HIV-Related Behaviors and Perceptions Among Adults in 25 States: 1997 Behavioral Risk Factor Surveillance System

Holtzman, Deborah; Bland, Shayne D.; Lansky, Amy; Mack, Karin A.

doi:10.2105/ajph.91.11.1882

Cited by 47 publications

(36 citation statements)

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“…A previous study, however, estimated that these individuals had negligible effect on results. 13 Finally, as with all observational studies that rely on self-report, subjects may have under-or over-reported their HIV risk behaviors and HIV testing practices. Given the sensitive nature of HIV risk behavior questions, subjects may have provided socially desirable responses leading to under-reporting of HIV risk behaviors.…”

Section: Discussionmentioning

confidence: 99%

A population-based study of HIV testing practices and perceptions in 4 U.S. states

2005

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Objective: To evaluate testing practices and perceptions of HIV risk among a geographically diverse, population‐based sample of sexually active adults who reported behaviors that could transmit HIV. Design: Secondary analysis of the Centers for Disease Control and Preventions Behavioral Risk Factor Surveillance System (BRFSS) 2000 survey. Patients/Participants: Sexually active adults less than 50 years old, who completed the Sexual Behavior Module of the BRFSS 2000 survey administered in 4 U.S. states. Measurements and Main Results: Nineteen percent of the study population reported one or more behaviors in the past year that increased their risk of HIV infection (men 23%; women 15%). In this subgroup at any increased risk of HIV infection, 49% reported having had an HIV test in the past year. For 71% of those tested, the HIV test was self‐initiated. Younger age was the only factor independently associated with whether or not individuals with behaviors that increased their risk of HIV infection had had a recent HIV test. Among the 51% of individuals at risk who reported no recent HIV test, 84% perceived their risk as low or none. Conclusions: In this study, about half of the individuals who reported behaviors that could transmit HIV had not been recently tested for HIV. Of those not tested, most considered their risk of HIV to be low or none. Interventions to expand HIV testing and increase awareness of HIV risk appear to be needed to increase early detection of HIV infection and to reduce its spread.

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Section: Discussionmentioning

confidence: 99%

A population-based study of HIV testing practices and perceptions in 4 U.S. states

2005

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“…These changes are best monitored through representative sampling of the general U.S. population to measure risk behaviors and HIV-testing behaviors. 17,18 Behavioral surveillance also must include the collection of data from infected populations and populations at increased risk for infection. Populations at increased risk for acquiring HIV infection in the United States include MSM, injecting drug users (IDUs), and highrisk heterosexuals who engage in risky behaviors or have HIV-infected partners (HET).…”

Section: Conceptual Framework Of the Key Behaviors And Populations Fomentioning

confidence: 99%

HIV Behavioral Surveillance in the U.S.: A Conceptual Framework

et al. 2007

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This article describes a conceptual framework for HIV behavioral surveillance in the United States. The framework includes types of behaviors to monitor, such as risk behaviors, HIV testing behaviors, adherence to HIV treatment, and care-seeking for HIV/AIDS. The framework also describes the population groups in which specific behaviors should be monitored. Because the framework is multifaceted in terms of behaviors and populations, behavioral data from multiple surveillance systems are integrated to achieve HIV behavioral surveillance program objectives. Defining surveillance activities more broadly to include behavioral surveillance in multiple populations will provide more comprehensive data for prevention planning, and lead to a more effective response to HIV/AIDS in the United States.

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“…2 Risk behavior data are used to assess the prevalence of risk behaviors at a point in time, monitor trends in these behaviors over time, assess the co-occurrence of risk behaviors, and identify demographic and social correlates of risk. 5,6 Monitoring testing behaviors in the general population is appropriate because HIV testing programs are not always targeted to specific groups. Data from general population surveys can be used for assessing progress toward health objectives related to HIV testing, such as CDC's HIV Prevention Strategic Plan 1 or Healthy People 2010; 7 evaluating national policies or guidelines on HIV testing; 8,9 and evaluating the use of new testing technologies, such as oral fluid tests and rapid tests.…”

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confidence: 99%

HIV Behavioral Surveillance among the U.S. General Population

et al. 2007

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HIV behavioral surveillance in the United States is conducted among three groups: infected populations, high-risk populations, and the general population. We describe the general population component of the overall U.S. HIV behavioral surveillance program and identify priority analyses. This component comprises several data systems (ongoing, systematic, population-based surveys) through which data on risk behaviors and HIV testing are collected, analyzed, and disseminated. Multiple data systems are needed to balance differences in scope and purpose, as well as strengths and weaknesses of the sampling frames, mode of administration, and frequency of data collection. In a concentrated epidemic, such as in the United States, general population data play a small but important role in monitoring the potential spread of infection more broadly, particularly given increases in HIV transmission through heterosexual contact.

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HIV-Related Behaviors and Perceptions Among Adults in 25 States: 1997 Behavioral Risk Factor Surveillance System

Abstract: Most US adults do not engage in HIV-related risk behavior; those that do are more likely to report protective behavior.

Cited by 47 publications

References 11 publications

A population-based study of HIV testing practices and perceptions in 4 U.S. states

A population-based study of HIV testing practices and perceptions in 4 U.S. states

HIV Behavioral Surveillance in the U.S.: A Conceptual Framework

HIV Behavioral Surveillance among the U.S. General Population

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