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Sexual and drug behavior patterns and HIV and STD racial disparities: The need for new directions

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  • Hallfors, D.D.
  • Iritani, B.J.
  • Miller, W.C.
  • Bauer, D.J.

Abstract

Objectives. We used nationally representative data to examine whether individuals' sexual and drug behavior patterns account for racial disparities in sexually transmitted disease (STD) and HIV prevalence. Methods. Data were derived from wave III of the National Longitudinal Study of Adolescent Health. Participants were aged 18 to 26 years old; analyses were limited to non-Hispanic Blacks and Whites. Theory and cluster analyses yielded 16 unique behavior patterns. Bivariate analyses compared STD and HIV prevalences for each behavior pattern, by race. Logistic regression analyses examined within-pattern race effects before and after control for covariates. Results. Unadjusted odds of STD and HIV infection were significantly higher among Blacks than among Whites for 11 of the risk behavior patterns assessed. Across behavior patterns, covariates had little effect on reducing race odds ratios. Conclusions. White young adults in the United States are at elevated STD and HIV risk when they engage in high-risk behaviors. Black young adults, however, are at high risk even when their behaviors are normative. Factors other than individual risk behaviors and covariates appear to account for racial disparities, indicating the need for population-level interventions.

Suggested Citation

  • Hallfors, D.D. & Iritani, B.J. & Miller, W.C. & Bauer, D.J., 2007. "Sexual and drug behavior patterns and HIV and STD racial disparities: The need for new directions," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 125-132.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.075747_6
    DOI: 10.2105/AJPH.2005.075747
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    Cited by:

    1. Tyler D. Harvey & Ijeoma Opara & Emily A. Wang, 2022. "Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Crimi," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    2. Ijeoma Opara & Jasmine A. Abrams & Kristina Cross & Ndidiamaka Amutah-Onukagha, 2021. "Reframing Sexual Health for Black Girls and Women in HIV/STI Prevention Work: Highlighting the Role of Identity and Interpersonal Relationships," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    3. Ramseyer Winter, Virginia & Brandon-Friedman, Richard A. & Ely, Gretchen E., 2016. "Sexual health behaviors and outcomes among current and former foster youth: A review of the literature," Children and Youth Services Review, Elsevier, vol. 64(C), pages 1-14.
    4. Ian Lindong & Lorece Edwards & Sabriya Dennis & Olaoluwa Fajobi, 2017. "Similarities and Differences Matter: Considering the Influence of Gender on HIV Prevention Programs for Young Adults in an Urban HBCU," IJERPH, MDPI, vol. 14(2), pages 1-10, January.
    5. Lutfi, Khaleeq & Trepka, Mary Jo & Fennie, Kristopher P. & Ibanez, Gladys & Gladwin, Hugh, 2015. "Racial residential segregation and risky sexual behavior among non-Hispanic blacks, 2006–2010," Social Science & Medicine, Elsevier, vol. 140(C), pages 95-103.
    6. Samuel R. Friedman & Leslie D. Williams & Ashly E. Jordan & Suzan Walters & David C. Perlman & Pedro Mateu-Gelabert & Georgios K. Nikolopoulos & Maria R. Khan & Emmanuel Peprah & Jerel Ezell, 2022. "Toward a Theory of the Underpinnings and Vulnerabilities of Structural Racism: Looking Upstream from Disease Inequities among People Who Use Drugs," IJERPH, MDPI, vol. 19(12), pages 1-19, June.
    7. Jennings, Jacky M. & Hensel, Devon J. & Tanner, Amanda E. & Reilly, Meredith L. & Ellen, Jonathan M., 2014. "Are social organizational factors independently associated with a current bacterial sexually transmitted infection among urban adolescents and young adults?," Social Science & Medicine, Elsevier, vol. 118(C), pages 52-60.
    8. Fasula, Amy M. & Gray, Simone C. & Vereen, Rhyan N. & Carry, Monique & Sales, Jessica M. & Abad, Neetu & Brown, Jennifer L. & Swartzendruber, Andrea & Gelaude, Deborah J., 2018. "Multiple psychosocial health problems and sexual risk among African American females in juvenile detention: A cross-sectional study," Children and Youth Services Review, Elsevier, vol. 88(C), pages 74-80.
    9. Max-Louis G Buot & Jeffrey P Docena & Brenda K Ratemo & Matthew J Bittner & Jacob T Burlew & Aziz R Nuritdinov & Jennifer R Robbins, 2014. "Beyond Race and Place: Distal Sociological Determinants of HIV Disparities," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-15, April.

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