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. 1998 Apr;88(4):671–674. doi: 10.2105/ajph.88.4.671

Reporting sexual risk behavior for HIV: a practical risk index and a method for improving risk indices.

E Susser 1, M Desvarieux 1, K M Wittkowski 1
PMCID: PMC1508455  PMID: 9551017

Abstract

OBJECTIVES: As a means of enhancing public health efforts to control sexual transmission of human immunodeficiency virus (HIV), methods were developed to report on risk behavior in a manner that is comparable and widely interpretable. METHODS: An elementary sexual behavior risk index (the vaginal episode equivalent index) that is in accord with some of the essential knowledge about sexual transmission of HIV is described, and a multivariate ordinal risk (MOR) method that can be used to improve such risk indices is introduced. RESULTS: An example shows that these approaches are applicable to observational studies of seroconversion. CONCLUSIONS: The MOR represents a powerful new tool to develop valid comparable measures of sexual risk behavior and, thereby, to advance HIV prevention research.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Catania J. A., Coates T. J., Stall R., Turner H., Peterson J., Hearst N., Dolcini M. M., Hudes E., Gagnon J., Wiley J. Prevalence of AIDS-related risk factors and condom use in the United States. Science. 1992 Nov 13;258(5085):1101–1106. doi: 10.1126/science.1439818. [DOI] [PubMed] [Google Scholar]
  2. Cates W., Jr Contraception, unintended pregnancies, and sexually transmitted diseases: why isn't a simple solution possible? Am J Epidemiol. 1996 Feb 15;143(4):311–318. doi: 10.1093/oxfordjournals.aje.a008744. [DOI] [PubMed] [Google Scholar]
  3. Einsele H., Ehninger G., Hebart H., Wittkowski K. M., Schuler U., Jahn G., Mackes P., Herter M., Klingebiel T., Löffler J. Polymerase chain reaction monitoring reduces the incidence of cytomegalovirus disease and the duration and side effects of antiviral therapy after bone marrow transplantation. Blood. 1995 Oct 1;86(7):2815–2820. [PubMed] [Google Scholar]
  4. Jacquez J. A., Koopman J. S., Simon C. P., Longini I. M., Jr Role of the primary infection in epidemics of HIV infection in gay cohorts. J Acquir Immune Defic Syndr. 1994 Nov;7(11):1169–1184. [PubMed] [Google Scholar]
  5. Joseph J. G., Adib S. M., Koopman J. S., Ostrow D. G. Behavioral change in longitudinal studies: adoption of condom use by homosexual/bisexual men. Am J Public Health. 1990 Dec;80(12):1513–1514. doi: 10.2105/ajph.80.12.1513. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Padian N. S., Shiboski S. C., Jewell N. P. The effect of number of exposures on the risk of heterosexual HIV transmission. J Infect Dis. 1990 May;161(5):883–887. doi: 10.1093/infdis/161.5.883. [DOI] [PubMed] [Google Scholar]
  7. Susser E., Valencia E., Miller M., Tsai W. Y., Meyer-Bahlburg H., Conover S. Sexual behavior of homeless mentally ill men at risk for HIV. Am J Psychiatry. 1995 Apr;152(4):583–587. doi: 10.1176/ajp.152.4.583. [DOI] [PubMed] [Google Scholar]
  8. Susser E., Valencia E., Sohler N., Gheith A., Conover S., Torres J. Interventions for homeless men and women with mental illness: reducing sexual risk behaviours for HIV. Int J STD AIDS. 1996;7 (Suppl 2):66–70. doi: 10.1258/0956462961917672. [DOI] [PubMed] [Google Scholar]
  9. Wittkowski K. M. Preventing the heterosexual spread of AIDS: what is the best advice if compliance is taken into account? AIDS. 1989 Mar;3(3):143–145. [PubMed] [Google Scholar]

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