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AIDS Risk Behaviors Among Late Middle-aged and Elderly Americans: The National AIDS Behavioral Surveys

AIDS Risk Behaviors Among Late Middle-aged and Elderly Americans: The National AIDS Behavioral... Abstract Objectives: Although 10% of all acquired immunodeficiency syndrome (AIDS) cases diagnosed in the United States have been among Americans aged 50 years of age or older, little attention has been devoted to understanding AIDS risk-taking behaviors among middle-aged or older Americans. This study describes the prevalence of AIDS risk among Americans aged 50 years of age or older. Design and Study Population: We present data from the National AIDS Behavioral Surveys, two large crosssectional national surveys taken in 1990-1991. Main Outcome Variable: Prevalence of risk behaviors for human immunodeficiency virus (HIV) transmission and of HIV testing. Results: Findings from both surveys provide replication of several important points. First, the prevalence of having at least one risk factor for HIV infection was about 10% among Americans aged 50 years or older in both samples. Very small proportions of Americans past the age of 50 years with a known behavioral risk for HIV infection used condoms during sex or had undergone HIV testing. At-risk Americans past the age of 50 years were one sixth as likely to use condoms during sex and one fifth as likely to have been tested for HIV as a comparison group of at-risk individuals in their 20s. Conclusions: Despite the fact that HIV infection is clearly present among those past the age of 50 years, a small proportion of individuals in this age group take behavioral risks for HIV infection. High-risk individuals older than 50 years are much less likely to have adopted AIDS prevention strategies than are younger individuals who engage in the same behavioral risks.(Arch Intern Med. 1994;154:57-63) References 1. Stall R, Catania J, Pollack L. The social epidemiology of AIDS and HIV infection among older Americans . In: Riley M, Ory M, Zablotsky D, eds. AIDS in an Aging Society: What We Need to Know . New York, NY: Springer Publishing Co; 1989:60-76. 2. Ship J, Wolff A, Selik R. Epidemiology of acquired immune deficiency syndrome in persons aged 50 years or older . J Acquir Immun Defic Syndr. 1991; 4:84-88.Crossref 3. Catania J, Turner H, Kegeles S, Stall R, Pollack L, Coates T. Older Americans and AIDS: transmission risks and primary prevention research needs . Gerontologist . 1989;29:373-381.Crossref 4. Catania J, Coates T, Stall R, et al. Prevalence of AIDS-related risk factors and condom use in the United States . Science . 1992;258:1101-1106.Crossref 5. Berezin M. Sex and old age: a further review of the literature . J Geriatr Psychiatry Neurol. 1976;9:189-209. 6. Ludeman K. The sexuality of the older person: review of the literature . Gerontologist . 1981;21:203-208.Crossref 7. Catania J, Stall R, Coates T, Pelham A, Sacks C. Issues in AIDS primary prevention for late middle-aged and elderly Americans . Generations . (Fall) 1989: 50-54. 8. Catania J, Gibson D, Chitwood D, Coates T. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior . Psychol Bull. 1990;108:339-362.Crossref 9. Bajos N, Spira A, Ducot B, Leridon H, Riandey B. Sexual behavior in France: feasibility study . Presented at the VII International Conference on AIDS; June 17, 1991; Florence, Italy . 10. McQueen D, Gorst T, Nisbet L, Robertson B, Smith R, Uitenbroek D. A study of lifestyle and health . In: Research Unit in Health and Behavioral Change . Edinburgh, Scotland: University of Edinburgh; 1989:1-15. 11. Bradburn N, Sudman S. Improving Interview Method and Questionnaire Design . Washington, DC: Jossey-Bass Inc Publishers; 1979;42:221-234. 12. Echenberg D, Rutherford G, O'Malley P, Bodecker T. Update: AIDS in the San Francisco cohort study, 1978-1985 . MMWR Morb Mortal Wkly Rep . 1985;34: 573-589. 13. Goedert J, Sarngadharan M, Biggar R, et al. Determinants of retrovirus (HTLV III) antibody and immunodeficiency conditions in homosexual men . Lancet . 1984;2:711-716.Crossref 14. Hearst N, Hulley S. Preventing the heterosexual spread of AIDS: are we giving our patients the best advice? JAMA . 1988;259:2428-2432.Crossref 15. Padian N. Heterosexual transmission: infectivity and risks . In: Alexander NJ, Gabelnick HL, Spieler JM, ed. Heterosexual Transmission of AIDS . New York, NY: Alan R Liss Inc; 1990:25-34. 16. Alter M, Ahtone J, Weisfuse I, Starko K, VacalisT, Maynard J. Hepatitis B virus transmission between heterosexuals . JAMA . 1986;256:1307-1310.Crossref 17. Handsfield H, Jasmau L, Roberts P, Hansen V, Kothenbeutel R, Stamm W. Criteria for selective screening for Chlamydia trachomatis infection in women attending family planning clinics . JAMA . 1986;255:1730-1734.Crossref 18. Syrjanen K, Vayrynen M, Castren O, et al. Sexual behavior of women with human papillomavirus (HPV) lesions of the uterine cervix . Br J Venereal Dis . 1984; 60:243-248. 19. Donegan E, Johnson D, Remedios V, Cohen S. Mass notification of transfusion recipients at risk for HIV infection . JAMA . 1988;260:922-923. 20. Sorensen J. The AIDS drug connection . In: Sorensen J, Wermuth L, Gibson D, Choi K, Guydish J, Batki S, eds. Preventing AIDS in Drug Users and Their Sexual Partners . New York, NY: Guilford Press; 1991:3-17. 21. Guydish J, Abramowitz A, Woods W, Black D, Sorensen J. Changes in needle sharing behavior among intravenous drug users: San Francisco, 1986-1988 . Am J Public Health . 1990;80:995-997.Crossref 22. Lange W, Snyder F, Lozovsky D, Kaistha V, Kaczaniuk M, Jaffe J. Geographic distribution of human immunodeficiency virus markers in parenteral drug abusers . Am J Public Health . 1988;78:443-446.Crossref 23. Guydish J, Golden E, Hembry K. Needle sharing, needle cleaning and risk behavior change among injection drug users . In: Sorensen J, Wermuth L, Gibson D, Choi K, Guydish J, Batki S, eds. Preventing AIDS in Drug Users and Their Sexual Partners . New York, NY: Guilford Press; 1991:28-42. 24. Weddington W, Nermeth-Coslett R, Anderson M, et al. Risk behaviors for HIV transmission among intravenous drug users not in drug treatment: United States, 1987-1989 . MMWR Morb Mortal Wkly Rep. 1990;39:274-276. 25. Winkelstein W, Samuel M, Padian N, et al. The San Francisco Men's Health Study, III: reduction in HIV transmission among homosexual/bisexual men, 1982-86 . Am J Public Health . 1987;76:685-689.Crossref 26. Coates T, Stall R, Catania J, Dolcini P, Hoff C. Prevention of HIV infection in high risk groups . In: Volberding P, Jacobson M, eds. AIDS Clinical Review 1989 . New York, NY: Marcel Dekker Inc; 1989:29-52. 27. Shelton J, Harris J. Role of the condom in combating global AIDS: the application of Sutton's law to public health . In: Alexander NJ, Gabelnick HL, Spieler JM, eds. Heterosexual Transmission of AIDS . New York, NY: Alan R Liss Inc; 1990:327-338. 28. Ngugi EN, Plummer FA, Simonsen JN, et al. Prevention of transmission of human immunodeficiency virus in Africa: effectiveness of condom promotion and health education among prostitutes . Lancet . 1988;2:887-890.Crossref 29. Feldblum PJ. Results from prospective studies of HIV-discordant couples . AIDS . 1991;5:1265-1277.Crossref 30. Kish L. Survey Sampling . New York, NY: John Wiley & Sons Inc; 1965. 31. Francis D, Chin J. The prevention of acquired immunodeficiency syndrome in the United States . JAMA . 1987;257:1357-1366.Crossref 32. Winick C. Maturing out of narcotic addiction . Bull Narc. 1962;14:1-7. 33. Gerbert B, Maguire G, Coates T. Are patients talking to their physicians about AIDS? Am J Public Health . 1990;80:467-469.Crossref 34. Gerbert B, Bleeker T, Maguire B, Caspers N. Physicians and AIDS: sexual risk assessment of patients and willingness to treat HIV-infected patients . J Gen Intern Med. 1992;7:657-664.Crossref 35. Gerbert B, Bleecker T, Bernzweig J. Is anybody talking to physicians about AIDS and sex? a national survey of patients . Arch Fam Med. 1993;2:45-51.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

AIDS Risk Behaviors Among Late Middle-aged and Elderly Americans: The National AIDS Behavioral Surveys

Archives of Internal Medicine , Volume 154 (1) – Jan 10, 1994

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Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1994.00420010085010
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Abstract

Abstract Objectives: Although 10% of all acquired immunodeficiency syndrome (AIDS) cases diagnosed in the United States have been among Americans aged 50 years of age or older, little attention has been devoted to understanding AIDS risk-taking behaviors among middle-aged or older Americans. This study describes the prevalence of AIDS risk among Americans aged 50 years of age or older. Design and Study Population: We present data from the National AIDS Behavioral Surveys, two large crosssectional national surveys taken in 1990-1991. Main Outcome Variable: Prevalence of risk behaviors for human immunodeficiency virus (HIV) transmission and of HIV testing. Results: Findings from both surveys provide replication of several important points. First, the prevalence of having at least one risk factor for HIV infection was about 10% among Americans aged 50 years or older in both samples. Very small proportions of Americans past the age of 50 years with a known behavioral risk for HIV infection used condoms during sex or had undergone HIV testing. At-risk Americans past the age of 50 years were one sixth as likely to use condoms during sex and one fifth as likely to have been tested for HIV as a comparison group of at-risk individuals in their 20s. Conclusions: Despite the fact that HIV infection is clearly present among those past the age of 50 years, a small proportion of individuals in this age group take behavioral risks for HIV infection. High-risk individuals older than 50 years are much less likely to have adopted AIDS prevention strategies than are younger individuals who engage in the same behavioral risks.(Arch Intern Med. 1994;154:57-63) References 1. Stall R, Catania J, Pollack L. The social epidemiology of AIDS and HIV infection among older Americans . In: Riley M, Ory M, Zablotsky D, eds. AIDS in an Aging Society: What We Need to Know . New York, NY: Springer Publishing Co; 1989:60-76. 2. Ship J, Wolff A, Selik R. Epidemiology of acquired immune deficiency syndrome in persons aged 50 years or older . J Acquir Immun Defic Syndr. 1991; 4:84-88.Crossref 3. Catania J, Turner H, Kegeles S, Stall R, Pollack L, Coates T. Older Americans and AIDS: transmission risks and primary prevention research needs . Gerontologist . 1989;29:373-381.Crossref 4. Catania J, Coates T, Stall R, et al. Prevalence of AIDS-related risk factors and condom use in the United States . Science . 1992;258:1101-1106.Crossref 5. Berezin M. Sex and old age: a further review of the literature . J Geriatr Psychiatry Neurol. 1976;9:189-209. 6. Ludeman K. The sexuality of the older person: review of the literature . Gerontologist . 1981;21:203-208.Crossref 7. Catania J, Stall R, Coates T, Pelham A, Sacks C. Issues in AIDS primary prevention for late middle-aged and elderly Americans . Generations . (Fall) 1989: 50-54. 8. Catania J, Gibson D, Chitwood D, Coates T. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior . Psychol Bull. 1990;108:339-362.Crossref 9. Bajos N, Spira A, Ducot B, Leridon H, Riandey B. Sexual behavior in France: feasibility study . Presented at the VII International Conference on AIDS; June 17, 1991; Florence, Italy . 10. McQueen D, Gorst T, Nisbet L, Robertson B, Smith R, Uitenbroek D. A study of lifestyle and health . In: Research Unit in Health and Behavioral Change . Edinburgh, Scotland: University of Edinburgh; 1989:1-15. 11. Bradburn N, Sudman S. Improving Interview Method and Questionnaire Design . Washington, DC: Jossey-Bass Inc Publishers; 1979;42:221-234. 12. Echenberg D, Rutherford G, O'Malley P, Bodecker T. Update: AIDS in the San Francisco cohort study, 1978-1985 . MMWR Morb Mortal Wkly Rep . 1985;34: 573-589. 13. Goedert J, Sarngadharan M, Biggar R, et al. Determinants of retrovirus (HTLV III) antibody and immunodeficiency conditions in homosexual men . Lancet . 1984;2:711-716.Crossref 14. Hearst N, Hulley S. Preventing the heterosexual spread of AIDS: are we giving our patients the best advice? JAMA . 1988;259:2428-2432.Crossref 15. Padian N. Heterosexual transmission: infectivity and risks . In: Alexander NJ, Gabelnick HL, Spieler JM, ed. Heterosexual Transmission of AIDS . New York, NY: Alan R Liss Inc; 1990:25-34. 16. Alter M, Ahtone J, Weisfuse I, Starko K, VacalisT, Maynard J. Hepatitis B virus transmission between heterosexuals . JAMA . 1986;256:1307-1310.Crossref 17. Handsfield H, Jasmau L, Roberts P, Hansen V, Kothenbeutel R, Stamm W. Criteria for selective screening for Chlamydia trachomatis infection in women attending family planning clinics . JAMA . 1986;255:1730-1734.Crossref 18. Syrjanen K, Vayrynen M, Castren O, et al. Sexual behavior of women with human papillomavirus (HPV) lesions of the uterine cervix . Br J Venereal Dis . 1984; 60:243-248. 19. Donegan E, Johnson D, Remedios V, Cohen S. Mass notification of transfusion recipients at risk for HIV infection . JAMA . 1988;260:922-923. 20. Sorensen J. The AIDS drug connection . In: Sorensen J, Wermuth L, Gibson D, Choi K, Guydish J, Batki S, eds. Preventing AIDS in Drug Users and Their Sexual Partners . New York, NY: Guilford Press; 1991:3-17. 21. Guydish J, Abramowitz A, Woods W, Black D, Sorensen J. Changes in needle sharing behavior among intravenous drug users: San Francisco, 1986-1988 . Am J Public Health . 1990;80:995-997.Crossref 22. Lange W, Snyder F, Lozovsky D, Kaistha V, Kaczaniuk M, Jaffe J. Geographic distribution of human immunodeficiency virus markers in parenteral drug abusers . Am J Public Health . 1988;78:443-446.Crossref 23. Guydish J, Golden E, Hembry K. Needle sharing, needle cleaning and risk behavior change among injection drug users . In: Sorensen J, Wermuth L, Gibson D, Choi K, Guydish J, Batki S, eds. Preventing AIDS in Drug Users and Their Sexual Partners . New York, NY: Guilford Press; 1991:28-42. 24. Weddington W, Nermeth-Coslett R, Anderson M, et al. Risk behaviors for HIV transmission among intravenous drug users not in drug treatment: United States, 1987-1989 . MMWR Morb Mortal Wkly Rep. 1990;39:274-276. 25. Winkelstein W, Samuel M, Padian N, et al. The San Francisco Men's Health Study, III: reduction in HIV transmission among homosexual/bisexual men, 1982-86 . Am J Public Health . 1987;76:685-689.Crossref 26. Coates T, Stall R, Catania J, Dolcini P, Hoff C. Prevention of HIV infection in high risk groups . In: Volberding P, Jacobson M, eds. AIDS Clinical Review 1989 . New York, NY: Marcel Dekker Inc; 1989:29-52. 27. Shelton J, Harris J. Role of the condom in combating global AIDS: the application of Sutton's law to public health . In: Alexander NJ, Gabelnick HL, Spieler JM, eds. Heterosexual Transmission of AIDS . New York, NY: Alan R Liss Inc; 1990:327-338. 28. Ngugi EN, Plummer FA, Simonsen JN, et al. Prevention of transmission of human immunodeficiency virus in Africa: effectiveness of condom promotion and health education among prostitutes . Lancet . 1988;2:887-890.Crossref 29. Feldblum PJ. Results from prospective studies of HIV-discordant couples . AIDS . 1991;5:1265-1277.Crossref 30. Kish L. Survey Sampling . New York, NY: John Wiley & Sons Inc; 1965. 31. Francis D, Chin J. The prevention of acquired immunodeficiency syndrome in the United States . JAMA . 1987;257:1357-1366.Crossref 32. Winick C. Maturing out of narcotic addiction . Bull Narc. 1962;14:1-7. 33. Gerbert B, Maguire G, Coates T. Are patients talking to their physicians about AIDS? Am J Public Health . 1990;80:467-469.Crossref 34. Gerbert B, Bleeker T, Maguire B, Caspers N. Physicians and AIDS: sexual risk assessment of patients and willingness to treat HIV-infected patients . J Gen Intern Med. 1992;7:657-664.Crossref 35. Gerbert B, Bleecker T, Bernzweig J. Is anybody talking to physicians about AIDS and sex? a national survey of patients . Arch Fam Med. 1993;2:45-51.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 10, 1994

References