Document Detail


HIV prevalence overall and among high-HIV-risk behaviorally defined subgroups among heterosexuals at community-based venues in a Mid-Atlantic, US City.
MedLine Citation:
PMID:  23135804     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A clear understanding of local transmission dynamics is a prerequisite for the design and implementation of successful HIV prevention programs. There is a tremendous need for such programs geared towards young African-American women living in American cities with syndemic HIV and injection drug use. In some of these American cities, including Baltimore, the HIV prevalence rate among young African-American women is comparable to that in some African nations. High-risk heterosexual sex, i.e., sex with an injection drug user or sex with someone known to have HIV, is the leading risk factor for these young women. Characterizing transmission dynamics among heterosexuals has been hampered by difficulty in identifying HIV cases in these settings. The case identification method described in this paper was designed to address challenges encountered by previous researchers, was based on the Priorities for Local AIDS Cases methodology, and was intended to identify a high number of HIV cases rather than achieve a representative sample (Weir et al., Sex Transm Infect 80(Suppl 2):ii63-8, 2004. Through a three-phase process, 87 venues characterized as heterosexual sex partner meeting sites were selected for participant recruitment in Baltimore, MD. One thousand six hundred forty-one participants were then recruited at these 87 venues, administered a behavioral risk questionnaire, and tested for HIV. The HIV prevalence was 3 % overall, 3 % among males, and 4 % among females and ranged from 1.7 to 22.6 % among high-HIV-risk subgroups. These findings indicate that attributing HIV transmission to high-risk heterosexual sex vs. other high-HIV-risk behaviors would be difficult. Moving beyond individual risk profiles to characterize the risk profile of venues visited by heterosexuals at high risk of HIV acquisition may reveal targets for HIV transmission prevention and should be the focus of future investigations.
Authors:
Sarah Polk; Jonathan M Ellen; Caroline Fichtenberg; Steven Huettner; Jacky M Jennings
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of urban health : bulletin of the New York Academy of Medicine     Volume:  90     ISSN:  1468-2869     ISO Abbreviation:  J Urban Health     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-08-05     Completed Date:  2014-04-03     Revised Date:  2014-08-05    
Medline Journal Info:
Nlm Unique ID:  9809909     Medline TA:  J Urban Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  747-57     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Baltimore / epidemiology
Cross-Sectional Studies
Female
HIV Infections / epidemiology*
Heterosexuality / psychology,  statistics & numerical data*
Humans
Male
Prevalence
Residence Characteristics / statistics & numerical data
Risk Factors
Sex Factors
Sexual Partners
Substance Abuse, Intravenous / epidemiology
Unsafe Sex / statistics & numerical data
Urban Population / statistics & numerical data
Young Adult
Grant Support
ID/Acronym/Agency:
KO1 DA022298-01A1/DA/NIDA NIH HHS; R21HD052438/HD/NICHD NIH HHS
Comments/Corrections

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