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Friday, April 10 • 9:50am - 10:30am
PS29.0 Racial Residential Segregation and Risky Sexual Behavior Among Non-Hispanic Blacks, National Survey of Family Growth, 2006-2010

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Sexually transmitted infections (STIs) are a significant public health problem with an estimated 19 million new STIs each year in the US. STIs disproportionately affect the non-Hispanic black community in the United States. Previous research has detailed how community factors influence STI transmission as well as individual behavior. Racial residential segregation is a community factor previously associated with several negative health outcomes. The objective of this study was to examine the association between racial residential segregation and risky sexual behavior among non-Hispanic blacks. Study data were from the US Census and the National Survey of Family Growth (NSFG), a nationally representative continuous survey of men and women 15-44 years of age in US households. Risky sexual behavior was defined as having two or more partners within the last 12 months and no condom use during last sex. Racial residential segregation in core-based statistical areas (CBSAs) was measured using five different dimensions of segregation. Of the 3,643 non-Hispanic black study participants, 15% engaged in risky sexual behavior. After controlling for covariates, the centralization [aOR (95% CI): 2.07 (2.05-2.08)] and concentration [2.05 (2.03-2.07)] dimensions were found to be most strongly associated with risky sexual behavior. The associations between risky sexual behavior and two of the other dimensions – unevenness [1.16 (1.15-1.17)] and exposure [1.04 (1.03-1.05)] – were statistically significant but smaller in magnitude. The association between risky sexual behavior and racial residential segregation was stronger for females than males. The study findings suggest that racial residential segregation or factors associated with it may increase the prevalence of risky sexual behavior. Future research should examine mechanisms such as male-female ratio, incarceration rates, drug use, and discrimination by which racial residential segregation influences risky sexual behavior.


Khaleeq Lutfi

Florida International University

Friday April 10, 2015 9:50am - 10:30am
Biscayne Ballroom (2nd floor)