavior is more strongly associated with neighborhoods with high concentrations of non-Hispanic blacks and an accumulation of non-Hispanic blacks in an urban core. Findings suggest racial residential segregation is associated with risky sexual behavior in non-Hispanic blacks 15-44 years of age with magnitudes varying by dimension. Incorporating additional contextual factors may lead to the development of interventions that promote healthier behaviors and lower rates of HIV and other STIs. (C) 2015 Elsevier Ltd. All rights reserved.
机译：包括人类免疫缺陷病毒（HIV）在内的性传播感染（STIs）对美国非西班牙裔黑人人口的影响尤其严重。一个人的社区可以通过该社区潜在的性传播感染，性网络以及社会对个人行为的影响来影响其性传播感染风险。种族居民隔离-在居住环境中跨种族隔离种族群体-是与不良健康后果相关的社区因素。这项研究的目的是检查生活在高度隔离地区的非西班牙裔黑人是否更有可能具有危险的性行为。来自参加美国国家家庭成长调查的15-44岁非西班牙裔黑人的人口统计学和性风险行为数据与美国人口普查局基于核心的统计区域隔离数据相关联。五个维度衡量了种族居民的隔离状况，每个维度都涵盖了不同的空间变化概念。进行了多级逻辑回归，以检验每个维度对控制人口统计学和社区贫困的性风险行为的影响。在3643名参与者中，有588名（14.5％）报告称有危险的性行为，是在过去12个月中被定义为两个或更多伴侣，并且没有一致使用避孕套。多级分析结果显示，种族居留隔离与危险的性行为有关，集中度[aOR（95％CI）] [2.07（2.05-2.08）1]和浓度[2.05（2.03-2.07）]的关联性较强。这表明，危险的性行为与非西班牙裔黑人的高浓度社区以及城市中心地区非西班牙裔黑人的聚集紧密相关。研究结果表明，种族隔离与15-44岁的非西班牙裔黑人的危险性行为相关，其大小因尺寸而异。纳入其他背景因素可能会导致制定干预措施，以促进更健康的行为并降低艾滋病毒和其他性传播感染的发生率。 （C）2015 Elsevier Ltd.保留所有权利。

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