ArticleJournal of acquired immune deficiency syndromes (1999)2017
How Do Social Capital and HIV/AIDS Outcomes Geographically Cluster and Which Sociocontextual Mechanisms Predict Differences Across Clusters?
Article in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review of Neighborhood Factors Impacting HIV Care Continuum Participation in the United States.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Pooled it
- Longitudinal Patterns and Predictors of Racial Disparities of HIV Retention in Care: A Statewide Cohort Analysis.AIDS and behavior · 2025Article
- Both neighborhood and individual-level social cohesion are associated with testing for HIV in Southeastern Pennsylvania adult population.Annals of epidemiology · 2025Article
- Spatiotemporal Analysis of HIV/AIDS Incidence in China From 2009 to 2019 and Its Association With Socioeconomic Factors: Geospatial Study.JMIR public health and surveillance · 2024Article
- Factors associated with antiretroviral treatment adherence among people living with HIV in Guangdong Province, China: a cross sectional analysis.BMC public health · 2024Article
- Racial and ethnic differences in the association of social cohesion and social capital with HIV testing.SSM - population health · 2023Article
- Article
- Is race-specific neighborhood social cohesion key to reducing racial disparities in late HIV diagnosis: A multiyear ecological study.Spatial and spatio-temporal epidemiology · 2022Article
- Correlations of external social capital in social organizations providing integrated eldercare services with medical care in China.BMC health services research · 2022Article
- Prevalence of and factors associated with advanced HIV disease among newly diagnosed people living with HIV in Guangdong Province, China.Journal of the International AIDS Society · 2020Article
- Exploring the Spatial Determinants of Late HIV Diagnosis in Texas.Preventing chronic disease · 2020Article
- COVID-19 and Inequity: a Comparative Spatial Analysis of New York City and Chicago Hot Spots.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- Observational
- Individual Social Capital and the HIV Continuum of Care in a Rural Setting of the Southeast United States.Rural mental health · 2020Article
- Social capital and HIV/AIDS in the United States: Knowledge, gaps, and future directions.SSM - population health · 2018Article
- Finding Hidden HIV Clusters to Support Geographic-Oriented HIV Interventions in Kenya.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Role of Country of Birth, Testing Site, and Neighborhood Characteristics on Nonlinkage to HIV Care Among Latinos.AIDS patient care and STDs · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundPlace of residence has been associated with HIV transmission risks. Social capital, defined as features of social organization that improve efficiency of society by facilitating coordinated actions, often varies by neighborhood, and hypothesized to have protective effects on HIV care continuum outcomes. We examined whether the association between social capital and 2 HIV care continuum outcomes clustered geographically and whether sociocontextual mechanisms predict differences across clusters.
methodsBivariate Local Moran's I evaluated geographical clustering in the association between social capital (participation in civic and social organizations, 2006, 2008, 2010) and [5-year (2007-2011) prevalence of late HIV diagnosis and linkage to HIV care] across Philadelphia, PA, census tracts (N = 378). Maps documented the clusters and multinomial regression assessed which sociocontextual mechanisms (eg, racial composition) predict differences across clusters.
resultsWe identified 4 significant clusters (high social capital-high HIV/AIDS, low social capital-low HIV/AIDS, low social capital-high HIV/AIDS, and high social capital-low HIV/AIDS). Moran's I between social capital and late HIV diagnosis was (I = 0.19, z = 9.54, P < 0.001) and linkage to HIV care (I = 0.06, z = 3.274, P = 0.002). In multivariable analysis, median household income predicted differences across clusters, particularly where social capital was lowest and HIV burden the highest, compared with clusters with high social capital and lowest HIV burden. DISCUSSION: The association between social participation and HIV care continuum outcomes cluster geographically in Philadelphia, PA. HIV prevention interventions should account for this phenomenon. Reducing geographic disparities will require interventions tailored to each continuum step and that address socioeconomic factors such as neighborhood median income.
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