HIV Acquisition Among Women From Selected Areas of the United States
Identifieur interne : 001846 ( Pmc/Corpus ); précédent : 001845; suivant : 001847HIV Acquisition Among Women From Selected Areas of the United States
Auteurs : Sally L. Hodder ; Jessica Justman ; James P. Hughes ; Jing Wang ; Danielle F. Haley ; Adaora A. Adimora ; Carlos Del Rio ; Carol E. Golin ; Irene Kuo ; Anne Rompalo ; Lydia Soto-Torres ; Sharon B. Mannheimer ; Letanya Johnson-Lewis ; Susan H. Eshleman ; Wafaa M. El-SadrSource :
- Annals of internal medicine [ 0003-4819 ] ; 2013.
Abstract
Women account for 23% of newly diagnosed HIV infections in the United States, but there are few recent, well-characterized cohorts of U.S. women in whom behavior characteristics and HIV acquisition have been well-described.
To evaluate HIV incidence and describe behaviors among U.S. women residing in areas of high HIV prevalence.
Multisite, longitudinal cohort of women who had HIV rapid testing and audio computer-assisted self-interviews at baseline and every 6 months for up to 12 months. (
10 urban and periurban communities with high HIV prevalence and poverty rates, located in the northeastern and southeastern United States.
Venue-based sampling was used to recruit women aged 18 to 44 years who recently had unprotected sex and had 1 or more additional personal or partner risk factors and no self-reported previous HIV diagnosis.
HIV prevalence and incidence, frequency of HIV risk behaviors, and health status perceptions.
Among 2099 high-risk women (85.9% black and 11.7% of Hispanic ethnicity), 32 (1.5%) were diagnosed with HIV infection at enrollment. Annual HIV incidence was 0.32% (95% CI, 0.14% to 0.74%). Older age, substance use, and knowing a partner had HIV were associated with HIV prevalence. Ten women died during the study (0.61% per year).
Longitudinal assessment of risk behaviors was limited to a maximum of 12 months. There were few incident HIV infections, precluding identification of characteristics predictive of HIV acquisition.
This study enrolled a cohort of women with HIV incidence substantially higher than the Centers for Disease Control and Prevention national estimate in the general population of U.S. black women. Concerted efforts to improve preventive health care strategies for HIV and overall health status are needed for similar populations.
Url:
DOI: 10.7326/0003-4819-158-1-201301010-00004
PubMed: 23277896
PubMed Central: 4033695
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Adimora</name></author><author><name sortKey="Del Rio, Carlos" sort="Del Rio, Carlos" uniqKey="Del Rio C" first="Carlos" last="Del Rio">Carlos Del Rio</name></author><author><name sortKey="Golin, Carol E" sort="Golin, Carol E" uniqKey="Golin C" first="Carol E." last="Golin">Carol E. Golin</name></author><author><name sortKey="Kuo, Irene" sort="Kuo, Irene" uniqKey="Kuo I" first="Irene" last="Kuo">Irene Kuo</name></author><author><name sortKey="Rompalo, Anne" sort="Rompalo, Anne" uniqKey="Rompalo A" first="Anne" last="Rompalo">Anne Rompalo</name></author><author><name sortKey="Soto Torres, Lydia" sort="Soto Torres, Lydia" uniqKey="Soto Torres L" first="Lydia" last="Soto-Torres">Lydia Soto-Torres</name></author><author><name sortKey="Mannheimer, Sharon B" sort="Mannheimer, Sharon B" uniqKey="Mannheimer S" first="Sharon B." last="Mannheimer">Sharon B. Mannheimer</name></author><author><name sortKey="Johnson Lewis, Letanya" sort="Johnson Lewis, Letanya" uniqKey="Johnson Lewis L" first="Letanya" last="Johnson-Lewis">Letanya Johnson-Lewis</name></author><author><name sortKey="Eshleman, Susan H" sort="Eshleman, Susan H" uniqKey="Eshleman S" first="Susan H." last="Eshleman">Susan H. Eshleman</name></author><author><name sortKey="El Sadr, Wafaa M" sort="El Sadr, Wafaa M" uniqKey="El Sadr W" first="Wafaa M." last="El-Sadr">Wafaa M. El-Sadr</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23277896</idno><idno type="pmc">4033695</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033695</idno><idno type="RBID">PMC:4033695</idno><idno type="doi">10.7326/0003-4819-158-1-201301010-00004</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001846</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001846</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">HIV Acquisition Among Women From Selected Areas of the United States</title><author><name sortKey="Hodder, Sally L" sort="Hodder, Sally L" uniqKey="Hodder S" first="Sally L." last="Hodder">Sally L. Hodder</name></author><author><name sortKey="Justman, Jessica" sort="Justman, Jessica" uniqKey="Justman J" first="Jessica" last="Justman">Jessica Justman</name></author><author><name sortKey="Hughes, James P" sort="Hughes, James P" uniqKey="Hughes J" first="James P." last="Hughes">James P. Hughes</name></author><author><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name></author><author><name sortKey="Haley, Danielle F" sort="Haley, Danielle F" uniqKey="Haley D" first="Danielle F." last="Haley">Danielle F. Haley</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="Del Rio, Carlos" sort="Del Rio, Carlos" uniqKey="Del Rio C" first="Carlos" last="Del Rio">Carlos Del Rio</name></author><author><name sortKey="Golin, Carol E" sort="Golin, Carol E" uniqKey="Golin C" first="Carol E." last="Golin">Carol E. Golin</name></author><author><name sortKey="Kuo, Irene" sort="Kuo, Irene" uniqKey="Kuo I" first="Irene" last="Kuo">Irene Kuo</name></author><author><name sortKey="Rompalo, Anne" sort="Rompalo, Anne" uniqKey="Rompalo A" first="Anne" last="Rompalo">Anne Rompalo</name></author><author><name sortKey="Soto Torres, Lydia" sort="Soto Torres, Lydia" uniqKey="Soto Torres L" first="Lydia" last="Soto-Torres">Lydia Soto-Torres</name></author><author><name sortKey="Mannheimer, Sharon B" sort="Mannheimer, Sharon B" uniqKey="Mannheimer S" first="Sharon B." last="Mannheimer">Sharon B. Mannheimer</name></author><author><name sortKey="Johnson Lewis, Letanya" sort="Johnson Lewis, Letanya" uniqKey="Johnson Lewis L" first="Letanya" last="Johnson-Lewis">Letanya Johnson-Lewis</name></author><author><name sortKey="Eshleman, Susan H" sort="Eshleman, Susan H" uniqKey="Eshleman S" first="Susan H." last="Eshleman">Susan H. Eshleman</name></author><author><name sortKey="El Sadr, Wafaa M" sort="El Sadr, Wafaa M" uniqKey="El Sadr W" first="Wafaa M." last="El-Sadr">Wafaa M. El-Sadr</name></author></analytic><series><title level="j">Annals of internal medicine</title><idno type="ISSN">0003-4819</idno><idno type="eISSN">1539-3704</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P13">Women account for 23% of newly diagnosed HIV infections in the United States, but there are few recent, well-characterized cohorts of U.S. women in whom behavior characteristics and HIV acquisition have been well-described.</p></sec><sec id="S2"><title>Objective</title><p id="P14">To evaluate HIV incidence and describe behaviors among U.S. women residing in areas of high HIV prevalence.</p></sec><sec id="S3"><title>Design</title><p id="P15">Multisite, longitudinal cohort of women who had HIV rapid testing and audio computer-assisted self-interviews at baseline and every 6 months for up to 12 months. (<ext-link ext-link-type="uri" xlink:href="http://ClinicalTrials.gov">ClinicalTrials.gov</ext-link>: NCT00995176)</p></sec><sec id="S4"><title>Setting</title><p id="P16">10 urban and periurban communities with high HIV prevalence and poverty rates, located in the northeastern and southeastern United States.</p></sec><sec id="S5"><title>Patients</title><p id="P17">Venue-based sampling was used to recruit women aged 18 to 44 years who recently had unprotected sex and had 1 or more additional personal or partner risk factors and no self-reported previous HIV diagnosis.</p></sec><sec id="S6"><title>Measurements</title><p id="P18">HIV prevalence and incidence, frequency of HIV risk behaviors, and health status perceptions.</p></sec><sec id="S7"><title>Results</title><p id="P19">Among 2099 high-risk women (85.9% black and 11.7% of Hispanic ethnicity), 32 (1.5%) were diagnosed with HIV infection at enrollment. Annual HIV incidence was 0.32% (95% CI, 0.14% to 0.74%). Older age, substance use, and knowing a partner had HIV were associated with HIV prevalence. Ten women died during the study (0.61% per year).</p></sec><sec id="S8"><title>Limitations</title><p id="P20">Longitudinal assessment of risk behaviors was limited to a maximum of 12 months. There were few incident HIV infections, precluding identification of characteristics predictive of HIV acquisition.</p></sec><sec id="S9"><title>Conclusion</title><p id="P21">This study enrolled a cohort of women with HIV incidence substantially higher than the Centers for Disease Control and Prevention national estimate in the general population of U.S. black women. Concerted efforts to improve preventive health care strategies for HIV and overall health status are needed for similar populations.</p></sec></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>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0372351</journal-id><journal-id journal-id-type="pubmed-jr-id">596</journal-id><journal-id journal-id-type="nlm-ta">Ann Intern Med</journal-id><journal-id journal-id-type="iso-abbrev">Ann. Intern. Med.</journal-id><journal-title-group><journal-title>Annals of internal medicine</journal-title></journal-title-group><issn pub-type="ppub">0003-4819</issn><issn pub-type="epub">1539-3704</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23277896</article-id><article-id pub-id-type="pmc">4033695</article-id><article-id pub-id-type="doi">10.7326/0003-4819-158-1-201301010-00004</article-id><article-id pub-id-type="manuscript">NIHMS540795</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>HIV Acquisition Among Women From Selected Areas of the United States</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hodder</surname><given-names>Sally L.</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Justman</surname><given-names>Jessica</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Hughes</surname><given-names>James P.</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Jing</given-names></name><degrees>MS</degrees></contrib><contrib contrib-type="author"><name><surname>Haley</surname><given-names>Danielle F.</given-names></name><degrees>MPH</degrees></contrib><contrib contrib-type="author"><name><surname>Adimora</surname><given-names>Adaora A.</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Del Rio</surname><given-names>Carlos</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Golin</surname><given-names>Carol E.</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Kuo</surname><given-names>Irene</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Rompalo</surname><given-names>Anne</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Soto-Torres</surname><given-names>Lydia</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Mannheimer</surname><given-names>Sharon B.</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Johnson-Lewis</surname><given-names>LeTanya</given-names></name><degrees>BS</degrees></contrib><contrib contrib-type="author"><name><surname>Eshleman</surname><given-names>Susan H.</given-names></name><degrees>MD, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>El-Sadr</surname><given-names>Wafaa M.</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><collab>for the HIV Prevention Trials Network 064, the Women’s HIV SeroIncidence Study Team</collab></contrib><aff id="A1">New Jersey Medical School, Newark, New Jersey; International AIDS Care and Treatment Program, Joseph L. Mailman School of Public Health, College of Physicians and Surgeons, Columbia University and Harlem Hospital Center, New York, New York; Fred Hutchinson Cancer Research Center and University of Washington, Seattle, Washington; 5FHI 360, Durham, North Carolina; University of North Carolina School of Medicine and Gillings School of Global Public Health, Chapel Hill, North Carolina; Rollins School of Public Health and Center for AIDS Research, Emory University, Atlanta, Georgia; George Washington University School of Public Health and Health Services, Washington, DC; Johns Hopkins University School of Medicine, Baltimore, Maryland; and the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.</aff></contrib-group><author-notes><corresp id="cor1"><bold>Requests for Single Reprints:</bold> Sally L. Hodder, MD, Department of Medicine, Division of Infectious Diseases, New Jersey Medical School, 185 South Orange Avenue, MSB I-506, Newark, NJ 07101-1709; <email>hoddersa@umdnj.edu</email></corresp><fn id="FN1" fn-type="present-address"><p id="P1"><bold>Current Author Addresses:</bold> Dr. Hodder: Department of Medicine, Division of Infectious Diseases, New Jersey Medical School, 185 South Orange Avenue, MSB I-506, Newark, NJ 07101-1709.</p><p id="P2">Dr. Justman: Columbia University, 722 West 168th Street, Room 1315, New York, NY 10032.</p><p id="P3">Dr. Hughes: University of Washington, Mailstop 359931, Seattle, WA 98195.</p><p id="P4">Ms. Wang: Statistical Center for HIV/AIDS Research & Prevention, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North MP-1195, Seattle, WA 98109-1024.</p><p id="P5">Ms. Haley: FHI360, Science Facilitation, PO Box 13950, Research Triangle Park, NC 27709.</p><p id="P6">Dr. Adimora: University of North Carolina, Chapel Hill, School of Medicine, CB# 7030, 130 Mason Farm Road, 2nd Floor Bioinformatics, Chapel Hill, NC 27599.</p><p id="P7">Dr. Del Rio: Hubert Department of Global Health, Rollins School of Public Health of Emory University, Claudia Nance Rollins Building, Room 7011, 1518 Clifton Road Northeast, Mailstop 1518-002-7BB, Atlanta, GA 30322.</p><p id="P8">Dr. Golin: University of North Carolina, Chapel Hill, Gillings School of Global Public Health, 725 Airport Road, CB# 7590, Chapel Hill, NC 27599.</p><p id="P9">Dr. Kuo: George Washington University School of Public Health and Health Services, Department of Epidemiology and Biostatistics, 2100 West Pennsylvania Avenue Northwest, 8th Floor, Washington, DC 20037.</p><p id="P10">Dr. Rompalo: Johns Hopkins School of Medicine, 5200 Eastern Avenue, Mason F. Lord Center Tower, Suite 4000, Room 427, Baltimore, MD 21224.</p><p id="P11">Dr. Soto-Torres: Prevention Sciences Program, Division of Acquired Immunodeficiency Syndrome, National Institute of Allergy and Infectious Diseases, National Institutes of Health, 6700B Rockledge Drive, Room 5120, Bethesda, MD 20892-7628.</p><p id="P12">Dr. Mannheimer: Harlem Hospital Center, 506 Lenox Avenue, Room 3101A, New York, NY 10037.</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>4</day><month>4</month><year>2014</year></pub-date><pub-date pub-type="ppub"><day>1</day><month>1</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>26</day><month>5</month><year>2014</year></pub-date><volume>158</volume><issue>1</issue><fpage>10</fpage><lpage>18</lpage><pmc-comment>elocation-id from pubmed: 10.7326/0003-4819-158-1-201301010-00004</pmc-comment>
<permissions><copyright-statement>© 2013 American College of Physicians</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P13">Women account for 23% of newly diagnosed HIV infections in the United States, but there are few recent, well-characterized cohorts of U.S. women in whom behavior characteristics and HIV acquisition have been well-described.</p></sec><sec id="S2"><title>Objective</title><p id="P14">To evaluate HIV incidence and describe behaviors among U.S. women residing in areas of high HIV prevalence.</p></sec><sec id="S3"><title>Design</title><p id="P15">Multisite, longitudinal cohort of women who had HIV rapid testing and audio computer-assisted self-interviews at baseline and every 6 months for up to 12 months. (<ext-link ext-link-type="uri" xlink:href="http://ClinicalTrials.gov">ClinicalTrials.gov</ext-link>: NCT00995176)</p></sec><sec id="S4"><title>Setting</title><p id="P16">10 urban and periurban communities with high HIV prevalence and poverty rates, located in the northeastern and southeastern United States.</p></sec><sec id="S5"><title>Patients</title><p id="P17">Venue-based sampling was used to recruit women aged 18 to 44 years who recently had unprotected sex and had 1 or more additional personal or partner risk factors and no self-reported previous HIV diagnosis.</p></sec><sec id="S6"><title>Measurements</title><p id="P18">HIV prevalence and incidence, frequency of HIV risk behaviors, and health status perceptions.</p></sec><sec id="S7"><title>Results</title><p id="P19">Among 2099 high-risk women (85.9% black and 11.7% of Hispanic ethnicity), 32 (1.5%) were diagnosed with HIV infection at enrollment. Annual HIV incidence was 0.32% (95% CI, 0.14% to 0.74%). Older age, substance use, and knowing a partner had HIV were associated with HIV prevalence. Ten women died during the study (0.61% per year).</p></sec><sec id="S8"><title>Limitations</title><p id="P20">Longitudinal assessment of risk behaviors was limited to a maximum of 12 months. There were few incident HIV infections, precluding identification of characteristics predictive of HIV acquisition.</p></sec><sec id="S9"><title>Conclusion</title><p id="P21">This study enrolled a cohort of women with HIV incidence substantially higher than the Centers for Disease Control and Prevention national estimate in the general population of U.S. black women. Concerted efforts to improve preventive health care strategies for HIV and overall health status are needed for similar populations.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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