Sexual risk among pregnant women at risk of HIV infection in Cape Town, South Africa: What does alcohol have to do with it?

This study examines associations between alcohol use and HIV sexual risk among a cohort of HIV-uninfected pregnant women (n=1201) residing in a high HIV burden community in South Africa. Alcohol use was measured using a modified version of the Alcohol Use Disorder Identification Test (AUDIT). HIV sexual risk was measured through a composite variable of four risk factors: diagnosis with a STI, self-report of >1 recent sex partners, partner HIV serostatus (unknown or HIV+) and condomless sex at last sex. Any past year alcohol use prior to pregnancy was reported by half of participants (50%); 6.0% reported alcohol use during pregnancy. Alcohol use prior to pregnancy was associated with increased odds of being at high risk of HIV (aOR=1.33 for 2 risks and aOR=1.47 for 3 risks). In addition to reducing alcohol use, several other strategies to address HIV sexual risk in this population were identified.

Alcohol use, intimate partner violence, and HIV sexual risk behavior among young people in fishing communities of Lake Victoria, Uganda

Background Few studies have investigated the association between alcohol use, intimate partner violence, and HIV sexual risk behavior among young people in fishing communities from eastern and central Uganda. Therefore, we aimed to determine the association between alcohol use, intimate partner violence, and HIV sexual risk behavior among young people in the fishing communities on the shores of Lake Victoria, in Uganda. Methods We conducted multivariable logistic regression analyses of HIV risk behavior using cross-sectional data from 501 young people from Mukono (Katosi landing site) and Namayingo districts (Lugala landing site). Results Almost all (97%) respondents reported at least one HIV risk behavior; more than half (54%) reported engagement in three or more HIV risk behaviors. Results from the adjusted model indicate that alcohol use, working for cash or kind, being married, and having multiple sexual partners increased the odds of HIV risk behavior. IPV was not associated with HIV risk behavior. Conclusion Interventions to promote consistent condom use and fewer sexual partnerships are critical for young people in the fishing communities in Uganda.

Housing Instability and HIV Risk: Expanding our Understanding of the Impact of Eviction and Other Landlord-Related Forced Moves

The study purpose is to comprehensively measure landlord-related forced moves (inclusive of, but not restricted to, legal eviction), and to examine whether landlord-related forced moves is associated with HIV risk. Baseline survey data was collected between 2017 and 2018 among 360 low-income participants in New Haven, Connecticut. We used multivariable logistic regression analyses to examine associations between landlord-related forced moves and HIV sexual risk outcomes. Seventy seven out of three hundred and sixty participants reported a landlord-related forced move in the past 2 years, of whom 19% reported formal eviction, 56% reported informal eviction and 25% reported both. Landlord-related forced moves were associated with higher odds of unprotected sex (AOR 1.98), concurrent sex (AOR 1.94), selling sex for money or drugs (AOR 3.28), exchange of sex for a place to live (AOR 3.29), and an HIV sexual risk composite (ARR 1.46) (p < .05 for all). We found robust associations between landlord-related forced moves and HIV sexual risk. Findings suggest that the social and economic consequences of landlord-related forced moves may impact sexual vulnerability.

Assessment of Risk Behaviors for HIV Infection among Undergraduate Students at a Historically Black University

Aims: This study aimed to assess and compare risk behaviors for HIV Infection among undergraduate students by gender at a historically black university. Study Design: A cross-sectional survey. Place and Duration of Study: This study was conducted from January 10, 2016 to September 30, 2016. Participants were selected through convenience sampling among undergraduate students of Jackson State University (JSU). Methodology: Sample: We included 400 undergraduate students (141 males, 259 females; age range 18-57 years). Data were collected using a validated self-administered standardized questionnaire that was designed to measure their risk behaviors for HIV Infection. Results: Over seventy five percent of undergraduate students in this study have had at least one risk behavior related to HIV infection transmission. The engagement of these students in HIV sexual risk behaviors were not varied by gender (Chi-square test = 2.76; P = 0.1). However, participants engaged in various risk behaviors related to HIV infection transmission such as multiple sexual partners, unprotected sexual intercourse, low and inconsistent condom use. Conclusion: We concluded that about 75.8% of the students have had at least one risk behavior related to HIV infection and engaged in various risk behaviors related to HIV infection transmission. The engagement of these students in HIV sexual risk behaviors were not varied by gender. This investigation calls for sustained effective youth appealing interventions tailored toward addressing various risk behaviors identified in this study.