Date of Award
Master of Public Health (MPH)
Dr. Richard Rothenberg
Dr. Dajun Dai
INTRODUCTION: HIV disease is thought to be cluster in specific areas rather than be evenly distributed. A study to show a significantly higher HIV risk in certain geographical areas would be beneficial for resource allocation purposes. AIM: The purpose of this study is to describe the demographics of the study population, describe the demographics of those participants that tested HIV-positive, and determine the associations between zip code of residence, HIV infection, and risky behavior. METHODS: Data were collected by Georgia State University’s Center of Excellence for Health Disparities Research for The Geography Project. Univariate and multivariate binary logistic regression analyses were performed on select variables. A p-value of < 0.05 and a 95% confidence interval (CI) were used to determine significance. RESULTS: Participants in high risk groups zip codes were roughly 6.7 times more likely to have been given an HIV-positive result prior to the survey (OR=6.717, CI=1.989-22.683, p=.000), 4.4 times more likely to have been infected with HIV at the time of the survey (OR=4.402, CI=2.109-9.187, p=.000), and 1.4 times more likely to have more than 3 sex contacts in the 6 months prior to the survey (OR=1.425, CI=1.075-1.890, p=.014). The association between HIV and persons that identify as transgender was extremely significant (OR= 28.335, CI=8.305-96.678, p=.000). DISCUSSION: The results indicated that participants in the high risk zip codes group were at a higher risk for HIV infection and having 3 or more sex contacts in the 6 months prior to the interview.
Marshall, Jamaal B., "An Analysis of Geography Project Data to Determine HIV and Behavioral Risk for High Risk Zip Codes and Low Risk Zip Codes in Fulton County, GA." Thesis, Georgia State University, 2012.