Concurrent partnerships among rural African Americans with recently reported heterosexually transmitted HIV infection
Concurrent partnerships among rural African Americans with recently reported heterosexually transmitted HIV infection
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DOI:
10.1097/00126334-200312010-00010
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发表时间:
2003-12-01
影响因子:
3.6
通讯作者:
Fullilove, RE
中科院分区:
文献类型:
--
作者:
Adimora, AA;Schoenbach, VJ;Fullilove, RE
Objectives: To investigate concurrent sexual partnerships among African Americans in North Carolina with recently reported heterosexually transmitted HIV infection.Design: Population-based case series of persons with newly reported HIV infection.Methods: Household interviews concerning sexual and other risk behaviors for HIV transmission were conducted among African Americans, 18-59 years old, who had been reported to the state health department within the preceding 6 months as having heterosexually acquired HIV infection. Dates of sexual partnerships were analyzed to identify concurrency among the 3 most recent partnerships.Results: Concurrency prevalence in the past 1 and 5 years, respectively, was 45 and 63% for men and 37 and 58% for women. Most respondents (87%) believed that a recent partner bad had a concurrent partnership. Multivariate analysis revealed associations between concurrency and male gender, youth, crack cocaine smoking, and incarceration of a sex partner.Conclusions: Concurrent partnerships likely accelerate heterosexual HIV transmission among blacks in the rural southeastern United States. Future research should examine the socioeconomic context that supports this network pattern.