OBJECTIVE: To identify social, behavioral and epidemiologic factors associated with HIV infection among HIV-infected and HIV-uninfected black women residing in North Carolina. DESIGN: A case-control study conducted in August 2004 in North Carolina. METHODS: Cases were 18-40-year-old women with HIV infections diagnosed from 2003-2004. Controls were 18-40-yearold, HIV-negative heterosexually active women recruited from HIV testing sites. Five focus group discussions were also conducted with women not participating in the case-control study. RESULTS: Multivariate analyses of 31 cases and 101 controls showed that HIV-positive women were more likely to receive public assistance [adjusted odds ratio (aOR) 7.3; 95% confidence interval (CI) 2.1, 26.0], to report a history of genital herpes infection (aOR 10.6; 95% CI 2.4, 47.2), and were less likely to have discussed a variety of sexual and behavioral issues relevant to risk of HIV infection with their male partners (aOR 0.6; 95% CI 0.4, 0.8). Focus group participants indicated that financial and social demands created competing challenges for making HIV prevention a priority. CONCLUSIONS: Inadequate communication between black women and their sexual partners may create barriers to sexual and behavioral risk reduction. A multidimensional approach that addresses both biological factors such as herpes infection and socioeconomic factors may be needed to reduce HIV transmission in this population.
OBJECTIVE: To identify social, behavioral and epidemiologic factors associated with HIV infection among HIV-infected and HIV-uninfected black women residing in North Carolina. DESIGN: A case-control study conducted in August 2004 in North Carolina. METHODS: Cases were 18-40-year-old women with HIV infections diagnosed from 2003-2004. Controls were 18-40-yearold, HIV-negative heterosexually active women recruited from HIV testing sites. Five focus group discussions were also conducted with women not participating in the case-control study. RESULTS: Multivariate analyses of 31 cases and 101 controls showed that HIV-positive women were more likely to receive public assistance [adjusted odds ratio (aOR) 7.3; 95% confidence interval (CI) 2.1, 26.0], to report a history of genital herpes infection (aOR 10.6; 95% CI 2.4, 47.2), and were less likely to have discussed a variety of sexual and behavioral issues relevant to risk of HIV infection with their male partners (aOR 0.6; 95% CI 0.4, 0.8). Focus group participants indicated that financial and social demands created competing challenges for making HIV prevention a priority. CONCLUSIONS: Inadequate communication between black women and their sexual partners may create barriers to sexual and behavioral risk reduction. A multidimensional approach that addresses both biological factors such as herpes infection and socioeconomic factors may be needed to reduce HIV transmission in this population.
Authors: Laura F Salazar; Richard A Crosby; Ralph J DiClemente; Gina M Wingood; Celia M Lescano; Larry K Brown; Kathy Harrington; Susan Davies Journal: Health Educ Behav Date: 2005-06
Authors: Sally L Hodder; Jessica Justman; Danielle F Haley; Adaora A Adimora; Catherine I Fogel; Carol E Golin; Ann O'Leary; Lydia Soto-Torres; Gina Wingood; Wafaa M El-Sadr Journal: J Acquir Immune Defic Syndr Date: 2010-12 Impact factor: 3.731
Authors: Manya Magnus; Gregory Phillips; Irene Kuo; James Peterson; Anthony Rawls; Tiffany West-Ojo; Yujiang Jia; Jenevieve Opoku; Alan E Greenberg Journal: AIDS Behav Date: 2014-04
Authors: Kathleen H Reilly; Alan Neaigus; Samuel M Jenness; Holly Hagan; Travis Wendel; Camila Gelpí-Acosta Journal: J Womens Health (Larchmt) Date: 2013-08-09 Impact factor: 2.681
Authors: Madeline Y Sutton; Rhondette L Jones; Richard J Wolitski; Janet C Cleveland; Hazel D Dean; Kevin A Fenton Journal: Am J Public Health Date: 2009-10 Impact factor: 9.308