HIV Behavioral Surveillance among the U.S. General Population

Lansky, Amy; Drake, Amy; DiNenno, Elizabeth; Lee, Chungwon

doi:10.1177/00333549071220s105

Cited by 23 publications

(19 citation statements)

References 16 publications

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“…In a concentrated epidemic, such as in Canada, the general population has a small but important influence on spread of HIV, particularly given the increasing transmission rate through heterosexual contact [23]. Showing higher rate than in the United States (40%) [14] but similar to a recent Canadian survey (47%) [12], our results show that over half of Quebec adult population has never been tested (55%).…”

Section: Discussionsupporting

confidence: 79%

HIV Stigmatization and Testing

Beaulieu¹,

Adrien²,

Potvin³

et al. 2017

Health Edu Care

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Objective: The purpose of this study was to assess the relationship between stigmatizing attitudes towards people living with HIV (PLHIV) and HIV testing. Methods:A cross-sectional population study was conducted in the province of Quebec, Canada. A representative sample of 1,500 for the province Quebec randomly selected individuals aged 15 to 64 years and able to speak French or English was surveyed. Participants were interviewed by telephone from March to April 2010. Bivariate analyses and multiple sequential logistic regression analyses were performed to assess the relationship between stigmatizing attitudes and HIV testing while controlling for variables known to be associated with testing.

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Section: Discussionsupporting

confidence: 79%

HIV Stigmatization and Testing

Beaulieu¹,

Adrien²,

Potvin³

et al. 2017

Health Edu Care

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“…Provided that RDS assumptions are met, 27,29,30,37 RDS allows for a final sample independent from the seeds, and for calculation of sampling probabilities that provide population-based estimates of variables under study. Chisquare tests were used to compare demographic and behavioral characteristics between men and women.…”

Section: Methodsmentioning

confidence: 99%

Differing HIV Risks and Prevention Needs among Men and Women Injection Drug Users (IDU) in the District of Columbia

et al. 2012

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Washington, DC has among the highest HIV/AIDS rates in the US. Gender differences among injection drug users (IDUs) may be associated with adoption of prevention opportunities including needle exchange programs, HIV testing, psychosocial support, and prevention programming. National HIV Behavioral Surveillance data on current IDUs aged ≥18 were collected from 8/09 to 11/09 via respondent-driven sampling in Washington, DC. HIV status was assessed using oral OraQuick with Western Blot confirmation. Weighted estimates were derived using RDSAT. Stata was used to characterize the sample and differences between male and female IDU, using uni-, bi-, and multivariable methods. Factors associated with HIV risk differed between men and women. Men were more likely than women to have had a history of incarceration (86.6% vs. 66.8%, pG0.01). Women were more likely than men to have depressive symptoms (73.9% vs. 47.4%, pG 0.01), to have been physically or emotionally abused (66.1% vs. 16.1%, pG0.0001), to report childhood sexual abuse (42.7% vs. 4.7%, pG0.0001), and pressured or forced to have sex (62.8% vs. 4.0%, pG0.0001); each of these differences was significant in the multivariable analysis. Despite a decreasing HIV/AIDS epidemic among IDU, there remain significant gender differences with women experiencing multiple threats to psychosocial health, which may in turn affect HIV testing, access, care, and drug use. Diverging needs by gender are critical to consider when implementing HIV prevention strategies.

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“…NHBS methods have been described elsewhere. 8,11,12,[19][20][21][22][23][24] Briefly, cross-sectional data from MSM, injection drug users (IDU), and heterosexuals at high risk of HIV infection are collected in repeated annual cycles. Recruitment for the second round of NHBS-MSM was conducted between July 2008 and December 2008.…”

Section: Methodsmentioning

confidence: 99%

“…8,11,12,[19][20][21][22][23][24] Dependent variables included WB HIV confirmation and self-report of condom use at last episode of anal intercourse. Independent variables of interest included demographic variables (self-identified race, age, educational attainment, health insurance [including Medicaid or Medicare], sexual orientation, and being circumcised); HIV testing behavior (ever tested for HIV, and if saw health care provider in the last 12 months, was offered HIV test at that visit); HIV-related risk behaviors (ever been incarcerated, noninjection drug use in the past 12 months, age at MSM sexual debut, ever had intentional unprotected anal intercourse (UAI), also known as barebacking, whether the last sexual partner was main, casual, or exchange, older), and disclosure of MSM status to family members, non-gay identified friends, and health care provider.…”

Section: Methodsmentioning

confidence: 99%

Elevated HIV Prevalence Despite Lower Rates of Sexual Risk Behaviors Among Black Men in the District of Columbia Who Have Sex with Men

Magnus

Kuo

Phillips

et al. 2010

AIDS Patient Care and STDs

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The District of Columbia (DC) has among the highest HIV/AIDS rates in the United States, with 3.2% of the population and 7.1% of black men living with HIV/AIDS. The purpose of this study was to examine HIV risk behaviors in a community-based sample of men who have sex with men (MSM) in DC. Data were from the National HIV Behavioral Surveillance system. MSM who were 18 years were recruited via venue-based sampling between July 2008 and December 2008. Behavioral surveys and rapid oral HIV screening with OraQuick ADVANCE ½ (OraSure Technologies, Inc., Bethlehem, PA) with Western blot confirmation on positives were collected. Factors associated with HIV positivity and unprotected anal intercourse were identified. Of 500 MSM, 35.6% were black. Of all men, 14.1% were confirmed HIV positive; 41.8% of these were newly identified HIV positive. Black men (26.0%) were more likely to be HIV positive than white (7.9%) or Latino/Asian/other (6.5%) men ( p < 0.001). Black men had fewer male sex partners than non-black, fewer had ever engaged in intentional unprotected anal sex, and more used condoms at last anal sex. Black men were less likely to have health insurance, have been tested for HIV, and disclose MSM status to health care providers. Despite significantly higher HIV/AIDS rates, black MSM in DC reported fewer sexual risks than non-black. These findings suggest that among black MSM, the primary risk of HIV infection results from nontraditional sexual risk factors, and may include barriers to disclosing MSM status and HIV testing. There remains a critical need for more information regarding reasons for elevated HIV among black MSM in order to inform prevention programming.

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HIV Behavioral Surveillance among the U.S. General Population

Cited by 23 publications

References 16 publications

HIV Stigmatization and Testing

HIV Stigmatization and Testing

Differing HIV Risks and Prevention Needs among Men and Women Injection Drug Users (IDU) in the District of Columbia

Elevated HIV Prevalence Despite Lower Rates of Sexual Risk Behaviors Among Black Men in the District of Columbia Who Have Sex with Men

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