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Member Research & Reports

Member Research & Reports

CUNY Faculty Investigates the Late HIV Diagnosis

Dr. Denis Nash, professor at the CUNY Graduate School of Public Health and Health Policy and colleagues examined the association of social capital with late HIV diagnosis. The findings were published in the Journal of Acquired Immune Deficiency Syndrome).

Because late HIV diagnosis is associated with higher medical costs, early mortality among individuals, and HIV transmission in the population, the research team investigated the association among social capital, gender, and late HIV diagnosis.

The researched conducted an ecological analyses using gender-specific rates of late HIV diagnoses. Data were from 2005 and 2006 from the New York City HIV Surveillance Registry, and social capital indicators (civic engagement, political participation, social cohesion, and informal social control) from the New York Social Indicators Survey, 2004.

Overall, low to high political participation and social cohesion corresponded with significant decreasing trends in late HIV diagnosis rates. Among both men and women, highest political participation was associated with lower likelihood of late HIV diagnosis, independent of income inequality. Highest informal social control among men only and moderate social cohesion among women only were associated with the outcome adjusting for social fragmentation, income inequality, and racial composition.