HIV Surveillance--United States, 1981-2008

Torian, Lucia V.; Chen, I‐Ming; Rhodes, Philip; Hall, Irene

doi:10.1037/e595102011-002

Cited by 53 publications

(29 citation statements)

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“…At the end of 2008, 68 600 youth between 13 and 24 years of age were living with HIV, and alarmingly, 58.9% of youth had undiagnosed HIV. 2 However, adolescents are not a homogenous group; rather, they represent a diverse population, with subgroups engaging in different HIV/STI-risk behaviours. One group at risk for acquiring HIV/STI are adolescents with psychiatric disorders.…”

Section: Introductionmentioning

confidence: 99%

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Gender differences in sexual risk behaviours and sexually transmissible infections among adolescents in mental health treatment

et al. 2012

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Background Adolescents with a history of psychiatric disorder(s) are particularly vulnerable to contracting sexually transmissible infections (STIs) as a result of psychological and emotional states associated with higher rates of risky sexual behaviour. The present study examined gender differences in sexual risk behaviours and STI among adolescents in mental health treatment. Methods Three hundred and seventy nine sexually active adolescents, aged 13–18 years, from a larger multisite study, who received mental health treatment during the past year, completed an audio computer-assisted self interview assessing sociodemographics, psychiatric symptomatology and HIV/STI risk behaviours, and provided urine specimens tested for STI. Results After controlling for covariates, multivariate logistic regression models indicated that female adolescents were more likely to have had an HIV test (adjusted odds ratio (AOR) = 3.2, P = 0.0001), obtain their HIV test results (AOR = 2.9, P = 0.03), refuse sex out of fear for STI acquisition (AOR = 1.7, P = 0.04), or avoid a situation that might lead to sex (AOR = 2.4, P = 0.001), and were less likely to have a casual sex partner (AOR = 0.40, P = 0.002). Additionally, females were more likely to report inconsistent condom use (AOR = 2.60, P = 0.001) and have a STI (AOR = 9.1, P = 0.0001) than their male counterparts. Conclusions Female adolescents receiving mental health treatment were more than nine times as likely to have an STI and more likely to use condoms inconsistently. The standard of care for mental health practice for adolescents should include referrals for STI screening and treatment as well as assessment and discussion of risky sexual behaviours as part of the treatment plan when indicated. Effective programs should address gender-specific communication and behavioural skills.

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Section: Introductionmentioning

confidence: 99%

“…17 Additionally, women are often considered to be at higher risk for contracting HIV due to partner's risk factors, biological vulnerability, and inequality in sexual relationships, such as fear of physical abuse for negotiating condoms. 2,17–23 …”

Section: Introductionmentioning

confidence: 99%

Gender differences in sexual risk behaviours and sexually transmissible infections among adolescents in mental health treatment

et al. 2012

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“…26 Excluding those with a history of IDU and men who ever had sex with men, the national NHBS-HET2, including all 21 study sites, had an HIV prevalence of 1.1% among those who did not report a previous positive result; by subgroup, the prevalence was 1.1% for females and 1.3% for blacks. 27 The current study's HIV prevalence was also considerably higher than that found at baseline (1.5%) in the HIV Prevention Trials Network (HPTN) 064, a large, multisite longitudinal study of predominantly black women in high prevalence HIV areas; this difference could be due to In the final model, only history of injection drug use was associated with HIV infection among this population of highrisk women who did not self-report being HIV positive.…”

Section: Discussionmentioning

confidence: 99%

High HIV Prevalence Among Low-Income, Black Women in New York City with Self-Reported HIV Negative and Unknown Status

Reilly

Neaigus

Jenness

et al. 2013

Journal of Women's Health

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Background: Black women are disproportionally affected by human immunodeficiency virus (HIV). This study investigates factors associated with newly identified HIV infection among previously self-reported HIV negative or unknown status black women living in high risk areas (HRAs) of New York City (NYC). Methods: Heterosexuals residing in or socially connected to NYC HRAs were recruited using respondent driven sampling for participation in the United States Centers for Disease Control-sponsored National HIV Behavioral Surveillance System in 2010. Eligible individuals were interviewed and offered an HIV test. The analysis reported here focused on black women with valid HIV results who did not report being HIV positive, and examined factors related to HIV infection in this group. Results: Of 153 black women who did not report being HIV positive at enrollment, 15 (9.8%) tested HIV positive. Age ‡ 40 years, ever injected drugs, and in the last 12 months had unprotected vaginal sex, exchange sex, last sex partner used crack, non-injection crack use, and non-injection heroin use were significantly associated with HIV infection ( p < 0.05). Only ever injected drugs (prevalence ratio: 5.1; 95% confidence interval: 2.0, 12.9) was retained in the final model. Conclusions: Black women who had reported being either HIV negative or unaware of their serostatus had high HIV prevalence. Efforts to identify and treat HIV positive black women in HRAs should target those with a history of injection drug use. Frequent testing for HIV should be promoted in HRAs.

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“…Nationally and in NYC, men who have sex with men (MSM) comprise the greatest number of new HIV diagnoses and people living with HIV/AIDS (PLWHA) [8,9]. A total of 41,641 MSM were living with HIV/AIDS in NYC at the end of 2012 [8].…”

Section: Introductionmentioning

confidence: 99%

Bisexual Behavior Among Male Injection Drug Users in New York City

et al. 2015

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Drug using men who have sex with men and women (MSMW) may be at high risk for HIV infection and transmitting HIV to sex partners. In 2012, injection drug users (IDUs) were sampled in New York City for the National HIV Behavioral Surveillance cross-sectional study using respondent-driven sampling. Logistic regression was used to calculate crude and adjusted odds ratios (aOR) and 95 % confidence intervals (95 %CI) to determine correlates of bisexual behavior in the past 12 months. Of 333 participants, 47(14.1 %) reported MSMW. Variables independently associated (p < 0.05) with MSMW included bisexual sexual identity (vs. "straight") (adjusted odds ratio (aOR) 92.6; 95 % CI 18.9, 454.5), Bronx residence [vs. Manhattan (aOR 8.4; 95 %CI 1.6,43.7)], past 12 month behaviors of having sex with ≥3 sex partners (aOR 18.1; 95 % CI 3.3,98.4), "sold" sex (aOR 8.5; 95 % CI 2.3, 31.5), "bought" sex (aOR 0.2; 95 % CI 0.1, 0.9), and injection methamphetamine use (aOR 20.5; 95 % CI 3.0, 139.7). MSM IDUs are an important subgroup to consider for HIV interventions, as they may not be reached through HIV prevention programming aimed at MSM.

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HIV Surveillance--United States, 1981-2008

Cited by 53 publications

References 0 publications

Gender differences in sexual risk behaviours and sexually transmissible infections among adolescents in mental health treatment

Gender differences in sexual risk behaviours and sexually transmissible infections among adolescents in mental health treatment

High HIV Prevalence Among Low-Income, Black Women in New York City with Self-Reported HIV Negative and Unknown Status

Bisexual Behavior Among Male Injection Drug Users in New York City

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