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Richard A. Crosby, PhD, William L. Yarber, Hsd, Ralph J. DiClemente, PhD, Gina M. Wingood, ScD, MPH and Beth Meyerson, M. Div

Richard A. Crosby, Ralph J. DiClemente, and Gina M. Wingood are with Rollins School of Public Health, Department of Behavioral Sciences and Health Education, and the Emory Center for AIDS Research, Atlanta, Ga. Richard A. Crosby is also a visiting Research Fellow at the Rural Center for AIDS and STD Prevention at Indiana University, Bloomington. William L. Yarber is with the Department of Applied Health Science, Indiana University, and the Rural Center for AIDS and STD Prevention at Indiana University, Bloomington. Beth Meyerson is with the Policy Resource Group, Warrenton, Mo, and Saint Louis University School of Public Health, St. Louis, Mo.

Correspondence: Requests for reprints should be sent to Richard A. Crosby, PhD, Rollins School of Public Health, 1518 Clifton Rd, NE, Room 542, Atlanta, GA 30322 (e-mail: rcrosby{at}sph.emory.edu).

Objectives. This study compared HIV-associated sexual health history, risk perceptions, and sexual risk behaviors of low-income rural and nonrural African American women.

Methods. A cross-sectional statewide survey of African American women (n = 571) attending federally funded Special Supplemental Nutrition Program for Women, Infants, and Children clinics was conducted.

Results. Adjusted analyses indicated that rural women were more likely to report not being counseled about HIV during pregnancy (P = .001), that a sex partner had not been tested for HIV (P = .005), no preferred method of prevention because they did not worry about sexually transmitted diseases (P = .02), not using condoms (P = .009), and a belief that their partner was HIV negative, despite lack of testing (P = .04).

Conclusions. This study provided initial evidence that low-income rural African American women are an important population for HIV prevention programs.

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