HIV Sexual Risk and Syndemics among Women in Three Urban Areas in the United States: Analysis from HVTN 906
Limited data are available on the longitudinal occurrence of syndemic factors among women at risk for HIV infection in the USA and how these factors relate to sexual risk over time. HVTN 906 was a longitudinal study enrolling 799 HIV-uninfected women in three cities. Assessments were done at baselin...
Gespeichert in:
| Veröffentlicht in: | Journal of urban health 2015-06, Vol.92 (3), p.572-583 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 583 |
|---|---|
| container_issue | 3 |
| container_start_page | 572 |
| container_title | Journal of urban health |
| container_volume | 92 |
| creator | Koblin, Beryl A. Grant, Shannon Frye, Victoria Superak, Hillary Sanchez, Brittany Lucy, Debbie Dunbar, Debora Graham, Parrie Madenwald, Tamra Escamilia, Gina Swann, Edith Morgan, Cecilia Novak, Richard M. Frank, Ian |
| description | Limited data are available on the longitudinal occurrence of syndemic factors among women at risk for HIV infection in the USA and how these factors relate to sexual risk over time. HVTN 906 was a longitudinal study enrolling 799 HIV-uninfected women in three cities. Assessments were done at baseline, 6, 12, and 18 months to assess syndemic factors (low education, low income, unemployment, lack of health insurance, housing instability, substance use, heavy alcohol use, partner violence, incarceration) and sexual risk outcomes. For each sexual risk outcome, a GEE model was fit with syndemic factors or syndemic score (defined as sum of binary syndemics, ranging from 0 to 9), visit, study site, age and race/ethnicity as predictors to examine the multivariable association between syndemic factors and outcomes over time. Odds of unprotected sex while drunk or high were significantly higher when women reported lack of health insurance, substance and heavy alcohol use and partner violence. Housing instability, substance and heavy alcohol use, partner violence and recent incarceration were associated with higher odds of having multiple sexual partners. Odds of sex exchange were significantly higher in the presence of unemployment, housing instability, low education, lack of health insurance, substance and heavy alcohol use, partner violence and incarceration. Housing instability, substance and heavy alcohol use, and partner violence were significantly associated with higher odds of unprotected anal sex. Odds of having a recent STI were significantly higher when women reported housing instability and partner violence. There were significantly higher odds of the reporting of any risk outcomes during follow-up with higher syndemic score. This study highlights a group of women experiencing multiple poor social and health outcomes who need to be the focus of comprehensive interventions. |
| doi_str_mv | 10.1007/s11524-015-9944-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4456474</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1686067404</sourcerecordid><originalsourceid>FETCH-LOGICAL-c573t-6737abce571b82512b402dbfcf9fe206c241b31ce3e538aa439a7ca14affbef33</originalsourceid><addsrcrecordid>eNqFkV9rFDEUxYMotlY_gC8S8MWX0fzPjA_CUqxbKAp2Wx9DJnuzm3YmU5MZ6X57M24tVRCfEu79nZObexB6SclbSoh-lymVTFSEyqpphKjkI3RIhaorVqvmcbmTpqm4UOQAPcv5ihCqhGZP0QGTWvBicYiul6eX-BxuJ9vhryFfYxvX-HwX19AHl7Hth7jB34YeIg4Rr7YJAF-k1ka8SGDzXBy3pRTDCEU42hHye7yIttvlkLFPQ4-Xl6vPuCHqOXribZfhxd15hC5OPq6Ol9XZl0-nx4uzyknNx0pprm3rQGra1kxS1grC1q13vvHAiHJM0JZTBxwkr60VvLHaWSqs9y14zo_Qh73vzdT2sHYQx2Q7c5NCb9PODDaYPzsxbM1m-GGEkGVBohi8uTNIw_cJ8mj6kB10nY0wTNlQTaioa1Im_S-qalU4QWbX13-hV8OUyqZ-UZIKzpQsFN1TLg05J_D3c1Ni5tTNPnVTUjdz6mbWvHr44XvF75gLwPZALq24gfTg6X-6_gQ0rbaJ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1685143265</pqid></control><display><type>article</type><title>HIV Sexual Risk and Syndemics among Women in Three Urban Areas in the United States: Analysis from HVTN 906</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>SpringerLink Journals - AutoHoldings</source><creator>Koblin, Beryl A. ; Grant, Shannon ; Frye, Victoria ; Superak, Hillary ; Sanchez, Brittany ; Lucy, Debbie ; Dunbar, Debora ; Graham, Parrie ; Madenwald, Tamra ; Escamilia, Gina ; Swann, Edith ; Morgan, Cecilia ; Novak, Richard M. ; Frank, Ian</creator><creatorcontrib>Koblin, Beryl A. ; Grant, Shannon ; Frye, Victoria ; Superak, Hillary ; Sanchez, Brittany ; Lucy, Debbie ; Dunbar, Debora ; Graham, Parrie ; Madenwald, Tamra ; Escamilia, Gina ; Swann, Edith ; Morgan, Cecilia ; Novak, Richard M. ; Frank, Ian ; HVTN 906 study team ; on behalf of the HVTN 906 study team</creatorcontrib><description>Limited data are available on the longitudinal occurrence of syndemic factors among women at risk for HIV infection in the USA and how these factors relate to sexual risk over time. HVTN 906 was a longitudinal study enrolling 799 HIV-uninfected women in three cities. Assessments were done at baseline, 6, 12, and 18 months to assess syndemic factors (low education, low income, unemployment, lack of health insurance, housing instability, substance use, heavy alcohol use, partner violence, incarceration) and sexual risk outcomes. For each sexual risk outcome, a GEE model was fit with syndemic factors or syndemic score (defined as sum of binary syndemics, ranging from 0 to 9), visit, study site, age and race/ethnicity as predictors to examine the multivariable association between syndemic factors and outcomes over time. Odds of unprotected sex while drunk or high were significantly higher when women reported lack of health insurance, substance and heavy alcohol use and partner violence. Housing instability, substance and heavy alcohol use, partner violence and recent incarceration were associated with higher odds of having multiple sexual partners. Odds of sex exchange were significantly higher in the presence of unemployment, housing instability, low education, lack of health insurance, substance and heavy alcohol use, partner violence and incarceration. Housing instability, substance and heavy alcohol use, and partner violence were significantly associated with higher odds of unprotected anal sex. Odds of having a recent STI were significantly higher when women reported housing instability and partner violence. There were significantly higher odds of the reporting of any risk outcomes during follow-up with higher syndemic score. This study highlights a group of women experiencing multiple poor social and health outcomes who need to be the focus of comprehensive interventions.</description><identifier>ISSN: 1099-3460</identifier><identifier>EISSN: 1468-2869</identifier><identifier>DOI: 10.1007/s11524-015-9944-5</identifier><identifier>PMID: 25743100</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Alcoholic beverages ; Alcohols ; Education ; Epidemiology ; Female ; Health Informatics ; HIV ; HIV Infections - etiology ; Housing ; Human immunodeficiency virus ; Humans ; Intimate Partner Violence - statistics & numerical data ; Longitudinal Studies ; Medicine ; Medicine & Public Health ; Middle Aged ; Public Health ; Risk Factors ; Sexually transmitted diseases ; Socioeconomic Factors ; STD ; Substance use ; Substance-Related Disorders - epidemiology ; United States - epidemiology ; Unsafe Sex - statistics & numerical data ; Urban areas ; Urban Population - statistics & numerical data ; Violence ; Women ; Young Adult</subject><ispartof>Journal of urban health, 2015-06, Vol.92 (3), p.572-583</ispartof><rights>The New York Academy of Medicine 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c573t-6737abce571b82512b402dbfcf9fe206c241b31ce3e538aa439a7ca14affbef33</citedby><cites>FETCH-LOGICAL-c573t-6737abce571b82512b402dbfcf9fe206c241b31ce3e538aa439a7ca14affbef33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11524-015-9944-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11524-015-9944-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25743100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koblin, Beryl A.</creatorcontrib><creatorcontrib>Grant, Shannon</creatorcontrib><creatorcontrib>Frye, Victoria</creatorcontrib><creatorcontrib>Superak, Hillary</creatorcontrib><creatorcontrib>Sanchez, Brittany</creatorcontrib><creatorcontrib>Lucy, Debbie</creatorcontrib><creatorcontrib>Dunbar, Debora</creatorcontrib><creatorcontrib>Graham, Parrie</creatorcontrib><creatorcontrib>Madenwald, Tamra</creatorcontrib><creatorcontrib>Escamilia, Gina</creatorcontrib><creatorcontrib>Swann, Edith</creatorcontrib><creatorcontrib>Morgan, Cecilia</creatorcontrib><creatorcontrib>Novak, Richard M.</creatorcontrib><creatorcontrib>Frank, Ian</creatorcontrib><creatorcontrib>HVTN 906 study team</creatorcontrib><creatorcontrib>on behalf of the HVTN 906 study team</creatorcontrib><title>HIV Sexual Risk and Syndemics among Women in Three Urban Areas in the United States: Analysis from HVTN 906</title><title>Journal of urban health</title><addtitle>J Urban Health</addtitle><addtitle>J Urban Health</addtitle><description>Limited data are available on the longitudinal occurrence of syndemic factors among women at risk for HIV infection in the USA and how these factors relate to sexual risk over time. HVTN 906 was a longitudinal study enrolling 799 HIV-uninfected women in three cities. Assessments were done at baseline, 6, 12, and 18 months to assess syndemic factors (low education, low income, unemployment, lack of health insurance, housing instability, substance use, heavy alcohol use, partner violence, incarceration) and sexual risk outcomes. For each sexual risk outcome, a GEE model was fit with syndemic factors or syndemic score (defined as sum of binary syndemics, ranging from 0 to 9), visit, study site, age and race/ethnicity as predictors to examine the multivariable association between syndemic factors and outcomes over time. Odds of unprotected sex while drunk or high were significantly higher when women reported lack of health insurance, substance and heavy alcohol use and partner violence. Housing instability, substance and heavy alcohol use, partner violence and recent incarceration were associated with higher odds of having multiple sexual partners. Odds of sex exchange were significantly higher in the presence of unemployment, housing instability, low education, lack of health insurance, substance and heavy alcohol use, partner violence and incarceration. Housing instability, substance and heavy alcohol use, and partner violence were significantly associated with higher odds of unprotected anal sex. Odds of having a recent STI were significantly higher when women reported housing instability and partner violence. There were significantly higher odds of the reporting of any risk outcomes during follow-up with higher syndemic score. This study highlights a group of women experiencing multiple poor social and health outcomes who need to be the focus of comprehensive interventions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Alcoholic beverages</subject><subject>Alcohols</subject><subject>Education</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Informatics</subject><subject>HIV</subject><subject>HIV Infections - etiology</subject><subject>Housing</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Intimate Partner Violence - statistics & numerical data</subject><subject>Longitudinal Studies</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Sexually transmitted diseases</subject><subject>Socioeconomic Factors</subject><subject>STD</subject><subject>Substance use</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>United States - epidemiology</subject><subject>Unsafe Sex - statistics & numerical data</subject><subject>Urban areas</subject><subject>Urban Population - statistics & numerical data</subject><subject>Violence</subject><subject>Women</subject><subject>Young Adult</subject><issn>1099-3460</issn><issn>1468-2869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkV9rFDEUxYMotlY_gC8S8MWX0fzPjA_CUqxbKAp2Wx9DJnuzm3YmU5MZ6X57M24tVRCfEu79nZObexB6SclbSoh-lymVTFSEyqpphKjkI3RIhaorVqvmcbmTpqm4UOQAPcv5ihCqhGZP0QGTWvBicYiul6eX-BxuJ9vhryFfYxvX-HwX19AHl7Hth7jB34YeIg4Rr7YJAF-k1ka8SGDzXBy3pRTDCEU42hHye7yIttvlkLFPQ4-Xl6vPuCHqOXribZfhxd15hC5OPq6Ol9XZl0-nx4uzyknNx0pprm3rQGra1kxS1grC1q13vvHAiHJM0JZTBxwkr60VvLHaWSqs9y14zo_Qh73vzdT2sHYQx2Q7c5NCb9PODDaYPzsxbM1m-GGEkGVBohi8uTNIw_cJ8mj6kB10nY0wTNlQTaioa1Im_S-qalU4QWbX13-hV8OUyqZ-UZIKzpQsFN1TLg05J_D3c1Ni5tTNPnVTUjdz6mbWvHr44XvF75gLwPZALq24gfTg6X-6_gQ0rbaJ</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Koblin, Beryl A.</creator><creator>Grant, Shannon</creator><creator>Frye, Victoria</creator><creator>Superak, Hillary</creator><creator>Sanchez, Brittany</creator><creator>Lucy, Debbie</creator><creator>Dunbar, Debora</creator><creator>Graham, Parrie</creator><creator>Madenwald, Tamra</creator><creator>Escamilia, Gina</creator><creator>Swann, Edith</creator><creator>Morgan, Cecilia</creator><creator>Novak, Richard M.</creator><creator>Frank, Ian</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>5PM</scope></search><sort><creationdate>20150601</creationdate><title>HIV Sexual Risk and Syndemics among Women in Three Urban Areas in the United States: Analysis from HVTN 906</title><author>Koblin, Beryl A. ; Grant, Shannon ; Frye, Victoria ; Superak, Hillary ; Sanchez, Brittany ; Lucy, Debbie ; Dunbar, Debora ; Graham, Parrie ; Madenwald, Tamra ; Escamilia, Gina ; Swann, Edith ; Morgan, Cecilia ; Novak, Richard M. ; Frank, Ian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c573t-6737abce571b82512b402dbfcf9fe206c241b31ce3e538aa439a7ca14affbef33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Alcoholic beverages</topic><topic>Alcohols</topic><topic>Education</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health Informatics</topic><topic>HIV</topic><topic>HIV Infections - etiology</topic><topic>Housing</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Intimate Partner Violence - statistics & numerical data</topic><topic>Longitudinal Studies</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Public Health</topic><topic>Risk Factors</topic><topic>Sexually transmitted diseases</topic><topic>Socioeconomic Factors</topic><topic>STD</topic><topic>Substance use</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>United States - epidemiology</topic><topic>Unsafe Sex - statistics & numerical data</topic><topic>Urban areas</topic><topic>Urban Population - statistics & numerical data</topic><topic>Violence</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koblin, Beryl A.</creatorcontrib><creatorcontrib>Grant, Shannon</creatorcontrib><creatorcontrib>Frye, Victoria</creatorcontrib><creatorcontrib>Superak, Hillary</creatorcontrib><creatorcontrib>Sanchez, Brittany</creatorcontrib><creatorcontrib>Lucy, Debbie</creatorcontrib><creatorcontrib>Dunbar, Debora</creatorcontrib><creatorcontrib>Graham, Parrie</creatorcontrib><creatorcontrib>Madenwald, Tamra</creatorcontrib><creatorcontrib>Escamilia, Gina</creatorcontrib><creatorcontrib>Swann, Edith</creatorcontrib><creatorcontrib>Morgan, Cecilia</creatorcontrib><creatorcontrib>Novak, Richard M.</creatorcontrib><creatorcontrib>Frank, Ian</creatorcontrib><creatorcontrib>HVTN 906 study team</creatorcontrib><creatorcontrib>on behalf of the HVTN 906 study team</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of urban health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koblin, Beryl A.</au><au>Grant, Shannon</au><au>Frye, Victoria</au><au>Superak, Hillary</au><au>Sanchez, Brittany</au><au>Lucy, Debbie</au><au>Dunbar, Debora</au><au>Graham, Parrie</au><au>Madenwald, Tamra</au><au>Escamilia, Gina</au><au>Swann, Edith</au><au>Morgan, Cecilia</au><au>Novak, Richard M.</au><au>Frank, Ian</au><aucorp>HVTN 906 study team</aucorp><aucorp>on behalf of the HVTN 906 study team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HIV Sexual Risk and Syndemics among Women in Three Urban Areas in the United States: Analysis from HVTN 906</atitle><jtitle>Journal of urban health</jtitle><stitle>J Urban Health</stitle><addtitle>J Urban Health</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>92</volume><issue>3</issue><spage>572</spage><epage>583</epage><pages>572-583</pages><issn>1099-3460</issn><eissn>1468-2869</eissn><abstract>Limited data are available on the longitudinal occurrence of syndemic factors among women at risk for HIV infection in the USA and how these factors relate to sexual risk over time. HVTN 906 was a longitudinal study enrolling 799 HIV-uninfected women in three cities. Assessments were done at baseline, 6, 12, and 18 months to assess syndemic factors (low education, low income, unemployment, lack of health insurance, housing instability, substance use, heavy alcohol use, partner violence, incarceration) and sexual risk outcomes. For each sexual risk outcome, a GEE model was fit with syndemic factors or syndemic score (defined as sum of binary syndemics, ranging from 0 to 9), visit, study site, age and race/ethnicity as predictors to examine the multivariable association between syndemic factors and outcomes over time. Odds of unprotected sex while drunk or high were significantly higher when women reported lack of health insurance, substance and heavy alcohol use and partner violence. Housing instability, substance and heavy alcohol use, partner violence and recent incarceration were associated with higher odds of having multiple sexual partners. Odds of sex exchange were significantly higher in the presence of unemployment, housing instability, low education, lack of health insurance, substance and heavy alcohol use, partner violence and incarceration. Housing instability, substance and heavy alcohol use, and partner violence were significantly associated with higher odds of unprotected anal sex. Odds of having a recent STI were significantly higher when women reported housing instability and partner violence. There were significantly higher odds of the reporting of any risk outcomes during follow-up with higher syndemic score. This study highlights a group of women experiencing multiple poor social and health outcomes who need to be the focus of comprehensive interventions.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25743100</pmid><doi>10.1007/s11524-015-9944-5</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1099-3460 |
| ispartof | Journal of urban health, 2015-06, Vol.92 (3), p.572-583 |
| issn | 1099-3460 1468-2869 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4456474 |
| source | MEDLINE; Alma/SFX Local Collection; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Alcoholic beverages Alcohols Education Epidemiology Female Health Informatics HIV HIV Infections - etiology Housing Human immunodeficiency virus Humans Intimate Partner Violence - statistics & numerical data Longitudinal Studies Medicine Medicine & Public Health Middle Aged Public Health Risk Factors Sexually transmitted diseases Socioeconomic Factors STD Substance use Substance-Related Disorders - epidemiology United States - epidemiology Unsafe Sex - statistics & numerical data Urban areas Urban Population - statistics & numerical data Violence Women Young Adult |
| title | HIV Sexual Risk and Syndemics among Women in Three Urban Areas in the United States: Analysis from HVTN 906 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T11%3A31%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=HIV%20Sexual%20Risk%20and%20Syndemics%20among%20Women%20in%20Three%20Urban%20Areas%20in%20the%20United%20States:%20Analysis%20from%20HVTN%20906&rft.jtitle=Journal%20of%20urban%20health&rft.au=Koblin,%20Beryl%20A.&rft.aucorp=HVTN%20906%20study%20team&rft.date=2015-06-01&rft.volume=92&rft.issue=3&rft.spage=572&rft.epage=583&rft.pages=572-583&rft.issn=1099-3460&rft.eissn=1468-2869&rft_id=info:doi/10.1007/s11524-015-9944-5&rft_dat=%3Cproquest_pubme%3E1686067404%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1685143265&rft_id=info:pmid/25743100&rfr_iscdi=true |