PRIMARY: To identify factors associated with risk of HIV infection through heterosexual
activity among urban, inner-city women.
SECONDARY: To identify correlates of high-risk behaviors in order to provide a basis for
future intervention studies.
At baseline and at 6-month intervals, participants are interviewed about their sexual
behavior, drug and alcohol-related behaviors, and recent medical history, and are given a
psychosocial assessment. They also undergo a physical exam, including pelvic exam and
colposcopy, and have blood and urine specimens collected for HIV testing, drug screening,
and STD evaluation. Additionally, participants are given pre- and post-test counseling and
education, including information about social services. They are provided with basic
gynecological care and either treatment or referral for medical problems.
Participants must meet the following criteria:
- HIV-negative, sexually active women living in social and sexual proximity to men at
high risk for acquiring HIV infection.
- Able to speak English, Spanish, or Creole.
- Living in the geographic area surrounding Kings County Hospital in Brooklyn, New
York. (Hospital-based and community-based recruitment sites will be utilized.)
Personal history of parenteral drug use by self-report or urine test. Heterosexual contact
with men at high risk for HIV infection.