title: Assessing the HIV/AIDS health services needs of African immigrants to Houston.
abstract: This study investigated HIV/AIDS knowledge, risk behaviors and perceptions, and access to services among Black immigrants from more than 20 African nations to Houston, Texas, United States. Three hundred nine respondents completed a 98-item self-administered questionnaire on HIV/AIDS knowledge, risk behaviors, access to services, and stigma. Data analysis revealed this population to be highly educated (70.9% had educational attainment levels beyond high school), with a plurality motivated to immigrate to the United States for academic reasons (45.0%). As a group they displayed a high level of knowledge about modes of HIV transmission. Generally, Christian background respondents had higher knowledge than those of Muslim background. Nevertheless, 36.3% reported that they had never used a condom, with the overwhelming majority of respondents reporting low self-perceived risk for contracting HIV (79.5%). These findings, together with the persistent practice of traditional rituals such as body scarring/tattooing by a significant minority (20.1%), a lack of awareness about vertical transmission (16.3% of women; 29.9% of men), and discouraging scores on an HIV stigma perception scale, suggest that a targeted campaign to raise awareness in this population is warranted.
authors.affiliation: Baylor School of Medicine, Houston, TX, USA.
authors.forename: Lila
authors.initials: L
authors.lastname: Rosenthal
authors.forename: Deborah P
authors.initials: DP
authors.lastname: Scott
authors.forename: Zeman
authors.initials: Z
authors.lastname: Kelleta
authors.forename: Astatkie
authors.initials: A
authors.lastname: Zikarge
authors.forename: Matthew
authors.initials: M
authors.lastname: Momoh
authors.forename: Judith
authors.initials: J
authors.lastname: Lahai-Momoh
authors.forename: Michael W
authors.initials: MW
authors.lastname: Ross
authors.forename: Andy
authors.initials: A
authors.lastname: Baker
mesh_terms: D000349:Africa / Q000208:ethnology; D017280:Condoms / Q000706:statistics & numerical data; D004641:Emigration and Immigration; D005260:Female; D015658:HIV Infections / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D012725:Sexual Behavior; D013781:Texas