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Correlates of HIV Transmission Behaviors and HIV Testing in Predominately African American/Black Women with High-Risk Male Sex Partners

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Abstract

This study was conducted among predominately African American/Black women, aged 18–29, in Northeast cities with high HIV prevalence. Demographic, behavioral, and partner characteristics associated with condomless vaginal and anal sex acts with high-risk partners (CVS-HRP and CAS-HRP) and with HIV testing were explored. The high-risk sample was largely recruited online. Of 4972 women screened, 2254 (45.3%) were high-risk for HIV acquisition; 2214 were included. Bivariate and stepwise multivariate logistic regression models were fit. After adjusting for other factors, sex risk behavior did not differ by race and ethnicity. CAS-HRP was associated with believing condoms don’t reduce HIV risk and with several high-risk behaviors, including; alcohol use, multiple partners, and sex with men who had sex with men, but, not with HIV testing. Half the sample had condomless sex with partners who never HIV tested and were themselves three times as likely to have never tested. These results point to the ongoing need for effective prevention strategies among at-risk heterosexual women.

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Acknowledgements

The National Institute of Nursing Research (NINR) supported this research (NR014632). The authors gratefully acknowledge the site recruiters and liaisons: Catherine A. O’Connor, MSN, RN, ACRN, Clinical Director of Health Innovations, Inc; Malkia Kendricks, Program Director, Women Connecting Affecting Change; Darneice Robinson, Glendoria Quarles; Robin Hoyt, Program Director, WIC-Brockton; and the Boston Housing Authority. We also thank Computer Ally for application development; the Northeastern University research assistants whose dedication made this work possible: Siobon Barrett, Akira Brown, Akirah Charles-Brown, Shanice Henry, Diana Jacques, Emily King, Nenser Krua, Circe Le Compte, and Angelica Recierdo; and especially acknowledge with gratitude to the women who participated in this study.

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Authors and Affiliations

  1. School of Nursing, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Avenue, 102 Robinson Hall, Boston, MA, 02115, USA

    Rachel Jones, Lorraine J. Lacroix & Casey M. Garvey

  2. Department of Statistics and Biostatistics, Rutgers University, New Brunswick, NJ, USA

    Donald R. Hoover

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  1. Rachel Jones
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Correspondence to Rachel Jones.

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Jones, R., Hoover, D.R., Lacroix, L.J. et al. Correlates of HIV Transmission Behaviors and HIV Testing in Predominately African American/Black Women with High-Risk Male Sex Partners. AIDS Behav 24, 1876–1892 (2020). https://doi.org/10.1007/s10461-019-02762-8

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  • DOI: https://doi.org/10.1007/s10461-019-02762-8

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