title: Sisters empowered, sisters aware: three strategies to recruit African American women for HIV testing.
abstract: African American women account for 66% of new HIV infections among U.S. women, and many are not aware of their status. The authors compared three strategies (targeted outreach, alternate venues, and social networks) to recruit African American women for HIV testing in Houston, New York City, Baltimore, and Dayton. A quasi-experimental design (N = 4,942) was used to compare HIV-positivity rates and to identify risk factors for previously undiagnosed infection. A total of 2.1% of the women were newly diagnosed with HIV. The proportion newly identified as HIV-positive did not differ significantly among the three strategies (2.4% for social networks, 1.7% for both targeted outreach and alternate venues). However, the social networks strategy recruited women with greater risk behaviors and other characteristics associated with newly identified HIV infection and thus may be effective at reaching some high-risk women before they become infected. A combination of recruitment strategies may be warranted to reach various subgroups of African American women at risk for HIV.
authors: Division of HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
authors: Juarlyn L
authors: JL
authors: Gaiter
authors: Wayne D
authors: WD
authors: Johnson
authors: Eboni
authors: E
authors: Taylor
authors: Sekhar
authors: S
authors: Thadiparthi
authors: Thalia
authors: T
authors: Duncan-Alexander
authors: Carla
authors: C
authors: Lemon
authors: Amana
authors: A
authors: Turner
authors: Debra
authors: D
authors: Hickman
authors: Donald
authors: D
authors: Brown
authors: Expedito
authors: E
authors: Aponte
authors: Lisa
authors: L
authors: Kimbrough
authors: Cynthia
authors: C
authors: Prather
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008403:Mass Screening / Q000379:methods / Q000523:psychology*; D008875:Middle Aged; D010865:Pilot Projects; D015397:Program Evaluation / Q000379:methods*; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012944:Social Support; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D014505:Urban Population; D055815:Young Adult