Heterosexuals at High Risk of of HIV as donot test as poor,less aware educated,low status,drug or sexually abused or bound for sex work or contamination due to bad hygeine-a study of USA similiar to India & Africa

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Low socioeconomic status heterosexuals in major U.S. urban areas often engage in sex that puts them at risk for HIV, but do not get tested at high enough rates. The Centers for Disease Control and Prevention (CDC) issued its most recent National HIV Behavior Surveillance System (NHBS) report about risk of high incidence of HIV in high-risk heterosexuals, which focuses on data collected from individuals in a series of major metropolitan areas.

In 2010, investigators conducted a behavior survey among 9,278 heterosexuals who reported vaginal or anal sex with at least one opposite-sex partner during the previous 12 months, did not report injection drug use, and, among the men, who did not report recent sex with other men. The participants had an income at or below the poverty level or had only a high school education.The median age of the participants was 35. Forty-seven percent were men. Seventy-two percent were African American and 21 percent were Latino.Eighty-eight percent of the men and 90 percent of the women reported having condomless vaginal sex with one or more opposite-sex partners during the previous 12 months. Thirty percent of the men and 29 percent of the women reported condomless anal sex.

Fifty-nine percent of the participants reported using noninjection drugs during the previous year, with 15 percent reporting using crack cocaine. Seventy-one percent of the men and 77 percent of the women had been tested for HIV previously. Among Latinos, just 52 percent of the men and 62 percent of the women had been tested.Thirty-four percent of the participants reported having received free condoms during the previous year. Eleven percent had participated in a behavioral HIV prevention program.
such picture is almost common in poor patients of India and other poor Asian countries and African countries too where people engage in sex profession as commercial or flying sex workers due to poverty as pushed by girl trafficking and then adapting this profession where poverty lead to habit of drinking and injecting drugs or adapt Gay profession in cities or in barrack or in transfer from one place to another and engage in un safe sex as less educated and less awared and even they undergo such contamination hardly come for testing as think nothing will happen to them and engaging more and more in such activities and leading to more and more in such transmission of disease,strict government laws, stigma, discrimination and fear with recently developing party culture where sex is enjoyed for cash or by pressure of money or force.
Fir them timely testing within 72 hrs of contact is mandatory as post exposure prophylaxis may be started or education to use condom before any unwanted sex or use pre exposure prophylaxsis medicinef for HIV negative who are bound to have sex with some different person whose HIV status cannot be determined.