ArticleJournal of urban health : bulletin of the New York Academy of Medicine2013
HIV prevalence overall and among high-HIV-risk behaviorally defined subgroups among heterosexuals at community-based venues in a Mid-Atlantic, US City.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The network structure of sex partner meeting places reported by HIV-infected MSM: Opportunities for HIV targeted control.Social science & medicine (1982) · 2017Article
- Risk profile and HIV testing outcomes of women undergoing community-based testing in San Diego 2008-2014.Scientific reports · 2017Article
- Social place as a location of potential core transmitters-implications for the targeted control of sexually transmitted disease transmission in urban areas.Annals of epidemiology · 2015Article
- Global Epidemiology of HIV Among Women and Girls Who Use or Inject Drugs: Current Knowledge and Limitations of Existing Data.Journal of acquired immune deficiency syndromes (1999) · 2015Review
- Identifying and characterizing places for the targeted control of heterosexual HIV transmission in urban areas.AIDS and behavior · 2014Article
- Venue-based recruitment of women at elevated risk for HIV: an HIV Prevention Trials Network study.Journal of women's health (2002) · 2014Article
- Do metropolitan HIV epidemic histories and programs for people who inject drugs and men who have sex with men predict AIDS incidence and mortality among heterosexuals?Annals of epidemiology · 2014Article
- Healthcare provider perspectives on barriers to HIV-care access and utilisation among Latinos living with HIV in the US-Mexico border.Culture, health & sexuality · 2014Article
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Authors and funding
5 authors.
Funding
Abstract
A clear understanding of local transmission dynamics is a prerequisite for the design and implementation of successful HIV prevention programs. There is a tremendous need for such programs geared towards young African-American women living in American cities with syndemic HIV and injection drug use. In some of these American cities, including Baltimore, the HIV prevalence rate among young African-American women is comparable to that in some African nations. High-risk heterosexual sex, i.e., sex with an injection drug user or sex with someone known to have HIV, is the leading risk factor for these young women. Characterizing transmission dynamics among heterosexuals has been hampered by difficulty in identifying HIV cases in these settings. The case identification method described in this paper was designed to address challenges encountered by previous researchers, was based on the Priorities for Local AIDS Cases methodology, and was intended to identify a high number of HIV cases rather than achieve a representative sample (Weir et al., Sex Transm Infect 80(Suppl 2):ii63-8, 2004. Through a three-phase process, 87 venues characterized as heterosexual sex partner meeting sites were selected for participant recruitment in Baltimore, MD. One thousand six hundred forty-one participants were then recruited at these 87 venues, administered a behavioral risk questionnaire, and tested for HIV. The HIV prevalence was 3 % overall, 3 % among males, and 4 % among females and ranged from 1.7 to 22.6 % among high-HIV-risk subgroups. These findings indicate that attributing HIV transmission to high-risk heterosexual sex vs. other high-HIV-risk behaviors would be difficult. Moving beyond individual risk profiles to characterize the risk profile of venues visited by heterosexuals at high risk of HIV acquisition may reveal targets for HIV transmission prevention and should be the focus of future investigations.
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