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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2006.106443v1 AJPH.2006.106443v2 AJPH.2006.106443v3 98/11/2042    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Hoffman, S. Articles by Wilson, T. E. Search for Related Content PubMed PubMed Citation Articles by Hoffman, S. Articles by Wilson, T. E.

Susie Hoffman, DrPH, Sharlene T. Beckford Jarrett, PhD, Elizabeth A. Kelvin, MPH, Scyatta A. Wallace, PhD, Michael Augenbraun, MD, Matthew Hogben, PhD, Nicole Liddon, PhD, William M. McCormack, MD, Steve Rubin, BA and Tracey E. Wilson, PhD

Susie Hoffman is with the HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, and the Department of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University, New York. Sharlene T. Beckford Jarrett is with the National HIV/STI Prevention and Control Program, Ministry of Health, Kingston, Jamaica. Elizabeth A. Kelvin is with the HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York. Scyatta A. Wallace and Tracey E. Wilson are with the Department of Preventive Medicine and Community Health, State University of New York Downstate Medical Center, New York. Michael Augenbraun is with the Department of Preventive Medicine and Community Health, and the Department of Medicine, Infectious Diseases Division, State University of New York Downstate Medical Center, New York. Matthew Hogben and Nicole Liddon are with the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Ga. William M. McCormack is with the Department of Medicine, Infectious Diseases Division, State University of New York Downstate Medical Center, New York. Steve Rubin is with the Bureau of STD Control, New York City Department of Health, New York, and the Centers for Disease Control and Prevention, Atlanta.

Correspondence: Requests for reprints should be sent to Susie Hoffman, DrPH, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Center and Columbia University, 1051 Riverside Dr, Unit 15, New York, NY 10032 (e-mail: sh51{at}columbia.edu).

Objectives. We compared Black West Indian immigrants' and US-born Blacks' sexual and drug-use risk behaviors and their beliefs related to using condoms and informing partners of sexually transmitted infections (STIs) to identify possible differences in risk.

Methods. We drew data from the baseline assessment of a clinic-based intervention designed to increase partner STI notification.

Results. Black West Indian men were less likely than were US-born Black men to report nonregular partners. There were no differences in condom use. US-born Black women were more likely than were Black West Indian women to be extremely confident that they could convince their regular partners to use condoms (odds ratio [OR] = 2.40; 95% confidence interval [CI] = 1.21, 4.76), whereas there were no differences between Black West Indian and US-born Black men on this measure (interaction P = .06). US-born Black women were more likely than were Black West Indian women to be extremely confident in their ability to discuss STI screening with their regular partners (OR = 1.89; 95% CI = 1.03, 3.47).

Conclusions. Black West Indian women's lower levels of confidence that they can discuss STI screening with their regular partners and convince these partners to use condoms may increase their infection risk. Gender-sensitive interventions are warranted for Black West Indian immigrants, especially women.