Risk factors driving the emergence of a generalized heterosexual HIV epidemic in Washington, District of Columbia networks at risk.

摘要: Objectives: Washington, District of Columbia has the highest HIV/AIDS rate in United States, with heterosexual transmission a leading mode acquisition and African–American women disproportionately affected. The purpose this study was to examine risk factors driving emergence local epidemic using National HIV Behavioral Surveillance data from Columbia. Design: design is cross-sectional. Methods: Individuals at high for based on connection areas elevated AIDS poverty were collected December 2006 October 2007. Analyses characterized participants respondent-driven, nonclinic-based sample; associated preliminary positivity assessed logistic regression. Results: Of 750 participants, 61.4% more than 30 years age, 92.3% African–American, 60.0% an annual household income less $10 000; 5.2% (95% confidence interval, 2.9–7.2%) screened positive; likely screen positive men (6.3 versus 3.9%). those, 47.4% 30.9–78.7%) did not know their status prior study. Last vaginal sex unprotected 71.2% respondents; 44.9% reported concurrent partners, 45.9% suspected concurrency partners. Correlates screening identified. Conclusion: This suggests that generalized among African–Americans communities may be emerging nation's capital alongside concentrated epidemics who have injecting drug users. Innovation prevention strategies necessary order slow