[Show abstract][Hide abstract] ABSTRACT: Human immunodeficiency virus (HIV) disproportionately affects black women. Nearly two-thirds of all female HIV cases reported to the CDC are black, and HIV is the leading cause of death among black women aged 25 to 34 years. The greatest HIV transmission risk among black women is sexual intercourse with a man, although the role of bisexual men is not clear.
The CDC and collaborating partners conducted behavioral surveys at 7 historically black colleges and universities from January 2005 to April 2007.
Of the 2705 black female students aged 18 to 29 years who were surveyed, 2040 (75%) reported being sexually active in the previous 12 months and, among sexually active women, 291 (14%) reported having sex with a bisexual man in the previous 12 months. Women who reported sex with a bisexual man were more likely than women who did not to report having at least 2 sex partners in the previous 12 months, having male and female sex partners, not using a condom at last intercourse, being in a committed relationship, never or infrequently attending church, and believing they were at increased risk for HIV infection.
Heterosexually active black women who have engaged in sexual intercourse with bisexual men have a different HIV risk profile than other heterosexually active black women.
Journal of the National Medical Association 12/2010; 102(12):1198-205. · 0.91 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Background: Black men who have sex with men (MSM), including bisexuals, represented 41% of the nearly 25,000 new HIV infections among blacks in 2006. We compared behaviors of non-gay/bisexual-identified MSM (NGI-MSM) with behaviors of gay/bisexual-identified MSM (GI-MSM) at historically black college and university (HBCU) settings.
Methods: Using convenience sampling, we recruited HIV testing participants to complete behavioral surveys at HBCUs in Arkansas, Georgia, Mississippi, and Washington, DC, from 2005 to 2007. Black males who reported ³ 1 male partner in the previous 12 months were included in this analysis.
Results: Of 1930 black males surveyed, 270 (14%) reported ³ 1 male partner, of whom 79 (29%) self-identified as gay, 67 (25%) as bisexual, 96 (36%) as heterosexual, and 28 (10%) as other/don't know/not applicable/refused. NGI-MSM were not different from GI-MSM in total number of partners in the previous 12 months or proportion reporting unprotected receptive anal intercourse. Compared with GI-MSM, NGI-MSM were less likely to report asking their last partner's HIV status (odds ratio [OR]=0.5, 95% confidence interval [CI]=0.3-0.9) and having been tested for HIV in the previous 12 months (OR=0.6, CI=0.3-0.9) and more likely to report not using a condom during last sex (OR=1.8, CI=1.2-3.4), having had sex with a female in the previous 12 months, (OR=4.1, CI=2.5-6.9), and perceiving they were at no risk for HIV infection (OR=3.1, CI=1.5-6.3).
Conclusion: More NGI-MSM reported high-risk behaviors and fewer reported HIV preventive behaviors than GI-MSM. Findings suggest that interventions should be developed to reach non-gay-identified black MSM.
137st APHA Annual Meeting and Exposition 2009; 11/2009
[Show abstract][Hide abstract] ABSTRACT: From 2001 through 2005, African Americans accounted for the largest percentage of new cases of human immunodeficiency virus (HIV)/ acquired immunodeficiency syndrome (AIDS) in all age categories, especially among people aged 13 to 24 years. Although students attending historically black colleges and universities (HBCUs) report many of the behaviors that promote HIV transmission, their risk behaviors and HIV testing practices have not been well-characterized. We compared the demographic and behavioral characteristics of people who have been previously tested for HIV with those of people tested for the first time in this demonstration project to increase HIV testing at HBCUs.
The Centers for Disease Control and Prevention and collaborating partners conducted rapid HIV testing and behavioral surveys at HBCUs in Arkansas, Georgia, Mississippi, and Washington, D.C., from January 2005 to April 2007. We recruited a convenience sample of students and community members at different campus venues including student health centers, dormitories, and student activity centers.
Our analysis included 5,291 people, 42% of whom reported they had never been tested for HIV. People who had been tested in the past were more likely to be older, believe they were at high risk for infection, have visited a health-care facility, and report behaviors that increased their risk of HIV infection.
Respondents who believed they were at increased risk for HIV infection or reported behaviors that increased their risk for infection were more likely to have been tested for HIV. Future research should compare actual vs. perceived risk for HIV infection and contrast how each impacts HIV testing.
Public Health Reports 123 Suppl 3:115-25. · 1.42 Impact Factor