American Journal of Public Health
Volume 98, Issue 11, 2008, Pages 2042-2050

HIV and sexually transmitted infection risk behaviors and beliefs among black West Indian immigrants and US-born blacks (Article)

Hoffman S.* , Beckford Jarrett S.T. , Kelvin E.A. , Wallace S.A. , Augenbraun M. , Hogben M. , Liddon N. , McCormack W.M. , Rubin S. , Wilson T.E.
  • a HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, New York, NY, United States, Department of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University, New York, NY, United States, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Center, Columbia University, 1051 Riverside Dr, New York, NY 10032, United States
  • b National HIV/STI Prevention and Control Program, Ministry of Health, Kingston, Jamaica
  • c HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, New York, NY, United States
  • d Department of Preventive Medicine and Community Health, State University of New York Downstate Medical Center, New York, NY, United States
  • e Department of Preventive Medicine and Community Health, Infectious Diseases Division, State University of New York Downstate Medical Center, New York, NY, United States
  • f National Center for HIV/AIDS, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States
  • g National Center for HIV/AIDS, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States
  • h Department of Medicine, Infectious Diseases Division, State University of New York Downstate Medical Center, New York, NY, United States
  • i Bureau of STD Control, New York City Department of Health, New York, NY, United States, Centers for Disease Control and Prevention, Atlanta, United States
  • j Department of Preventive Medicine and Community Health, State University of New York Downstate Medical Center, New York, NY, United States

Abstract

Objectives. We compared Black West Indian immigrants' and US-born Blacks' sexual and drug-use risk behaviors and their beliefs related to using condoms and informing partners of sexually transmitted infections (STIs) to identify possible differences in risk. Methods. We drew data from the baseline assessment of a clinic-based intervention designed to increase partner STI notification. Results. Black West Indian men were less likely than were US-born Black men to report nonregular partners. There were no differences in condom use. US-born Black women were more likely than were Black West Indian women to be extremely confident that they could convince their regular partners to use condoms (odds ratio [OR] = 2.40; 95% confidence interval [CI] = 1.21, 4.76), whereas there were no differences between Black West Indian and US-born Black men on this measure (interaction P = .06). US-born Black women were more likely than were Black West Indian women to be extremely confident in their ability to discuss STI screening with their regular partners (OR = 1.89; 95% CI = 1.03, 3.47). Conclusions. Black West Indian women's lower levels of confidence that they can discuss STI screening with their regular partners and convince these partners to use condoms may increase their infection risk. Gender-sensitive interventions are warranted for Black West Indian immigrants, especially women.

Author Keywords

[No Keywords available]

Index Keywords

West Indies education immigrant HIV Infections controlled clinical trial sexual behavior Human immunodeficiency virus infection psychological aspect clinical trial demography attributable risk human sex difference sexuality middle aged Sexual Partners health belief condom Condoms health service comparative study randomized controlled trial Substance-Related Disorders controlled study substance abuse Urban Health Services ethnology African American Human immunodeficiency virus American Indian statistical significance sexually transmitted disease cocaine United States Self Efficacy Community Health Centers gonorrhea Humans Confidence interval classification Adolescent attitude male Emigrants and Immigrants social belief female Behavior inhalant abuse contact examination self concept sexual health Health Knowledge, Attitudes, Practice Article high risk behavior Risk-Taking Contact Tracing adult migration infection risk methadone New York City drug use Utilization Review diamorphine methamphetamine addiction ethnicity health center attitude to health African Americans Chlamydia Infections chlamydiasis Chlamydia trachomatis Caribbean Islands
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-55249114865&doi=10.2105%2fAJPH.2006.106443&partnerID=40&md5=8be8375462f3241cf330f2f5e15f698f
DOI: 10.2105/AJPH.2006.106443
ISSN: 00900036
Cited by: 16
Original Language: English