Evidence map›Paper›PMID 25211249›Full record

ArticleSexually transmitted diseases2014

Impact of public housing relocations: are changes in neighborhood conditions related to STIs among relocaters?

Hannah L F Cooper, Danielle F Haley, Sabriya Linton, Josalin Hunter-Jones, Monique Martin, Mary E Kelley, Conny Karnes, Zev Ross, Adaora A Adimora, Carlos del Rio and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Sexually transmitted diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Hannah L F CooperFrom the *Departments of Behavioral Sciences and Health Education and †Biostatistics an Bioinformatics, Rollins School of Public Health at Emory University, Atlanta, GA; ‡ZevRoss Spatial Analysis, Ithaca, NY; §University of North Carolina Schools of Medicine and Gillings School of Global Public Health, Chapel Hill, NC; ¶Division of General Medicine, Emory University School of Medicine, Atlanta, GA; ∥Hubert Department of Global Health, Rollins School of Public Health at Emory University, Atlanta, GA; and **Institute of Public Health, Georgia State University, Atlanta, GA.
Danielle F Haley
Sabriya Linton
Josalin Hunter-Jones
Monique Martin
Mary E Kelley
Conny Karnes
Zev Ross
Adaora A Adimora
Carlos del Rio
Richard Rothenberg
Gina M Wingood
Loida Elena Bonney

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Hannah LF Cooper · 2002 to 2026
$74.0M
Minority Populations Prevention Researcher TrainingR25HD045810 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEILANDS, TORSTEN BRIAN · 2003 to 2018
$4.3M
Public Housing Relocations: Impact on HIV risk and drug useR01DA029513 · NIDA · EMORY UNIVERSITY · PI COOPER, HANNAH LF · 2010 to 2013
$2.5M
Public Housing Relocations: Impact on Healthcare Access, Drug Use & Sexual HealthR21DA027072 · NIDA · EMORY UNIVERSITY · PI BONNEY, LOIDA E, COOPER, HANNAH LF · 2009 to 2010
$424k
Neighborhood Factors, Sexual Risk, and STIs in HIV-Infected and High-Risk WomenF31MH105238 · NIMH · EMORY UNIVERSITY · PI HALEY, DANIELLE FRANCES · 2014 to 2015
$82k
NIAID NIH HHS P30 AI050409NICHD NIH HHS R25 HD045810NIDA NIH HHS R01 DA029513NIDA NIH HHS R01DA029513NIDA NIH HHS R21 DA027072NIDA NIH HHS R21DA027072NIMH NIH HHS F31 MH105238
6 · The paper itself

Abstract

backgroundCross-sectional and ecologic studies suggest that place characteristics influence sexual behaviors and sexually transmitted infections (STIs). Using data from a predominately substance-misusing cohort of African American adults relocating from US public housing complexes, this multilevel longitudinal study tested the hypothesis that participants who experienced greater postrelocation improvements in neighborhood conditions (i.e., socioeconomic disadvantage, social disorder, STI prevalence, and male/female sex ratios) would have reduced the odds of testing positive for an STI over time.

methodsBaseline data were collected in 2009 from 172 public housing residents before relocations occurred; 3 waves of postrelocation data were collected every 9 months thereafter. Polymerase chain reaction methods were used to test participants' urine for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Individual-level characteristics were assessed via survey. Administrative data described the census tracts where participants lived at each wave (e.g., sex ratios, violent crime rates, and poverty rates). Hypotheses were tested using multilevel models.

resultsParticipants experienced improvements in all tract-level conditions studied and reductions in STIs over time (baseline: 29% tested STI positive; wave 4: 16% tested positive). Analyses identified a borderline statistically significant relationship between moving to tracts with more equitable sex ratios and reduced odds of testing positive for an STI (odds ratio, 0.16; 95% confidence interval, 0.02-1.01). Changes in other neighborhood conditions were not associated with this outcome. DISCUSSION: Consonant with past research, our findings suggest that moving to areas with more equitable sex ratios reduces the risk of STI infection. Future research should study the extent to which this relationship is mediated by changes in sexual network dynamics.

Indexed as

Black or African AmericanAdultChlamydia trachomatisCross-Sectional StudiesFemaleGeorgiaHumansLongitudinal StudiesMaleNeisseria gonorrhoeaeOdds RatioPovertyPrevalencePublic HousingResidence CharacteristicsSexual Behavior

Identifiers

PMID25211249
PMCPMC4163933

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.