title: Concurrency and Other Sexual Risk Behaviors Among Black Young Adults in a Southeastern City.
abstract: Black Americans continue to have higher rates of HIV disease than other races/ethnicities. Conventional individual-level risk behaviors do not fully account for these racial/ethnic disparities. Sexual concurrency may help explain them. Respondent-driven sampling (RDS) was used to enroll 508 sexually active 18- to 30-year-old Black men and women in Durham, North Carolina in a cross-sectional survey on HIV-related topics. Consistent condom use was low for all participants, especially with steady partners. Concurrent partnerships in the past 6 months were relatively common for both men (38%) and women (25%). In general, men involved in concurrent relationships engaged in more risk behaviors than other men (e.g., inconsistent condom use and alcohol and drug use). A majority of concurrent partnerships involved steady partners. HIV-prevention programs should address the risks of concurrency and factors that discourage condom use, especially with steady partners with whom condom use is particularly low.
authors.affiliation: North Carolina Central University, Durham, North Carolina.
authors.forename: David H
authors.initials: DH
authors.lastname: Jolly
authors.affiliation: FHI 360, Durham, North Carolina.
authors.forename: Monique P
authors.initials: MP
authors.lastname: Mueller
authors.affiliation: FHI 360, Durham, North Carolina.
authors.forename: Mario
authors.initials: M
authors.lastname: Chen
authors.affiliation: North Carolina Central University, Durham, North Carolina.
authors.forename: Le'Marus
authors.initials: L
authors.lastname: Alston
authors.affiliation: North Carolina Central University, Durham, North Carolina.
authors.forename: Marcus
authors.initials: M
authors.lastname: Hawley
authors.affiliation: FHI 360, Durham, North Carolina.
authors.forename: Eunice
authors.initials: E
authors.lastname: Okumu
authors.affiliation: FHI 360, Durham, North Carolina.
authors.forename: Natalie T
authors.initials: NT
authors.lastname: Eley
authors.affiliation: Health Education Services, Durham, North Carolina.
authors.forename: Tonya
authors.initials: T
authors.lastname: Stancil
authors.affiliation: FHI 360, Durham, North Carolina.
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: MacQueen
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D006801:Humans; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D012747:Sexual Partners / Q000523:psychology*; D019966:Substance-Related Disorders; D011795:Surveys and Questionnaires; D055815:Young Adult
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