Perceived financial need and sexual risk behavior among urban, minority patients following sexually transmitted infection diagnosis.
Sex Transm Dis
; 38(3): 230-4, 2011 Mar.
Article
em En
| MEDLINE
| ID: mdl-20852453
ABSTRACT
BACKGROUND:
Previous studies have shown that racial/ethnic and gender disparities in human immunodeficiency virus (HIV)/sexually transmitted infections (STI) may be due in part to factors such as poverty and income-inequality. Little has been published in the HIV/STI literature on the effect of the perception of having unmet basic needs on sexual risk behavior.METHODS:
Data on perceived financial need and sexual risk were collected as part of a behavioral intervention aimed at promoting STI partner notification and reducing sexual behavior among minority patients presenting for care at 1 of 2 STI treatment centers in Brooklyn, NY, between January 2002 and December 2004. Data from 528 participants collected at the 6-month follow-up visit were used for the current study.RESULTS:
Forty-three percent of participants were categorized as having unmet needs. Those with unmet needs were more likely to report unprotected anal or vaginal sex (unprotected anal or vaginal intercourse [UAVI]; 62%) versus those who had met needs (53%). This association was significant (adjusted odds ratio=1.28; 95% confidence interval=1.04-1.53), after controlling for age, sex, site of recruitment, intervention group membership, and country of origin. Stratified analyses indicated that, in the group that did not receive the intervention, there was a statistically significant interaction between sex and basic needs such that women with unmet needs were more likely to report any UAVI (78%) than those with met needs (54%) (adjusted odds ratio=1.18; 95% confidence interval=1.07-1.24). No such relationship was detected for men in this sample.CONCLUSIONS:
The significant association between perceived unmet needs and UAVI appears to be particularly relevant for women. These findings provide preliminary evidence that HIV/STI intervention components that seek to directly deal with issues of reduction in partner conflict might be beneficial to women with high perceived unmet basic needs, and for whom a potential dissolution of a relationship may represent a further loss in ability to meet basic needs.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Comportamento Sexual
/
Infecções Sexualmente Transmissíveis
/
Sexo sem Proteção
/
Promoção da Saúde
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Health_economic_evaluation
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
/
Female
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Humans
/
Male
Idioma:
En
Revista:
Sex Transm Dis
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos