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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Heterosexually transmitted HIV infection among African Americans in North Carolina
Journal of Acquired Immune Deficiency Syndromes, Volume 41, No. 5, Year 2006
Notification
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Description
Context: Rates of heterosexually transmitted HIV infection among African Americans in the southeastern United States greatly exceed those for whites. Objective: Determine risk factors for heterosexually transmitted HIV infection among African Americans. Methods: Population-based case-control study of black men and women, aged 18-61 years, reported to the North Carolina state health department with a recent diagnosis of heterosexually transmitted HIV infection and age- and gender-matched controls randomly selected from the state driver's license file. A lower-risk stratum of respondents was created to identify transmission risks among people who denied high-risk behaviors. Results: Most case subjects reported annual household income <$16,000, history of sexually transmitted diseases, and high-risk behaviors, including crack cocaine use and sex partners who injected drugs or used crack cocaine. However, 27% of case subjects (and 69% of control subjects) denied high-risk sexual partners or behavior. Risk factors for HIV infection in this subset of participants were less than high school education (adjusted odds ratio [OR] 5.0; 95% CI: 2.2, 11.1), recent concern about having enough food for themselves or their family (OR 3.7; 1.5, 8.9), and having a sexual partner who was not monogamous during the relationship with the respondent (OR 2.9; 1.3, 6.4). Conclusion: Although most heterosexually transmitted HIV infection among African Americans in the South is associated with established high-risk characteristics, poverty may be an underlying determinant of these behaviors and a contributor to infection risk even in people who do not have high-risk behaviors. Copyright © 2006 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Adimora, Adaora A.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
United States, Chapel Hill
Unc School of Medicine
Schoenbach, Victor J.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Martinson, Francis E.A.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Doherty, Irene A.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Statistics
Citations: 150
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1097/01.qai.0000191382.62070.a5
ISSN:
15254135
Research Areas
Food Security
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Case-Control Study
Participants Gender
Male
Female