Social and behavioral correlates of sexually transmitted infection- and HIV-discordant sexual partnerships in Bushwick, Brooklyn, New York

J Acquir Immune Defic Syndr. 2009 Aug 1;51(4):470-85. doi: 10.1097/QAI.0b013e3181a2810a.


Introduction: The Centers for Disease Control and Prevention (CDC) advise repeat HIV testing for partners of HIV-infected persons; injection drug users and their sex partners; individuals with recent multiple partnerships and their sex partners; those involved in sex trade; and men who have sex with men. Additional social and behavioral variables may be useful for identifying priority populations.

Methods: We analyzed data collected during a social network study conducted in a Brooklyn, NY, neighborhood to identify social and behavioral characteristics of respondents (N = 343) involved in HIV-discordant, herpes simplex virus-2- discordant, and chlamydia-discordant partnerships.

Results: HIV partnership discordance was associated with injection drug use but was generally not associated with sexual behaviors including multiple partnerships and sex trade. herpes simplex virus-2 and chlamydia partnership discordance were associated with multiple partnerships, sex trade, and same sex partnership history. Additional correlates of sexually transmitted infection (STI)/HIV-discordant partnerships included older age (>or=25 years), noninjection drug use, and incarceration history. Analyses suggested that screening tools composed of CDC-recommended sexual risk and injection drug indicators plus indicators of older age, noninjection drug use, and incarceration were more effective in identifying STI/HIV priority populations than tools composed of CDC indicators alone.

Conclusions: Screening tools that include social and behavioral indicators may improve STI/HIV case-finding effectiveness.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Chlamydia Infections / psychology*
  • Chlamydia Infections / transmission
  • Condoms
  • Female
  • HIV Infections / psychology*
  • HIV Infections / transmission
  • Herpes Genitalis / psychology*
  • Herpes Genitalis / transmission
  • Humans
  • Male
  • Middle Aged
  • New York City / epidemiology
  • Sexual Behavior*
  • Sexual Partners*
  • Sexually Transmitted Diseases / epidemiology
  • Sexually Transmitted Diseases / psychology*