HIV and sexually transmitted infection risk behaviors and beliefs among Black West Indian immigrants and US-born Blacks.

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.

journal_name

Am J Public Health

authors

Hoffman S,Beckford Jarrett ST,Kelvin EA,Wallace SA,Augenbraun M,Hogben M,Liddon N,McCormack WM,Rubin S,Wilson TE

doi

10.2105/AJPH.2006.106443

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

2042-50

issue

11

eissn

0090-0036

issn

1541-0048

pii

AJPH.2006.106443

journal_volume

98

pub_type

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