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Racial/ethnic differences in the rates and correlates of HIV risk behaviors among drug abusers.

BACKGROUND: HIV infection disproportionately impacts minorities; yet research on racial/ethnic differences in the prevalence and correlates of HIV risk behaviors is limited. OBJECTIVE: This study examined racial/ethnic differences in the rates of HIV risk behaviors and whether the relationship between HIV risk factors and HIV risk behaviors varies by race/ethnicity in clients participating in NIDA Clinical Trials Network trials. RESULTS: The sample was 41% non-Hispanic White, 32% non-Hispanic Black, and 27% Hispanic (N = 2,063). HIV risk behaviors and measures of substance and psychosocial HIV risk factors in the past month were obtained. Non-Hispanic Blacks engaged in less HIV sexual risk behaviors overall than non-Hispanic Whites. While non-Hispanic Whites were the most likely to report any injection drug use, Hispanics engaged in the most HIV drug risk behaviors. Specific risk factors were differentially predictive of HIV risk behavior by race/ethnicity. Alcohol use severity was related to engaging in higher sex risk behaviors for non-Hispanic Blacks and Whites. Greater psychiatric severity was related to engaging in higher sex risk behaviors for non-Hispanic Whites. Drug use severity was associated with engaging in higher risk drug behaviors for non-Hispanic Whites and Hispanics with the magnitude of the relationship stronger for Hispanics. CONCLUSIONS: These findings highlight the need for further research testing HIV risk prevention interventions within racial/ethnic groups to identify target behaviors or risk factors that are salient to inform HIV interventions. SCIENTIFIC SIGNIFICANCE: The present study provides a systematic examination of race/ethnicity differences in the relationship between psychosocial risk factors and HIV risk behaviors.

Pubmed ID: 23414499

Authors

  • Brooks AJ
  • Lokhnygina Y
  • Meade CS
  • Potter JS
  • Calsyn DA
  • Greenfield SF

Journal

The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions

Publication Data

February 18, 2013

Associated Grants

  • Agency: NIDA NIH HHS, Id: K23 DA022297
  • Agency: NIDA NIH HHS, Id: K23 DA022297-02
  • Agency: NIDA NIH HHS, Id: K23 DA028660
  • Agency: NIDA NIH HHS, Id: K23 DA028660-01
  • Agency: NIDA NIH HHS, Id: K23DA022297
  • Agency: NIDA NIH HHS, Id: K23DA028660
  • Agency: NIDA NIH HHS, Id: K24 DA019855
  • Agency: NIDA NIH HHS, Id: K24 DA019855-04
  • Agency: NIDA NIH HHS, Id: K24DA 019855
  • Agency: NIDA NIH HHS, Id: N01DA‐5‐220
  • Agency: NIDA NIH HHS, Id: U10 DA013727
  • Agency: NIDA NIH HHS, Id: U10 DA015815
  • Agency: NIDA NIH HHS, Id: U10 DA015815-11
  • Agency: NIDA NIH HHS, Id: U10 DA015831
  • Agency: NIDA NIH HHS, Id: U10 DA020024
  • Agency: NIDA NIH HHS, Id: U10 DA13714
  • Agency: NIDA NIH HHS, Id: U10 DA15815
  • Agency: NIDA NIH HHS, Id: U10DA015831-09

Mesh Terms

  • Adolescent
  • Adult
  • African Americans
  • Aged
  • Alcohol Drinking
  • European Continental Ancestry Group
  • Female
  • HIV Infections
  • Hispanic Americans
  • Humans
  • Male
  • Mental Disorders
  • Middle Aged
  • Risk Factors
  • Risk-Taking
  • Severity of Illness Index
  • Substance Abuse, Intravenous
  • Unsafe Sex