We sought to determine the prevalence, distribution, and correlates of US men's involvement in concurrent sexual partnerships, a network pattern that speeds population dissemination HIV.For this analysis, we compared partnership dates 4928 male respondents 2002 National Survey Family Growth prevalence partnerships evaluated associations between concurrency demographic risk characteristics.Approximately 11% men had during preceding year. Concurrency was associated with being unmarried (odds...

Rates of heterosexually transmitted HIV infection among African Americans in the southeastern United States greatly exceed those for whites.Determine risk factors Americans.Population-based case-control study black men and women, aged 18-61 years, reported to North Carolina state health department with a recent diagnosis age- gender-matched controls randomly selected from driver's license file. A lower-risk stratum respondents was created identify transmission risks people who denied...

In the United States, underserved communities including Blacks and Latinx are disproportionately affected by COVID-19. This study sought to estimate prevalence of COVID-19 vaccine hesitancy, describe attitudes related vaccination, identify correlates among historically marginalized populations across 9 counties in North Carolina.

A major challenge in mapping health data is protecting patient privacy while maintaining the spatial resolution necessary for surveillance and outbreak identification. new adaptive geomasking technique, referred to as donut method, extends current methods of random displacement by ensuring a user-defined minimum level geoprivacy. In method geomasking, each geocoded address relocated direction at least distance, but less than maximum distance. The authors compared with perturbation...

In the United States, underserved communities including Blacks and Latinx are disproportionately affected by COVID-19, widespread vaccination is critical for curbing this pandemic. This study sought to estimate prevalence of COVID-19 vaccine hesitancy, describe attitudes related vaccination, identify correlates among racial minority marginalized populations across 9 counties in North Carolina. We conducted a cross-sectional survey with self-administered questionnaire distributed at free...

decisions in patient care.

In Brief Background: Sexual partnerships between people at higher and lower risk for sexually transmitted infections (STIs) (i.e., bridging) occur through dissortative mixing concurrent partnerships, yet the relative effects of these network patterns on population STI spread are poorly understood. Goal: Using a stochastic model, authors investigated impact concurrency persistent viral STI. Study Design: A total 1050 populations were simulated 1000 subjects over 400 weeks with varied levels...

Heterosexually transmitted HIV infection rates are disproportionately high among African Americans. transmission is influenced by sexual network characteristics, including partnership mixing patterns subpopulations with different prevalences of infection.We conducted a cross-sectional analysis previously collected data from North Carolina population-based case-control study. Respondents were heterosexual black men and women who either had recently reported heterosexually (cases) or randomly...

Geomasking is used to provide privacy protection for individual address information while maintaining spatial resolution mapping purposes. Donut geomasking and other random perturbation algorithms rely on the assumption of a homogeneously distributed population calculate displacement distances, leading possible under-protection individuals when this condition not met. Using household data from 2007, we evaluated performance donut in Orange County, North Carolina. We calculated estimated...

CONTEXT: The extent to which pregnancy intentions mediate the relationship between individual, familial and cultural characteristics adolescent is not well understood. role of may be particularly important among Latina teenagers, whose attitudes toward are more favorable than those other groups rates high. METHODS: Prospective, time-varying data from 2001–2004 were used investigate whether two measures intentions, wantedness happiness, mediated associations risk factors 213 adolescents in...

African American women at increased risk of HIV/sexually transmitted infection (STI) may engage in risky sex as a coping mechanism for depressed economic conditions. This study examines the association between high-risk sexual behavior and structural determinants health among sample young women. 237 (16-19 years old) from economically disadvantaged neighborhoods North Carolina were enrolled into randomized trial testing efficacy an adapted HIV/STI prevention intervention. Logistic regression...

Initiation of treatment for substance use disorders is low among young women from disadvantaged communities in Cape Town, South Africa. Yet little known about the factors that influence perceived need (a determinant entry) within this population. Baseline data on 720 young, drug-using women, collected as part a randomized field experiment were analyzed to identify predisposing, enabling and health associated with treatment. Overall, 46.0% our sample Of these participants, 92.4% wanted their...

In a cross-sectional survey of 1,013 African American women from rural Alabama and North Carolina, we examined the relationship (1) organizational religiosity (i.e., religious service attendance), (2) non-organizational (e.g., reading materials), (3) spirituality with these outcomes: women’s reports their sexual behaviors perceptions partners’ risk characteristics. Women high religiosity, compared low, had fewer sex partners in past 12 months (adjusted prevalence ratio (aPR): 0.58, 95%...

Inequitable gender-based power in relationships and intimate partner violence contribute to persistently high rates of HIV infection among South African women. We examined the effects two group-based prevention interventions that engaged men their female partners together a couples intervention (Couples Health CoOp [CHC]) gender-separate (Men's CoOp/Women's [MHC/WHC]) on women's reports power, communication, conflict relationships.The cluster-randomized field experiment included heterosexual...

Long COVID can devastate patients' overall quality of life, extending to economic, psychosocial, and mental health day-to-day activities. Clinical research suggests that long is more severe among Black African American populations in the United States. This study examines lived lasting effects a diverse sample North Carolina residents over one year by using three self-administered questionnaires completed online Qualtrics. A cross-sectional descriptive analysis baseline results presented....

Among a cohort of 237 sexually active females aged 14–19 years recruited from community venues in predominantly Latino neighborhood San Francisco, California, the authors examined relation between gang exposure and pregnancy incidence over 2 follow-up 2001 2004. Using discrete-time survival analysis, they investigated whether membership by individuals partners was associated with determined partnership characteristics, contraceptive behaviors, intentions mediated pregnancy. Pregnancy...

In Brief Objectives: Concurrent partnerships accelerate dissemination of STIs. Most investigations the features concurrent have focused on higher risk subpopulations. Goal: To assess condom use and duration sexual among men in United States. Study Design: Analysis 2002 National Survey Family Growth. We classified pairs into 3 types: transitional, contained, experimental concurrency, assessed overlap. also report distribution at last intercourse with neither, one or both partners each pair...

Background: Partner notification is an important component of public health test and treat interventions. To enhance this essential function, we assessed the potential for molecular methods to supplement routine partner corroborate HIV networks. Methods: All persons diagnosed with infection in Wake County, NC, during 2012–2013 their disclosed sexual partners were included a network. A data set containing HIV-1 pol sequences collected NC 1997–2014 from 15,246 was matched HIV-positive network...