Interaction Effects of Neighborhood Disadvantage and Individual Social Support on Frequency of Alcohol Use in Youth Living with HIV.

TitleInteraction Effects of Neighborhood Disadvantage and Individual Social Support on Frequency of Alcohol Use in Youth Living with HIV.
Publication TypePublication
Year of Publication2018
AuthorsBrick LAnn D, Nugent NR, Kahana SY, Bruce D, Tanney MR, M Fernández I, Bauermeister JA
JournalAm J Community Psychol
Volume61
Issue3-4
Pagination276-284
Date Published2018 06
ISSN1573-2770
KeywordsAdolescent, Adult, Alcohol Drinking, Female, HIV Infections, Humans, Male, Poverty, Puerto Rico, Residence Characteristics, Social Support, Substance-Related Disorders, United States, Young Adult
Abstract

<p>Youth living with HIV (YLH) experience multiple disease-related stresses along with the same structural and developmental challenges faced by their uninfected peers; alcohol use among YLH represents a risk behavior by virtue of potential effects on youth health and increased likelihood of engaging in unprotected sex while drinking alcohol. Research aimed at better understanding the interplay of individual- and neighborhood-level influences on alcohol use for YLH is needed to inform interventions. This study examined whether socioeconomic disadvantage (SED) and social support influence, independently and through interaction, alcohol use in YLH. Data from the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) consisted of YLH across 538 neighborhoods in the United States who acquired HIV behaviorally. Neighborhood-specific data were compiled from the 2010 U.S. Census Bureau and matched with individual-level data from the ATN (N = 1,357) to examine effects that contribute to variation in frequency of alcohol use. Other drug use, being male, being non-Black, and older age were associated with greater alcohol use. Higher social support was negatively associated with alcohol use frequency. A cross-level interaction indicated that the association found between decreasing social support and increasing alcohol use frequency was weakened in areas with lower SED. Implications are discussed.</p>

DOI10.1002/ajcp.12227
Alternate JournalAm J Community Psychol
PubMed ID29400400
Grant ListU01 HD040481 / HD / NICHD NIH HHS / United States
T32 MH019927 / MH / NIMH NIH HHS / United States
T32 MH019927 / MH / NIMH NIH HHS / United States