ArticleHealth & place2018
Context matters: Community social cohesion and health behaviors in two South African areas.
Article in Health & place, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Do community measures impact the effectiveness of a community led HIV testing intervention. Secondary analysis of an HIV self-testing intervention in rural communities in Zimbabwe.BMC infectious diseases · 2023Trial
- Both neighborhood and individual-level social cohesion are associated with testing for HIV in Southeastern Pennsylvania adult population.Annals of epidemiology · 2025Article
- Do community-level factors play a role in HIV self-testing uptake, linkage to services and HIV-related outcomes? A mixed methods study of community-led HIV self-testing in rural Zimbabwe.PLOS global public health · 2025Article
- Racial and ethnic differences in the association of social cohesion and social capital with HIV testing.SSM - population health · 2023Article
- Assessing the Modified Neighborhood Cohesion Index Among African American Adolescents Living in Public Housing: An Exploratory and Confirmatory Factor Analysis.Journal of the Society for Social Work and Research · 2023Article
- Strategies to Identify and Reach Young Women Who Sell Sex With HIV Prevention and Care Services: Lessons Learnt From the Implementation of DREAMS Services in Two Cities in Zimbabwe.JMIR public health and surveillance · 2022Article
- Examining Mediators of the Relationship Between Community Mobilization and HIV Incidence Among Young South African Women Participating in the HPTN 068 Study Cohort.AIDS and behavior · 2022Article
- Uptake of HIV testing among aging adults in Agincourt, South Africa: perception of community, social network, and individual characteristics.African journal of AIDS research : AJAR · 2022Article
- Social cohesion, mental wellbeing and health-related quality of life among a cohort of social housing residents in Cornwall: a cross sectional study.BMC public health · 2020Article
- Characterizing social cohesion and gender identity as risk determinants of HIV among cisgender men who have sex with men and transgender women in Côte d'Ivoire.Annals of epidemiology · 2020Article
- Gender Norms and HIV Testing/Treatment Uptake: Evidence from a Large Population-Based Sample in South Africa.AIDS and behavior · 2019Article
- The Relationship between Social Cohesion and Urban Green Space: An Avenue for Health Promotion.International journal of environmental research and public health · 2019Article
- Multilevel analysis of factors associated with assistance during delivery in rural Nigeria: implications for reducing rural-urban inequity in skilled care at delivery.BMC pregnancy and childbirth · 2018Article
- Village community mobilization is associated with reduced HIV incidence in young South African women participating in the HPTN 068 study cohort.Journal of the International AIDS Society · 2018Article
- Translation of a community palliative care intervention: Experience from West Bengal, India.Wellcome open research · 2018Article
- Social Cohesion in Health: A Concept Analysis.ANS. Advances in nursing scienceArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundUnderstanding how social contexts shape HIV risk will facilitate development of effective prevention responses. Social cohesion, the trust and connectedness experienced in communities, has been associated with improved sexual health and HIV-related outcomes, but little research has been conducted in high prevalence settings.
methodsWe conducted population-based surveys with adults 18-49 in high HIV prevalence districts in Mpumalanga (n = 2057) and North West Province (n = 1044), South Africa. Community social cohesion scores were calculated among the 70 clusters. We used multilevel logistic regression stratified by gender to assess individual- and group-level associations between social cohesion and HIV-related behaviors: recent HIV testing, heavy alcohol use, and concurrent sexual partnerships.
resultsGroup-level cohesion was protective in Mpumalanga, where perceived social cohesion was higher. For each unit increase in group cohesion, the odds of heavy drinking among men were reduced by 40% (95%CI 0.25, 0.65); the odds of women reporting concurrent sexual partnerships were reduced by 45% (95%CI 0.19, 1.04; p = 0.06); and the odds of reporting recent HIV testing were 1.6 and 1.9 times higher in men and women, respectively.
conclusionsWe identified potential health benefits of cohesion across three HIV-related health behaviors in one region with higher overall evidence of group cohesion. There may be a minimum level of cohesion required to yield positive health effects.
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