title: Sexual Behaviors of US Women at Risk of HIV Acquisition: A Longitudinal Analysis of Findings from HPTN 064.
abstract: We describe the sexual behaviors of women at elevated risk of HIV acquisition who reside in areas of high HIV prevalence and poverty in the US. Participants in HPTN 064, a prospective HIV incidence study, provided information about individual sexual behaviors and male sexual partners in the past 6 months at baseline, 6- and 12-months. Independent predictors of consistent or increased temporal patterns for three high-risk sexual behaviors were assessed separately: exchange sex, unprotected anal intercourse (UAI) and concurrent partnerships. The baseline prevalence of each behavior was >30 % among the 2,099 participants, 88 % reported partner(s) with >1 HIV risk characteristic and both individual and partner risk characteristics decreased over time. Less than high school education and food insecurity predicted consistent/increased engagement in exchange sex and UAI, and partner's concurrency predicted participant concurrency. Our results demonstrate how interpersonal and social factors may influence sustained high-risk behavior by individuals and suggest that further study of the economic issues related to HIV risk could inform future prevention interventions.
authors: ICAP-Columbia University, Mailman School of Public Health, Columbia University, 722 West 168th Street, Room 1315, New York, NY, 10032, USA, jj2158@columbia.edu.
authors: J
authors: J
authors: Justman
authors: M
authors: M
authors: Befus
authors: J
authors: J
authors: Hughes
authors: J
authors: J
authors: Wang
authors: C E
authors: CE
authors: Golin
authors: A A
authors: AA
authors: Adimora
authors: I
authors: I
authors: Kuo
authors: D F
authors: DF
authors: Haley
authors: C
authors: C
authors: Del Rio
authors: W M
authors: WM
authors: El-Sadr
authors: A
authors: A
authors: Rompalo
authors: S
authors: S
authors: Mannheimer
authors: L
authors: L
authors: Soto-Torres
authors: S
authors: S
authors: Hodder
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D005523:Food Supply; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission*; D006801:Humans; D015999:Multivariate Analysis; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
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