Comparing the Risk Factors and HIV Seroprevalence among Foreign Born and US Born Blacks
Rahab Wahome
Master of Public Health (M.P.H.), Drexel University
May 2011
DOI:
https://doi.org/10.17918/etd-3627
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Abstract
HIV Risk Factors Seroprevalence African Americans Blacks Immigrants Public Health
Background: African Americans continue to disproportionately bear the brunt of the HIV/AIDS epidemic in the United States. With the increasing shift in immigrant populations in the country, the true burden on HIV/AIDS might be confounded by the increased number of African and Caribbean born immigrants. This project aims to evaluate the differences in behavioral risk factors and HIV seroprevalence among African Americans, African born and Caribbean born immigrants in Philadelphia. Methods: A 3 year cross sectional study involving US born blacks, Caribbean born and African born participants (n=7651) of the HIV Rapid Testing Program in the city health centers. Chi square tests and multivariate regression analyses were conducted to compare the risk behaviors and examine association between nativity and HIV seroprevalence. Results: Overall African Americans had higher condom use than foreign born blacks but also had the highest average reported number of partners, prostitution, STD history, and multiple drug use. Caribbean born had the highest HIV seroprevalence (1.1%), while US born blacks had the lowest prevalence. Caribbean born males were more likely to be test positive than African American men, OR= 2.9 (95% CI 1.23- 6.96) while among women, African born females had the highest risk of being HIV seropositive, OR= 1.84 (95% CI 0.514-6.55). Discussion: Rapid Testing program has been effective in testing underserved populations in Philadelphia. Results indicate significant behavior risk factors that drive the prevalence among the different subgroups of the black population. Therefore, HIV prevention messages should be catered to meet the vast diversity within the black population.
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Details
Title
Comparing the Risk Factors and HIV Seroprevalence among Foreign Born and US Born Blacks
Creators
Rahab Wahome - DU
Contributors
Seth Welles (Advisor) - Drexel University (1970-)
Awarding Institution
Drexel University
Degree Awarded
Master of Public Health (M.P.H.)
Publisher
Drexel University; Philadelphia, Pennsylvania
Resource Type
Thesis
Language
English
Academic Unit
School of Public Health (2002-2015); Drexel University
Other Identifier
3627; 991014632550704721
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