title: Sexual Network Profiles and Risk Factors for STIs Among African-American Sexual Minorities in Mississippi: A Cross-Sectional Analysis.
abstract: This cross-sectional study assessed sexually transmitted infection (STI) prevalence, socio-demographic characteristics, substance use, sexual behaviors, and sexual network profiles among African American sexual minorities in Jackson, Mississippi. Bivariate chi-square tests and generalized estimating equation (GEE) models explored individual and partner-related factors. Compared to their heterosexual counterparts, male African American sexual minorities reported fewer sex partners (odds ratios [OR] 0.33, 95% confidence intervals [CI] 0.16-0.65) and lower concurrency levels (OR 0.42, 95%CI 0.24-0.72). African American sexual minority women reported greater substance abuse, more sex partners (OR 2.54, 95%CI 1.47-4.38), higher concurrency levels (OR 1.81, 95%CI 1.24-2.64), and more transactional sex (OR 2.52, 95%CI 1.25-5.11). These results highlight the need for nuanced STI interventions tailored to African American sexual minorities in Mississippi.
authors.affiliation: 1 Division of Infectious Diseases, The Miriam Hospital and Alpert Medical School of Brown University , Providence, Rhode Island.
authors.forename: Sarah
authors.initials: S
authors.lastname: MacCarthy
authors.affiliation: 2 Division of Infectious Diseases, University of Mississippi Medical Center , Jackson, Mississippi.
authors.forename: Leandro
authors.initials: L
authors.lastname: Mena
authors.affiliation: 1 Division of Infectious Diseases, The Miriam Hospital and Alpert Medical School of Brown University , Providence, Rhode Island.
authors.forename: Philip A
authors.initials: PA
authors.lastname: Chan
authors.affiliation: 3 Department of Psychology, Wesleyan University , Middletown, Connecticut.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Rose
authors.affiliation: 1 Division of Infectious Diseases, The Miriam Hospital and Alpert Medical School of Brown University , Providence, Rhode Island.|4 Departments of Epidemiology and Psychology, Jackson State University , Jackson, Mississippi.
authors.forename: Dantrell
authors.initials: D
authors.lastname: Simmons
authors.affiliation: 1 Division of Infectious Diseases, The Miriam Hospital and Alpert Medical School of Brown University , Providence, Rhode Island.|4 Departments of Epidemiology and Psychology, Jackson State University , Jackson, Mississippi.
authors.forename: Reginald
authors.initials: R
authors.lastname: Riggins
authors.affiliation: 1 Division of Infectious Diseases, The Miriam Hospital and Alpert Medical School of Brown University , Providence, Rhode Island.
authors.forename: Michael
authors.initials: M
authors.lastname: Hoffmann
authors.affiliation: 5 Department of Sociomedical Sciences, Columbia Mailman School of Public Health , New York, New York.
authors.forename: Amaya
authors.initials: A
authors.lastname: Perez-Brumer
authors.affiliation: 2 Division of Infectious Diseases, University of Mississippi Medical Center , Jackson, Mississippi.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Chamberlain
authors.affiliation: 1 Division of Infectious Diseases, The Miriam Hospital and Alpert Medical School of Brown University , Providence, Rhode Island.
authors.forename: Amy
authors.initials: A
authors.lastname: Nunn
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000706:statistics & numerical data*; D008922:Mississippi / Q000453:epidemiology; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data; D019529:Sexuality / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology
keywords: African Americans; HIV; Mississippi; STIs; risk factors; sexual minorities