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
Fullilove, RE
中科院分区:
医学3区
文献类型:
--
作者:
Adimora, AA;Schoenbach, VJ;Fullilove, RE

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目的:调查北卡罗来纳州最近报告的异性性传播HIV感染的非裔美国人中的并发性伴侣关系。设计:新报告的HIV感染者的基于人群的病例系列。方法:在18-59岁的非洲裔美国人中进行了关于艾滋病毒传播的性行为和其他风险行为的家庭访谈,在过去6个月内向州卫生部门报告过异性性行为感染艾滋病毒的人。日期的性伙伴关系进行了分析,以确定并发性之间的3个最近的partnerships.Results:并发症的患病率在过去的1年和5年,分别为45和63%的男性和37和58%的女性。大多数受访者(87%)认为,最近的合作伙伴坏有一个并行的合作伙伴关系。多变量分析显示并发性和男性性别,青年,快克可卡因吸烟,监禁的性partner.Conclusions:并发性伙伴关系可能加速异性艾滋病毒在美国东南部农村黑人之间的传播之间的关联。未来的研究应该研究支持这种网络模式的社会经济背景。
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.