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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A case-control study of factors associated with HIV infection among black women.</title>
<author><name sortKey="Forna, Fatu M" sort="Forna, Fatu M" uniqKey="Forna F" first="Fatu M." last="Forna">Fatu M. Forna</name>
</author>
<author><name sortKey="Fitzpatrick, Lisa" sort="Fitzpatrick, Lisa" uniqKey="Fitzpatrick L" first="Lisa" last="Fitzpatrick">Lisa Fitzpatrick</name>
</author>
<author><name sortKey="Adimora, Adaora A" sort="Adimora, Adaora A" uniqKey="Adimora A" first="Adaora A." last="Adimora">Adaora A. Adimora</name>
</author>
<author><name sortKey="Mclellan Lemal, Eleanor" sort="Mclellan Lemal, Eleanor" uniqKey="Mclellan Lemal E" first="Eleanor" last="Mclellan-Lemal">Eleanor Mclellan-Lemal</name>
</author>
<author><name sortKey="Leone, Peter" sort="Leone, Peter" uniqKey="Leone P" first="Peter" last="Leone">Peter Leone</name>
</author>
<author><name sortKey="Brooks, John T" sort="Brooks, John T" uniqKey="Brooks J" first="John T." last="Brooks">John T. Brooks</name>
</author>
<author><name sortKey="Marks, Gary" sort="Marks, Gary" uniqKey="Marks G" first="Gary" last="Marks">Gary Marks</name>
</author>
<author><name sortKey="Greenberg, Alan" sort="Greenberg, Alan" uniqKey="Greenberg A" first="Alan" last="Greenberg">Alan Greenberg</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">17128690</idno>
<idno type="pmc">2569785</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569785</idno>
<idno type="RBID">PMC:2569785</idno>
<date when="2006">2006</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A case-control study of factors associated with HIV infection among black women.</title>
<author><name sortKey="Forna, Fatu M" sort="Forna, Fatu M" uniqKey="Forna F" first="Fatu M." last="Forna">Fatu M. Forna</name>
</author>
<author><name sortKey="Fitzpatrick, Lisa" sort="Fitzpatrick, Lisa" uniqKey="Fitzpatrick L" first="Lisa" last="Fitzpatrick">Lisa Fitzpatrick</name>
</author>
<author><name sortKey="Adimora, Adaora A" sort="Adimora, Adaora A" uniqKey="Adimora A" first="Adaora A." last="Adimora">Adaora A. Adimora</name>
</author>
<author><name sortKey="Mclellan Lemal, Eleanor" sort="Mclellan Lemal, Eleanor" uniqKey="Mclellan Lemal E" first="Eleanor" last="Mclellan-Lemal">Eleanor Mclellan-Lemal</name>
</author>
<author><name sortKey="Leone, Peter" sort="Leone, Peter" uniqKey="Leone P" first="Peter" last="Leone">Peter Leone</name>
</author>
<author><name sortKey="Brooks, John T" sort="Brooks, John T" uniqKey="Brooks J" first="John T." last="Brooks">John T. Brooks</name>
</author>
<author><name sortKey="Marks, Gary" sort="Marks, Gary" uniqKey="Marks G" first="Gary" last="Marks">Gary Marks</name>
</author>
<author><name sortKey="Greenberg, Alan" sort="Greenberg, Alan" uniqKey="Greenberg A" first="Alan" last="Greenberg">Alan Greenberg</name>
</author>
</analytic>
<series><title level="j">Journal of the National Medical Association</title>
<idno type="ISSN">0027-9684</idno>
<imprint><date when="2006">2006</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
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<front><div type="abstract" xml:lang="en"><p>OBJECTIVE: To identify social, behavioral and epidemiologic factors associated with HIV infection among HIV-infected and HIV-uninfected black women residing in North Carolina. DESIGN: A case-control study conducted in August 2004 in North Carolina. METHODS: Cases were 18-40-year-old women with HIV infections diagnosed from 2003-2004. Controls were 18-40-yearold, HIV-negative heterosexually active women recruited from HIV testing sites. Five focus group discussions were also conducted with women not participating in the case-control study. RESULTS: Multivariate analyses of 31 cases and 101 controls showed that HIV-positive women were more likely to receive public assistance [adjusted odds ratio (aOR) 7.3; 95% confidence interval (CI) 2.1, 26.0], to report a history of genital herpes infection (aOR 10.6; 95% CI 2.4, 47.2), and were less likely to have discussed a variety of sexual and behavioral issues relevant to risk of HIV infection with their male partners (aOR 0.6; 95% CI 0.4, 0.8). Focus group participants indicated that financial and social demands created competing challenges for making HIV prevention a priority. CONCLUSIONS: Inadequate communication between black women and their sexual partners may create barriers to sexual and behavioral risk reduction. A multidimensional approach that addresses both biological factors such as herpes infection and socioeconomic factors may be needed to reduce HIV transmission in this population.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Natl Med Assoc</journal-id>
<journal-id journal-id-type="pmc">jnma</journal-id>
<journal-title>Journal of the National Medical Association</journal-title>
<issn pub-type="ppub">0027-9684</issn>
<publisher><publisher-name>National Medical Association</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">17128690</article-id>
<article-id pub-id-type="pmc">2569785</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>A case-control study of factors associated with HIV infection among black women.</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Forna</surname>
<given-names>Fatu M.</given-names>
</name>
<email>fforna@cdc.gov</email>
</contrib>
<contrib contrib-type="author"><name><surname>Fitzpatrick</surname>
<given-names>Lisa</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Adimora</surname>
<given-names>Adaora A.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>McLellan-Lemal</surname>
<given-names>Eleanor</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Leone</surname>
<given-names>Peter</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Brooks</surname>
<given-names>John T.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Marks</surname>
<given-names>Gary</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Greenberg</surname>
<given-names>Alan</given-names>
</name>
</contrib>
</contrib-group>
<aff>Epidemic Intelligence Service, Office of Workforce and Career Development, Career Development Division, Centers for Disease Control and Prevention, 1600 Clifton Road, MS E-04, Atlanta, GA 30333, USA.</aff>
<pub-date pub-type="ppub"><month>11</month>
<year>2006</year>
</pub-date>
<volume>98</volume>
<issue>11</issue>
<fpage>1798</fpage>
<lpage>1804</lpage>
<abstract><p>OBJECTIVE: To identify social, behavioral and epidemiologic factors associated with HIV infection among HIV-infected and HIV-uninfected black women residing in North Carolina. DESIGN: A case-control study conducted in August 2004 in North Carolina. METHODS: Cases were 18-40-year-old women with HIV infections diagnosed from 2003-2004. Controls were 18-40-yearold, HIV-negative heterosexually active women recruited from HIV testing sites. Five focus group discussions were also conducted with women not participating in the case-control study. RESULTS: Multivariate analyses of 31 cases and 101 controls showed that HIV-positive women were more likely to receive public assistance [adjusted odds ratio (aOR) 7.3; 95% confidence interval (CI) 2.1, 26.0], to report a history of genital herpes infection (aOR 10.6; 95% CI 2.4, 47.2), and were less likely to have discussed a variety of sexual and behavioral issues relevant to risk of HIV infection with their male partners (aOR 0.6; 95% CI 0.4, 0.8). Focus group participants indicated that financial and social demands created competing challenges for making HIV prevention a priority. CONCLUSIONS: Inadequate communication between black women and their sexual partners may create barriers to sexual and behavioral risk reduction. A multidimensional approach that addresses both biological factors such as herpes infection and socioeconomic factors may be needed to reduce HIV transmission in this population.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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