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01-06-2020 | Human Immunodeficiency Virus

Social Stability Relates Social Conditions to the Syndemic of Sex, Drugs, and Violence

Authors: Marik Moen, Danielle German, Carla Storr, Erika Friedmann, Colin Flynn, Meg Johantgen

Published in: Journal of Urban Health | Issue 3/2020

Abstract

The distribution of violence, sexually transmitted infections, and substance use disorders is not random, but rather the product of disease, behavior, and social conditions that co-occur in synergistic ways (syndemics). Syndemics often disproportionately affect urban communities. Studies of syndemics, however, rarely apply consistent measures of social conditions. Here, the construct of social stability (SS) (housing, legal, residential, income, employment, and relationship stability) was evaluated as a consistent measure of social conditions related to sex, drug, and violence exposures in a new population in a Mid-Atlantic urban center. Lower SS predicted greater likelihood of any and combinations of risk. The magnitude varied based on specification: odds of sex-drug-violence exposure were greater for low vs. high latent SS class (OR = 6.25; 95%CI = 2.46, 15.96) compared with low vs. high SS category (OR = 2.64; 95%CI = 1.29, 5.39). A latent class characterized by residential instability was associated with greater likelihood of risk—a relationship that would have been missed with SS characterized only as an ordinal category. SS reliably captured social conditions associated with sexual, drug, and violence risks, and both quantity and quality of SS matter.

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Title: Social Stability Relates Social Conditions to the Syndemic of Sex, Drugs, and Violence
Authors: Marik Moen
Danielle German
Carla Storr
Erika Friedmann
Colin Flynn
Meg Johantgen
Publication date: 01-06-2020
Publisher: Springer US
Keyword: Human Immunodeficiency Virus
Published in: Journal of Urban Health / Issue 3/2020
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI: https://doi.org/10.1007/s11524-020-00431-z

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Social Stability Relates Social Conditions to the Syndemic of Sex, Drugs, and Violence

Abstract

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