The changing age of HIV: sexual risk among older African American women living in rural communities

Predictors of HIV risk behaviors among older adults : a multilevel analysis.

“…As illustrated in this study and others (Winningham et al, 2004;Wyatt, 2009) that have samples of older adults, individual characteristics matter. As the variables in this study were limited to the data used, there are other variables that reflect context that fit in these domains that should also be explored.…”

“…What can be made of this observation of a decreased trend over time? In regards to older adults, it is possible that the nation is slowly realizing that older adults are not only living longer with HIV and AIDS, but they are also becoming infected later in life, raising additional awareness to some degree in the aging population, leading to a reduction in risk behaviors reported (Jacobs & Thomlison, 2009;Levy-Dweck, 2005;Stall & Catania, 1994;Winningham et al, 2004) . There have been several HIV prevention programs geared at older adults that address knowledge about HIV and risk reduction behaviors (e.g., Cornelius, Moneyham, & Legrand, 2008;Kral et al, 2000), and these could be attributed to the reduction of reported participation in HIV risk behaviors.…”

“…Belonging to an ethnic minority group has been strongly correlated with increased risk exposure (e.g., Ark, Hull, Husaini, & Craun, 2006;Musa et al, 2009) and engagement in sexual risk behaviors (e.g., Shain et al, 1998;Winningham et al, 2004). As a social determinant of health, it has been substantiated in the literature that those belonging to ethnic minority groups experience more cumulative disadvantage over the life course when compared to non-ethnic minorities, which influences social and physical exposures (i.e., having lower socio-economic status, maintaining imbalanced relationships (e.g., Andersen & Bozzette, 2000;DiClemente et al, 2009).…”

“…A primary step is for social workers to extend their evidence-based practices to other disciplines, using research evidence that is interdisciplinary in nature to inform them about best practices regarding behavior change, as it well known that behavior change is key to reducing participating in risk behavior . There is some evidence of areas to focus on when working with older adults, such as focusing on psychosocial factors that are associated with HIV risk behaviors to increase things like self-efficacy and to educate on general knowledge about transmission and risks (Boeri et al, 2006;Winningham et al, 2004). HIV/AIDS is such a public health issue that social workers will need to be comfortable with reading public health literature and understand more complex interventions to really be able to consider what modifications would be necessary to carry out programs in older communities.…”

A mulher com idade igual ou superior a 50 anos e a epidemia de aids: percepção e ações de moradoras de uma comunidade de baixa renda.

“…A presença de comportamentos que elevam o risco da população idosa infectar-se pelo HIV foi pesquisada por Stall, Catania (1994) (Winningham, et al, 2004). Schable, Chu, Diaz (1996) (Moore, Amburgey, 2000).…”