Sexual Behaviors of US Women at Risk of HIV Acquisition: A Longitudinal Analysis of Findings from HPTN 064.
Sexual Behaviors of US Women at Risk of HIV Acquisition: A Longitudinal Analysis of Findings from HPTN 064.
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DOI：
10.1007/s10461-014-0992-8
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发表时间：
2015-07
影响因子：
4.4
通讯作者：
Hodder S
中科院分区：
文献类型：
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作者：
Justman J;Befus M;Hughes J;Wang J;Golin CE;Adimora AA;Kuo I;Haley DF;Del Rio C;El-Sadr WM;Rompalo A;Mannheimer S;Soto-Torres L;Hodder S
我们描述了美国艾滋病高流行和贫困地区艾滋病感染风险升高的妇女的性行为。HPTN 064是一项前瞻性HIV发病率研究，参与者提供了过去6个月基线、6个月和12个月的性行为和男性性伴侣的信息。独立的预测一致或增加的时间模式的三个高风险的性行为进行了评估：交换性，无保护的肛交[UAI]和并发的伙伴关系。在2，099名参与者中，每种行为的基线患病率>30%，88%的人报告伴侣具有>一种艾滋病毒风险特征，个人和伴侣的风险特征都随着时间的推移而下降。不到高中教育和粮食不安全预测一致/增加参与交换性和UAI，和合作伙伴的并发预测参与者并发。我们的研究结果表明，人际和社会因素可能会影响个人持续的高风险行为，并建议进一步研究与艾滋病毒风险相关的经济问题，可以为未来的预防干预提供信息。
We describe the sexual behaviors of women at elevated risk of HIV acquisition who reside in areas of high HIV prevalence and poverty in the US. Participants in HPTN 064, a prospective HIV incidence study, provided information about participants’ sexual behaviors and male sexual partners in the past 6 months at baseline, 6- and 12-months. Independent predictors of consistent or increased temporal patterns for three high-risk sexual behaviors were assessed separately: exchange sex, unprotected anal intercourse [UAI] and concurrent partnerships. The baseline prevalence of each behavior was >30% among the 2,099 participants, 88% reported partner(s) with > one HIV risk characteristic and both individual and partner risk characteristics decreased over time. Less than high school education and food insecurity predicted consistent/increased engagement in exchange sex and UAI, and partner's concurrency predicted participant concurrency. Our results demonstrate how interpersonal and social factors may influence sustained high-risk behavior by individuals and suggest that further study of the economic issues related to HIV risk could inform future prevention interventions.