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Title

HIV sexual risk behavior in older black women: A systematic review

Authors

H. Jin, E. Huriaux, E. Loughran, et al.

Network Affiliation

 

Organization

 

Journal Name

Womens Health Issues

Publication Date

11/1/2014

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/25442363

Link to full-text

 

PMID

25442363

Abstract

BACKGROUND:

Human immunodeficiency virus (HIV) is a major public health concern in the United States, particularly among older Black women who comprise approximately 40% of the newly diagnosed cases among women. This systematic review sought to answer the research question: What are the sexual practices in older Black women associated with HIV risk?

METHODS:

CINAHL, PubMed, MEDLINE, and Web of Knowledge electronic databases were searched for English-language research studies published between 2003 and 2013 that focused on the HIV sexual risk practices of Black women over the age of 50. Using PRISMA guidelines, two reviewers independently reviewed and appraised the quality of relevant articles; agreement of select studies was achieved by consensus.

RESULTS:

Among the 3,167 articles surveyed, 9 met inclusion criteria. The majority (88%) were quantitative, observational studies. All nine articles addressed at least one of three factors that contribute to HIV sexual risk: Behavioral (inconsistent condom use and multiple sexual partners), psychological (risk perception, depression/stress, trauma, and self-esteem issues), and social factors (economics, education, and drugs/alcohol use). Outcome measures varied across studies.

CONCLUSION:

Although this systematic review appraised few studies, findings suggest that many older Black women are engaged in HIV risk-taking practices. Clinicians and researchers need to be aware of the HIV risk practices of older Black women to improve health outcomes through education, effective communication and risk appraisal.

Keywords

 

Topic

Behavior; Black; Women

Attachments

Created at 12/5/2014 10:26 AM by Davis, Gregory P
Last modified at 12/5/2014 10:26 AM by Davis, Gregory P