title: HIV and sexually transmitted infection risk behaviors and beliefs among Black West Indian immigrants and US-born Blacks.
abstract: OBJECTIVE
  We compared Black West Indian immigrants' and US-born Blacks' sexual and drug-use risk behaviors and their beliefs related to using condoms and informing partners of sexually transmitted infections (STIs) to identify possible differences in risk.
  
  
  METHODS
  We drew data from the baseline assessment of a clinic-based intervention designed to increase partner STI notification.
  
  
  RESULTS
  Black West Indian men were less likely than were US-born Black men to report nonregular partners. There were no differences in condom use. US-born Black women were more likely than were Black West Indian women to be extremely confident that they could convince their regular partners to use condoms (odds ratio [OR] = 2.40; 95% confidence interval [CI] = 1.21, 4.76), whereas there were no differences between Black West Indian and US-born Black men on this measure (interaction P = .06). US-born Black women were more likely than were Black West Indian women to be extremely confident in their ability to discuss STI screening with their regular partners (OR = 1.89; 95% CI = 1.03, 3.47).
  
  
  CONCLUSIONS
  Black West Indian women's lower levels of confidence that they can discuss STI screening with their regular partners and convince these partners to use condoms may increase their infection risk. Gender-sensitive interventions are warranted for Black West Indian immigrants, especially women.
authors.affiliation: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Center, Columbia University, New York, NY 10032, USA. sh51@columbia.edu
authors.forename: Susie
authors.initials: S
authors.lastname: Hoffman
authors.forename: Sharlene T
authors.initials: ST
authors.lastname: Beckford Jarrett
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Kelvin
authors.forename: Scyatta A
authors.initials: SA
authors.lastname: Wallace
authors.forename: Michael
authors.initials: M
authors.lastname: Augenbraun
authors.forename: Matthew
authors.initials: M
authors.lastname: Hogben
authors.forename: Nicole
authors.initials: N
authors.lastname: Liddon
authors.forename: William M
authors.initials: WM
authors.lastname: McCormack
authors.forename: Steve
authors.initials: S
authors.lastname: Rubin
authors.forename: Tracey E
authors.initials: TE
authors.lastname: Wilson
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000145:classification / Q000193:education / Q000523:psychology*; D002690:Chlamydia Infections / Q000208:ethnology / Q000517:prevention & control; D003151:Community Health Centers; D017280:Condoms / Q000706:statistics & numerical data*; D016358:Contact Tracing; D054242:Emigrants and Immigrants / Q000193:education / Q000523:psychology*; D005260:Female; D006069:Gonorrhea / Q000208:ethnology / Q000517:prevention & control; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City; D012309:Risk-Taking; D020377:Self Efficacy; D012725:Sexual Behavior / Q000208:ethnology*; D012747:Sexual Partners / Q000145:classification / Q000523:psychology*; D019966:Substance-Related Disorders / Q000208:ethnology; D019037:Urban Health Services; D014900:West Indies / Q000208:ethnology