title: Prevalence and correlates of knowledge of male partner HIV testing and serostatus among African-American women living in high poverty, high HIV prevalence communities (HPTN 064).
abstract: Knowledge of sexual partners' HIV infection can reduce risky sexual behaviors. Yet, there are no published studies to-date examining prevalence and characteristics associated with knowledge among African-American women living in high poverty communities disproportionately affected by HIV. Using the HIV Prevention Trial Network's (HPTN) 064 Study data, multivariable logistic regression was used to examine individual, partner, and partnership-level determinants of women's knowledge (n = 1,768 women). Results showed that women's demographic characteristics alone did not account for the variation in serostatus awareness. Rather, lower knowledge of partner serostatus was associated with having two or more sex partners (OR = 0.49, 95 % CI 0.37-0.65), food insecurity (OR = 0.68, 95 % CI 0.49-0.94), partner age >35 years (OR = 0.68, 95 % CI 0.49-0.94), and partner concurrency (OR = 0.63, 95 % CI 0.49-0.83). Access to financial support (OR = 1.42, 95 % CI 1.05-1.92) and coresidence (OR = 1.43, 95 % CI 1.05-1.95) were associated with higher knowledge of partner serostatus. HIV prevention efforts addressing African-American women's vulnerabilities should employ integrated behavioral, economic, and empowerment approaches.
authors.affiliation: Social and Behavioral Interventions Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Room E5038, Baltimore, MD, 21205, USA, ljenning@jhsph.edu.
authors.forename: Larissa
authors.initials: L
authors.lastname: Jennings
authors.forename: Anne M
authors.initials: AM
authors.lastname: Rompalo
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
authors.forename: James
authors.initials: J
authors.lastname: Hughes
authors.forename: Adaora A
authors.initials: AA
authors.lastname: Adimora
authors.forename: Sally
authors.initials: S
authors.lastname: Hodder
authors.forename: Lydia E
authors.initials: LE
authors.lastname: Soto-Torres
authors.forename: Paula M
authors.initials: PM
authors.lastname: Frew
authors.forename: Danielle F
authors.initials: DF
authors.lastname: Haley
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control; D018023:HIV Seronegativity; D006679:HIV Seropositivity; D007722:Health Knowledge, Attitudes, Practice; D020010:Heterosexuality / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D011204:Poverty Areas; D015995:Prevalence; D012307:Risk Factors; D012747:Sexual Partners; D014481:United States / Q000453:epidemiology; D055815:Young Adult