Missed Opportunities for HIV Testing Among High-Risk Heterosexuals

Jenness, Samuel M.; Murrill, Christopher S.; Liu, Kai Lih; Wendel, Travis; Hagan, Holly

doi:10.1097/olq.0b013e3181ab375d

Cited by 34 publications

(38 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 The NHBS methods for defining high-risk heterosexuals have been explained in detail elsewhere. 23 Briefly, we used NYC HIV surveillance data and Census data on household poverty to identify NYC zip codes where residents and members of their social networks were at highest risk for heterosexual HIV infection. Zip codes were ranked by combined standardized rates of heterosexual HIV and poverty.…”

Section: Sampling and Eligibilitymentioning

confidence: 99%

Patterns of Exchange Sex and HIV Infection in High-Risk Heterosexual Men and Women

et al. 2011

Self Cite

View full text Add to dashboard Cite

Heterosexual partnerships involving the trade of money or goods for sex are a well-described HIV risk factor in Africa and Southeast Asia, but less research has been conducted on exchange partnerships and their impact on HIV infection in the United States. In our study, men and women were recruited from high-risk risk neighborhoods in New York City through respondent-driven sampling in 2006-2007. We examined the factors associated with having an exchange partner in the past year, the relationship between exchange partnerships and HIV infection, and the risk characteristics of those with exchange partners by the directionality of payment. Overall, 28% of men and 41% of women had a past-year exchange partner. For men, factors independently associated with exchange partnerships were older age, more total sexual partners, male partners, and frequent non-injection drug use. For women, factors were homelessness, more total sexual partners, more unprotected sex partners, and frequent non-injection drug use. Exchange partnerships were associated with HIV infection for both men and women, although the relationships were substantially confounded by other behavioral risks. Those who both bought and sold sex exhibited the highest levels of risk with their exchange and non-exchange partners. Exchange partnerships may be an HIV risk both directly and indirectly, given the overlap of this phenomenon with other risk factors that occur with both exchange and non-exchange partners.

show abstract

Section: Sampling and Eligibilitymentioning

confidence: 99%

Patterns of Exchange Sex and HIV Infection in High-Risk Heterosexual Men and Women

et al. 2011

Self Cite

View full text Add to dashboard Cite

show abstract

“…Several studies have investigated social and structural factors like poverty and gender power dynamics 9,10 and the low rates of HIV testing compared to men who have sex with men (MSM) and injection drug users (IDU). 11,12 Recent research suggests that individual-level factors, such as unprotected sex or multiple partners, do not fully explain the growth of the heterosexual HIV epidemic. 13,14 Instead, network factors like concurrent partnerships have been linked with heterosexual risk 15,16 ; the racial segregation of sex partners and the increased likelihood of non-whites at otherwise low risk to have higher-risk partners contributes to the racial disparities in heterosexual infections.…”

Section: Introductionmentioning

confidence: 99%

Heterosexual HIV and Sexual Partnerships Between Injection Drug Users and Noninjection Drug Users

Jenness

Neaigus

Hagan

et al. 2010

AIDS Patient Care and STDs

Self Cite

View full text Add to dashboard Cite

Sex partnerships with injection drug users (IDU) are an understudied network-level risk factor for heterosexual HIV infection. Heterosexuals with no history of injection were recruited from high-risk areas in New York City through respondent-driven sampling. We examined the prevalence of IDU sex partnerships among these non-IDU, the factors associated with having a past year IDU partner, and the independent association of HIV infection and IDU sex partnerships in multiple logistic regression. Of the 601 non-IDU in this analysis, 13.8% had a sex partner in the past year with a history of injection. IDU partnerships were significantly more common among women and those with higher levels of unprotected sex and drug and alcohol use. Overall, 7.0% tested positive for HIV. HIV prevalence was higher (p = 0.07) for participants with IDU partners (9.6%) compared to those with no IDU partners (4.6%). In multiple logistic regression, participants with IDU partners were over twice as likely to be HIV-infected (p = 0.08). Sex partnerships with IDU were common and may play an important role in heterosexual HIV transmission in areas with large IDU populations. Prevention interventions to encourage the disclosure of injection history and risk reduction specifically for those with IDU partners are indicated.

show abstract

“…Additionally, factors such as poor reimbursement for HIV tests, competing health needs, and possible provider biases or comfort level in providing positive results to certain patients have been cited as potential barriers to HIV testing by clinicians [54][55][56]. Thus, even when connected to health care, certain populations are less likely to be offered testing [57,58].…”

Section: Discussionmentioning

confidence: 94%

Black:White Disparities in HIV Mortality in the United States: 1990–2009

Allgood

Hunt

Rucker

2015

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

show abstract

Missed Opportunities for HIV Testing Among High-Risk Heterosexuals

Abstract: HIV testing was low overall but higher for those with exposures to potential routine testing settings. Further expansion of testing in these settings would likely increase testing rates and may decrease new HIV infections among high-risk heterosexuals.

Cited by 34 publications

References 38 publications

Patterns of Exchange Sex and HIV Infection in High-Risk Heterosexual Men and Women

Patterns of Exchange Sex and HIV Infection in High-Risk Heterosexual Men and Women

Heterosexual HIV and Sexual Partnerships Between Injection Drug Users and Noninjection Drug Users

Black:White Disparities in HIV Mortality in the United States: 1990–2009

Contact Info

Product

Resources

About