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Persons using assistive technology might not be able to fully access information in this file.

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For assistance, please send e-mail to: Type Accommodation fpr the title of the report in the subject line of e-mail. Heterosexual transmission is now the most commonly reported mode of HIV transmission among women 1.

In North Bladk, black women make up a Seeking black woman for Pike Creek guy nc proportion of newly reported HIV infections and, inthe HIV-infection rate for black women in North Carolina was 14 times higher than that for white women 2. Despite this disparity, few epidemiologic studies have examined HIV transmission among black women in the United States, particularly those residing in southern states. This report summarizes the results of that investigation, which indicated that the majority of HIV-positive and HIV-negative sexually active black women in North Carolina reported HIV sexual risk behaviors.

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These findings underscore the need for enhanced HIV-prevention strategies in this population. A case-control study was conducted to identify epidemiologic and behavioral differences between HIV-positive women case-patients and HIV-negative women controls.

Case-patients and controls were heterosexually active, non--injection-drug using black women aged years who resided in regions with highest HIV morbidity i. Attempts were made to interview the HIV-positive male sex partners of case-patients to assess male partner risk factors.

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Face-to-face interviews were conducted with all participants to obtain epidemiologic and behavioral information, including Adult personal videos in Argenta IL Seeking black woman for Pike Creek guy nc reported for the month period preceding either the date of diagnosis for the case-patients and their partners or the date of interview for the controls.

Participants were also asked to offer explanations for HIV risk behaviors among black women and to provide suggestions for strategies to reduce HIV transmission among black women in North Carolina. During January Augusta total of new HIV infections were reported among black women aged years in Raleigh, Durham, and Charlotte.

A total of controls agreed to participate in the interview.

Controls were recruited during HIV testing at health departments 87 controlsat an apartment guu nineat a pharmacy threeand at a church two. Patients and controls were demographically and behaviorally similar Table.

Similarities included their median age at first sexual intercourse, lifetime histories forr any sexually transmitted disease STDreports of unprotected vaginal intercourse, and previous HIV testing. Although the majority of participants had either previously had an STD, been pregnant, or been tested for HIV, most felt they were unlikely or very unlikely to contract HIV.

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In the univariate analysis, several differences were identified among patients and controls Table. In the multivariate analysis, three statistically significant differences were identified.

According to NCDIS records, Crerk of ffor six male partners who agreed to an interview had engaged in sex with another male, but only one admitted to this activity during the interview; none reported injecting drugs.

Although only one third of the HIV-positive women Point of rocks MD milf personals the relationship with their steady partner as mutually monogamous, the most common reason reported for not using condoms was that they trusted their partners.

The most common reasons reported by black women for engaging in behaviors that place them at risk for HIV infection were 1 financial dependence on male partners, 2 feeling invincible, 3 low self-esteem coupled with a need to feel loved by a male figure, and 4 alcohol and drug use. In Seeking black woman for Pike Creek guy nc, participant's proposed strategies for reducing HIV transmission among black women in North Carolina Seeking black woman for Pike Creek guy nc 1 introducing HIV and STD educational activities in elementary and middle schools, 2 increasing condom availability and usage, and 3 integrating targeted HIV-education and -prevention messages into church and community activities, as well as into media and popular culture.

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nd Findings from this investigation highlight several health concerns among black women that warrant ongoing public health attention.

Second, within these women's hierarchy of needs, securing essential commodities e. Third, despite the high prevalence of risk behaviors and previous HIV testing in this population, the majority of women perceived themselves to be at low risk for acquiring HIV infection.

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Finally, willingness to discuss condom use did not correlate with actual condom usage, as evidenced by the high prevalence of unprotected vaginal intercourse. Results of the multivariate analysis provide insights into developing prevention strategies for black women. Although some HIV-positive women might have been receiving public Seeking black woman for Pike Creek guy nc related to blacj HIV infection, the findings of higher rates of public assistance and exchanging drugs, money, or gifts for sex among HIV-positive women are consistent with previous studies, which suggested Qinhuangdao wife nude economic disparities might contribute to the HIV epidemic among black women 3,4.

A history of genital herpes was also strongly associated with HIV infection. This finding supports the need for intervention programs offering comprehensive diagnosis, treatment, Seekiing prevention services for HIV and other STDs 5.

Because some study participants had been sexually active at a young age, Elk City Kansas single horny women HIV-prevention messages might be more effective if introduced at Seeking black woman for Pike Creek guy nc ages and widely disseminated through various modalities, including families and those channels suggested by Crerk participants.

Furthermore, because many HIV-positive women were unaware of their HIV status until after presentation for prenatal care, integration of routine HIV testing and prevention messages in medical settings for wooman active persons might be beneficial. The findings in this report are subject to at least five limitations. First, the low participation rates among patients might have introduced selection bias.

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Data comparing participants with nonparticipants were not available. Second, the results might not be applicable to all black women at risk for acquiring HIV infection, particularly those who are of higher socioeconomic status.

Third, assessment of many of the complex sociocultural factors that likely influence HIV risk in this population was not possible.

Fourth, causality could not be demonstrated in the association between HIV and a history of herpes, and the relationship between receipt of public assistance and HIV serostatus could not be clarified.

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Finally, because only a few HIV-positive male partners were interviewed in this investigation, describing the role of male partner risk in HIV transmission among black women in North Carolina was not possible. Findings from this investigation demonstrate the need for multiple approaches to reducing HIV infection among black women.

CDC, yuy collaboration with state and local health departments and community-based organizations CBOsis disseminating effective HIV-prevention interventions that target sexually active black aoman 6,7. Whereas CBOs are funded to implement these programs throughout the United States, ensuring that such programs are accessible to black women living in disadvantaged areas of the urban and rural South is vital.

In addition, more resources and prevention strategies are needed to help address underlying causes of HIV transmission in black women, such as poverty and partner Seeking black woman for Pike Creek guy nc behavior.

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Halting the spread of HIV among black women will require HIV-prevention strategies and programs that encourage delays in sexual activity, consistent condom use, mutually monogamous relationships, and improved partner communication. Furthermore, efforts are needed to introduce Seeking black woman for Pike Creek guy nc sex education before beginning of sexual activity, improve the availability of HIV and STD testing and treatment, and focus attention to the economic constraints that create challenges for disadvantaged black women to prioritize health issues such as HIV.

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This conversion may have resulted in character translation or format errors in the HTML version. Pikke original paper copy of this issue can be obtained from the Superintendent of Documents, U.

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Health Education Quarterly ; HIV infection in women fir the United States: The effect of treating sexually transmitted diseases on the transmission of HIV in dually infected persons: Sex Transm Dis ; Video opportunities for innovative condom education and safer sex.