Identifying Patterns of Social and Economic Hardship Among Structurally Vulnerable Women: A Latent Class Analysis of HIV/STI Risk

Women who are structurally vulnerable are at heightened risk for HIV/STIs. Identifying typologies of structural vulnerability that drive HIV/STI risk behavior is critical to understanding the nature of women’s risk. Latent class analysis (LCA) was used to classify exotic dancers (n = 117) into subgr...

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Published inAIDS and behavior Vol. 21; no. 10; pp. 3047 - 3056
Main Authors Brantley, Meredith L., Kerrigan, Deanna, German, Danielle, Lim, Sahnah, Sherman, Susan G.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.10.2017
Springer Nature B.V
Subjects
Acquired immune deficiency syndrome
AIDS
Drug abuse
Drug use
Economic analysis
Health Psychology
HIV
Housing
Human immunodeficiency virus
Indicators
Infectious Diseases
Latent class analysis
Medicine
Medicine & Public Health
Original Article
Partnerships
Public Health
Regression analysis
Regression models
Risk analysis
Risk behavior
Risk taking
Sex
Sexually transmitted diseases
Stability
STD
Subgroups
Vulnerability
Women
Womens health
HIV
Exotic dance club
Social determinants
Sexually transmitted infections
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Summary:Women who are structurally vulnerable are at heightened risk for HIV/STIs. Identifying typologies of structural vulnerability that drive HIV/STI risk behavior is critical to understanding the nature of women’s risk. Latent class analysis (LCA) was used to classify exotic dancers (n = 117) into subgroups based on response patterns of four vulnerability indicators. Latent class regression models tested whether sex- and drug-related risk behavior differed by vulnerability subgroup. Prevalence of vulnerability indicators varied across housing instability (39%), financial insecurity (39%), limited education (67%), and arrest history (36%). LCA yielded a two-class model solution, with 32% of participants expected to belong to a “high vulnerability” subgroup. Dancers in the high vulnerability subgroup were more likely to report sex exchange (OR = 8.1, 95% CI, 1.9–34.4), multiple sex partnerships (OR = 6.4, 95% CI, 1.9–21.5), and illicit drug use (OR = 17.4, 95% CI, 2.5–123.1). Findings underscore the importance of addressing inter-related structural factors contributing to HIV/STI risk.
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ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-017-1673-1