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AJPH NEWS Release

EMBARGOED UNTIL April 1, 2002, 4:00 PM (ET)
CONTACT:
For copies of articles, call Kendra Fitzgordon, (202) 777-2436

All articles are online at www.ajph.org

American Journal of Public Health: April 2002 Highlights

The articles highlighted below appear in the April 2002 issue of the American Journal of Public Health, the Journal of the American Public Health Association.

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African-American Women in Rural Areas Far Less Concerned With HIV Risks
Compared with their counterparts in cities, low-income African-American women in rural areas were twice as likely to report:

Rural women were 50 percent less likely to report ever having gonorrhea or syphilis and not using condoms because their current partner had tested negative for HIV infection. The authors conclude that rural African-American women may be an especially important target audience for HIV prevention initiatives. Results from a statewide survey in Missouri of 571 African-American women attending a federally funded nutrition program for low-income women.
[From: "HIV-Associated Histories, Perceptions, and Practices Among Low-Income African American Women: Does Rural Residence Matter?" Contact: Richard A. Crosby; Emory University; 770-982-7527]

Later Childbirth, Education Keys to Mortality for African-American Women
According to a new study, education and having children before age 25 appear to be the secrets to long life for African-American women. African-American women who gave birth after age 25 were twice as likely to die as those who gave birth at younger ages, especially after age 55. In addition, after adjusting for age, the death rates of women who lived in households with incomes below the poverty line were about one-third higher than those of women whose households had higher incomes. Data were derived from a study of African-American mothers whose median age in 1966 was 31.
[From: "Early Adult Characteristics and Mortality Among Inner-City African American Women." Contact: Nan Marie Astone; Johns Hopkins University; 410-955-1821]

Injection Drug Use Greatest Risk Factor for Hepatitis C Infection in Low-Income Women
A new study finds low-income women infected with the Hepatitis C virus (HCV) are more likely to have a history of injection and non-injection drug use, to exchange sex for money or drugs and to have sexually transmitted infections. HCV was independently associated with a history of injection drug use, herpes simplex virus type 2 infection and heroin and cocaine use. More than 1700 women ages 18 to 29 living in low-income neighborhoods in northern California were surveyed and screened for sexually transmitted infections and HCV. Authors of the study suggest that HCV prevention programs in impoverished areas should integrate drug treatment and sexually transmitted infection control.
[From: "Hepatitis C Infection in Young, Low-Income Women: The Role of Sexually Transmitted Infection as a Potential Cofactor for HIV Infection." Contact: Kimberly Page-Shafer; Univ. of California; 415-597-4954]

Pap Test Use High Among African-American Women
A new study examining the relationship between risk factors for cervical cancer and Papanicolaou (Pap) test use finds that African-American women have the highest use of Pap tests among reproductive-age women. In addition, reproductive-age women at greater risk for cervical cancer because of their sexual practices or reproductive health history had significantly higher use of the Pap test in the past year than women without such risk factors (68% vs. 57%). Findings come from analyses of the 1995 National Survey of Family Growth, a demographic and health survey of 10,847 women ages 15 to 44. Use of the Pap test was also significantly lower among uninsured, poor and foreign-born women and among women with less education. Authors of the study suggest strategies to improve Pap test use include educational campaigns that inform women of cervical cancer risk factors and encourage screening and increased support for programs that expand access to testing.
[From: "Papanicolaou Test Use Among Reproductive-Age Women at High Risk for Cervical Cancer: Analyses of the 1995 National Survey of Family Growth." Contact: Maria Hewitt, Institute of Medicine; 202-334-1721]

The American Journal of Public Health is the monthly Journal of the American Public Health Association, the oldest and largest organization of public health professionals in the world and the foremost publisher of public health-related books and periodicals promoting high scientific standards, action programs and policy for good health. The Journal is online at www.ajph.org. If you have press credentials and would like access to full text, please contact the APHA Communications Department at 202-777-2436 or email kendra.fitzgordon{at}apha.org to receive a complimentary subscription. Access to abstracts, news releases, and alerting services is free to all readers.

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