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Erschienen in: AIDS and Behavior 4/2017

03.10.2016 | Original Paper

The Interaction of Risk Network Structures and Virus Natural History in the Non-spreading of HIV Among People Who Inject Drugs in the Early Stages of the Epidemic

verfasst von: Kirk Dombrowski, Bilal Khan, Patrick Habecker, Holly Hagan, Samuel R. Friedman, Mohamed Saad

Erschienen in: AIDS and Behavior | Ausgabe 4/2017

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Abstract

This article explores how social network dynamics may have reduced the spread of HIV-1 infection among people who inject drugs during the early years of the epidemic. Stochastic, discrete event, agent-based simulations are used to test whether a “firewall effect” can arise out of self-organizing processes at the actor level, and whether such an effect can account for stable HIV prevalence rates below population saturation. Repeated simulation experiments show that, in the presence of recurring, acute, and highly infectious outbreaks, micro-network structures combine with the HIV virus’s natural history to reduce the spread of the disease. These results indicate that network factors likely played a significant role in the prevention of HIV infection within injection risk networks during periods of peak prevalence. They also suggest that social forces that disturb network connections may diminish the natural firewall effect and result in higher rates of HIV.
Glossar
Agent/actor
Simulation objects that act as PWID; each is characterized by a range of individual characteristics (gender, risk propensity…) that condition their risk interactions with other agents/actors
Churn
The effect of network agents changing partners over time; a measure or approximation of overall change of network connections
Clusters
Parts of a network characterized by a high number of mutual connections; dense parts of a network
Component
A part of a network that is not connected to other parts of network; an isolated cluster of agents
Core
A highly connected section of a network where those with high numbers of connections are linked to others with high numbers of connections
Degree distribution
A histogram of how many people or agents have how many connections (i.e. this network contains five people with one connection, eight people with two connections, etc)
Network transitivity
The process where agents tend to make connections with the connections of their current connections
Node
General term for the objects that are connected
Partner/network neighbour
In a PWID risk network, an agent with whom an agent often shares a risk behavior; on the street, a “running partner”
Risk network
A network where the agents are meant to simulate people and the connections show potential avenues of infection due to risk behaviors
Small world
A network configuration where even large numbers of actors are connected by a small number of intermediaries—similar to “six degrees of separation”
Stochastic
A simulation strategy where random “rolls of the dice” determine situational outcomes
Sociometric
A formal network rendering of human social interaction
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Metadaten
Titel
The Interaction of Risk Network Structures and Virus Natural History in the Non-spreading of HIV Among People Who Inject Drugs in the Early Stages of the Epidemic
verfasst von
Kirk Dombrowski
Bilal Khan
Patrick Habecker
Holly Hagan
Samuel R. Friedman
Mohamed Saad
Publikationsdatum
03.10.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 4/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1568-6

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