HIV Risk Behaviors Among Latina Women Tested for HIV in Florida by Country of Birth, 2012
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ORIGINAL PAPER
HIV Risk Behaviors Among Latina Women Tested for HIV in Florida by Country of Birth, 2012 Janelle Taveras1 • Mary Jo Trepka1 • Hafiz Khan2 • Purnima Madhivanan1 Erica L. Gollub1 • Jessy Devieux3
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Ó Springer Science+Business Media New York 2015
Abstract Latina women in the United States (US) are disproportionately affected by human immunodeficiency virus (HIV) infection. Data are limited on the risk differences in HIV among Latinas by country of birth. This paper describes the risk behaviors among Latina women tested for HIV at public sites in Florida. Multivariate logistic regression was used to assess the demographic characteristics associated with the report of specific risk behaviors. Results indicate that foreign-born Latina women were 54 % less likely to report partner risk [95 % confidence interval (CI) 0.40, 0.54] than US-born Latina women. Reported risk behaviors varied by race/ethnicity, US-born & Mary Jo Trepka [email protected] Janelle Taveras [email protected] Hafiz Khan [email protected] Purnima Madhivanan [email protected] Erica L. Gollub [email protected] Jessy Devieux [email protected] 1
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, AHC 5, Room 487, 11200 SW 8th Street, Miami, FL 33199, USA
2
Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
3
Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
versus foreign-born status, and by Latina country of origin. Knowledge of these differences can aid in targeting HIV prevention messaging, program decision-making, and allocation of resources, corresponding to the central approach of High Impact Prevention and the National HIV/ AIDS Strategy. Keywords Latinas Foreign-born HIV Risk behaviors High Impact Prevention
Introduction The demographics of the HIV epidemic in the United States have changed over the years; HIV infection now affects more women and members of ethnic/racial minority populations than ever before [1, 2]. Although Latinos make up to 16 % of the US population, they account for 21 % of all new HIV infections [3]. The incidence of HIV among Latino men is more than double the rate among non-Hispanic white (NHW) men (45.5 cases per 100,000 vs. 14.2 cases per 100,000), and the HIV incidence among Latina women is three-fold higher than NHW women (8.0 cases per 100,000 vs. 2.6 cases per 100,000) [2]. Many factors, including acculturation, culture, and socioeconomic status may explain these disparities in incidence rates [4–6]. When examining HIV risk behaviors, in relation to race/ethnicity, ambiguous or conflicting results have been reported. A study published by Brown et al. [7], examined recent (12-month recall) high-risk behaviors among US women aged 18–49 years and reported more risk behaviors among non-Hispanic black (NHB) and La
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