Piloting a System for Behavioral Surveillance Among Heterosexuals at Increased Risk of HIV in the United States

DiNenno, Elizabeth; Oster, Alexandra M.; Sionéan, Catlainn; Denning, Paul; Lansky, Amy

doi:10.2174/1874613601206010169

Cited by 49 publications

(42 citation statements)

References 17 publications

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“…Based on results of a pilot study (17), the NHBS heterosexual cycle uses low socioeconomic status (SES) as a proxy for increased risk of acquiring HIV through heterosexual sex. Individuals could participate in the survey regardless of SES and injection drug use history.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Correlates of Heterosexual Anal Intercourse Among Men and Women, 20 U.S. Cities

et al. 2016

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Heterosexual anal intercourse (HAI) is not an uncommon behavior and it confers a higher risk of HIV transmission than vaginal intercourse. We examined data from heterosexuals recruited in 20 US cities for the 2013 National HIV Behavioral Surveillance system. We assessed correlates of reporting HAI in the previous year. Then, among people reporting HAI in the past year, we assessed what event-level factors are associated with having HAI at last sex. Thirty percent of women and 35% of men reported HAI in the past year. Among people who had HAI in the past year, those who had HAI at last sex were more likely to have a partner who was HIV-positive or of unknown status or to have exchanged money or drugs for sex at last sex. Information that highlights the risk of HIV transmission associated with HAI would complement existing HIV prevention messages focused on heterosexuals in the U.S.

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Section: Methodsmentioning

confidence: 99%

Prevalence and Correlates of Heterosexual Anal Intercourse Among Men and Women, 20 U.S. Cities

et al. 2016

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“…19 For some African American women, racism continues to hinder optimal educational access, such that limited education is associated with poor HIV treatment adherence 20 as well as unemployment, whereby some women may engage in sexual risk-taking behaviors to attain basic needs. 21 Racism also affects women’s interactions with healthcare providers. For example, African American women living with HIV have expressed mistrust toward healthcare professionals.…”

Section: Introductionmentioning

confidence: 99%

“…, rent). 21,67 These behaviors place many African American women at risk for HIV/STIs. 68,69 Additionally, poor health outcomes have been attributed to living in impoverished communities that are residentially segregated by race.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Racism on the Sexual and Reproductive Health of African American Women

Prather

Fuller

Marshall

et al. 2016

Journal of Women's Health

136

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African American women are disproportionately affected by multiple sexual and reproductive health conditions compared with women of other races/ethnicities. Research suggests that social determinants of health, including poverty, unemployment, and limited education, contribute to health disparities. However, racism is a probable underlying determinant of these social conditions. This article uses a socioecological model to describe racism and its impact on African American women’s sexual and reproductive health. Although similar models have been used for specific infectious and chronic diseases, they have not described how the historical underpinnings of racism affect current sexual and reproductive health outcomes among African American women. We propose a socioecological model that demonstrates how social determinants grounded in racism affect individual behaviors and interpersonal relationships, which may contribute to sexual and reproductive health outcomes. This model provides a perspective to understand how these unique contextual experiences are intertwined with the daily lived experiences of African American women and how they are potentially linked to poor sexual and reproductive health outcomes. The model also presents an opportunity to increase dialog and research among public health practitioners and encourages them to consider the role of these contextual experiences and supportive data when developing prevention interventions. Considerations address the provision of opportunities to promote health equity by reducing the effects of racism and improving African American women’s sexual and reproductive health.

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“…Low income has been found to be associated with elevated prevalence of viral infections and HIV (Dinenno et al, 2012; Stover et al, 2003), and research on neighborhood characteristics and substance misuse suggests a positive association between economic disadvantage and the use of alcohol and other drugs (Boardman et al, 2001; Cohen et al, 2003; Jones-Webb et al, 1997; Theall et al, 2009; Williams et al, 2007). …”

Section: Introductionmentioning

confidence: 99%

Substance use patterns and factors associated with changes over time in a cohort of heterosexual women at risk for HIV acquisition in the United States

Kuo

Golin

Wang

et al. 2014

Drug and Alcohol Dependence

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Background Substance use is associated with HIV sexual risk behaviors, yet few studies have examined substance use patterns longitudinally. We evaluated the types and frequency of substances used over a six-month period among U.S. women at risk for HIV acquisition. Methods Women reporting unprotected sex with a man in the previous six months and at least one other personal or partner HIV risk characteristic enrolled in a multisite cohort study and completed interviews about substance use at study visits. Prevalence and frequency of substance use at the baseline and six-month visits were compared and correlates of decreased substance use at the six-month visit were assessed. Results Of 2,099 women enrolled, 1,882 had substance use data at baseline and six-months. Of these, 76.1% reported using at least one drug or binge drinking in the previous six months; 37.5% were frequent and 38.6% non-frequent substance users. Binge drinking was most frequently reported (63.3%), followed by cocaine (25.0%) and opioids (16.5%). Fifty-five percent of opiate users and 30% of cocaine users reported daily/almost daily use. At the six-month visit, 40.5% reported a decrease in frequency of use. Adjusting for income and type of drug used, poly-substance users were less likely to decrease frequency of use compared to those who only used one substance. Conclusion A substantial decrease in frequency of substance use over time was observed in this cohort. Poly-substance users were less likely to reduce frequency of use over time, suggesting that specific substance use interventions targeting these users are warranted.

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Piloting a System for Behavioral Surveillance Among Heterosexuals at Increased Risk of HIV in the United States

Cited by 49 publications

References 17 publications

Prevalence and Correlates of Heterosexual Anal Intercourse Among Men and Women, 20 U.S. Cities

Prevalence and Correlates of Heterosexual Anal Intercourse Among Men and Women, 20 U.S. Cities

The Impact of Racism on the Sexual and Reproductive Health of African American Women

Substance use patterns and factors associated with changes over time in a cohort of heterosexual women at risk for HIV acquisition in the United States

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