Gender, Race, Class and Self-Reported Sexually Transmitted Disease Incidence

Tanfer, Koray; Cubbins, Lisa A.; Billy, John O. G.

doi:10.2307/2136275

Cited by 61 publications

(48 citation statements)

References 12 publications

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“…A previous study demonstrated that women and Blacks are three times more likely to report having an STI than men and Whites. [19] Additionally, a ten-dollar movie coupon incentive was offered to those who enrolled in the study. It is possible that the socioeconomic status may have differed by race in our population, but that data was unavailable for this analysis.…”

Section: Discussionmentioning

confidence: 99%

STI Research: Recruiting an Unbiased Sample

Reed¹,

Thistlethwaite²,

Huppert³

2007

Journal of Adolescent Health

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Purpose-Although minors may legally consent for clinical care of sexually transmitted infections (STI) in all states, research participation often requires parental consent. We examined whether age, race, and parental barriers differed between those adolescents who accepted versus refused enrollment in a minimal risk STI research study.Methods-A cross sectional sample (age 13-21 years, sexually active females, presenting to an Emergency Department) was approached to participate in an STI study. Participation required an interview regarding symptoms and sexual history, a vaginal swab and urine sample for STI testing, and parental consent for those under age 18. Demographics, enrollment, and reasons for ineligibility or refusal were recorded.Results-Of 466 females approached, 240 (52%) met eligibility criteria, and 139 (58%) of those eligible refused enrollment. Reasons for refusal included: 32 (23%) lack of parental confidentiality or consent, 65 (47%) no reason, 23 (17%) time constraints and 19 (13%) other reasons. Parental barriers were only cited by those under age 18. Reasons for refusal did not differ by race. In unadjusted and adjusted analyses, enrollees were more likely to be Black and age ≥18 than non-enrollees. An interaction between age and race is shown in stratified logistic regression analyses: The association of age ≥18 with enrollment was highly significant for White/Other females (Odds Ratio 12.5, 95% confidence interval: 3.0-52.7) but not for Black females (Odds Ratio 1.5, 95% confidence interval: 0.77-3.0). Conclusions-Requiring parental consent appears to preclude participation in minimal risk STI research especially for younger non-black females.

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Section: Discussionmentioning

confidence: 99%

STI Research: Recruiting an Unbiased Sample

Reed¹,

Thistlethwaite²,

Huppert³

2007

Journal of Adolescent Health

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“…In fact, some reports indicate that more than 30 % of undergraduates have engaged in sexual intercourse with a stranger or brief acquaintance, with men reporting this more than women (47.5 vs. 33.3 %, respectively; Paul et al 2000). Although not every casual sex encounter leads to negative outcomes (Armstrong et al 2010), casual sex has been linked with unpleasant or coercive sex (Armstrong et al 2010;Flack et al 2007;Heldman and Wade 2010;Littleton et al 2009), infrequent condom use (Tanfer et al 1995), emotional distress (Heldman and Wade 2010), and lack of sexual partner communication (Paul 2006). Due to its prevalence and links with negative outcomes, it is important to discover factors that may predict casual sex.…”

Section: Introductionmentioning

confidence: 99%

Male Role Norm Endorsement and Sexism Predict Heterosexual College Men’s Attitudes Toward Casual Sex, Intoxicated Sexual Contact, and Casual Sex

2014

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This study examined whether gender roles, particularly male role beliefs and sexism, may underlie self-reported attitudes toward and participation in casual sex and intoxication prior to sexual contact in a sample of heterosexual undergraduate men from the United States. We utilized online survey methods to examine whether men's (N=223 from a large mid-Atlantic University) endorsement of traditional masculinity (power and status, toughness, and antifemininity) and sexist attitudes regarding women's roles (hostile, benevolent) were related to engagement in casual sex (i.e., number of one-time-only sex partners), and whether masculinity was related to intoxicated sexual contact (i.e., propensity to consume alcohol prior to sexual contact). Structural Equation Modeling (SEM) revealed that, as expected, endorsement of the toughness male role norm was positively associated with favorable attitudes toward casual sex, and endorsement of benevolent sexism was negatively associated with favorable attitudes toward casual sex. Favorable attitudes toward casual sex, in turn, were positively associated with men's reported number of casual sex partners, as partially mediated by intoxicated sexual contact. Further, toughness endorsement was positively associated with number of casual sex partners via its positive association with intoxicated sexual contact; whereas power and status demonstrated the opposite, negative pattern. We discuss the contribution of this research to the broader literature on gender roles and sexual behavior and the utility of the findings for interventions aimed at reducing men's casual sex behavior and intoxication prior to sexual contact.

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“…Sexual partner concurrency may also help to explain the racial disparities in STD rates that remain after controlling for individual-level risk behavior (e.g., Ellen et al, 1998;Hallfors et al, 2007;Harawa et al, 2004;Harawa et al, 2003;Miller et al, 1999;Tanfer et al, 1995). However, little research has investigated African-American men's thoughts and attitudes toward sexual partner concurrency.…”

Section: Introductionmentioning

confidence: 99%

Urban African-American Men Speak Out on Sexual Partner Concurrency: Findings from a Qualitative Study

et al. 2008

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Sexual partner concurrency, which fuels the spread of HIV, has been hypothesized as a cause of higher rates of HIV among low-income, urban African-Americans. Despite this hypothesis, little is known about the phenomenology of partner concurrency. To address this gap in the literature, we recruited 20 urban African-American men from a public STD clinic to elicit their ideas about partner concurrency. Five themes emerged during focus group discussions. First, there was a general consensus that it is normative to have more than one sexual partner. Second, men agreed it is acceptable for men to have concurrent partners, but disagreed about whether it was acceptable for women. Third, although men provided many reasons for concurrent partnerships, the most common reasons were that (a) multiple partners fulfill different needs, and (b) it is in a man's nature to have multiple partners. Fourth, men described some (but not all) of the negative consequences of having concurrent partners. Finally, men articulated spoken and unspoken rules that govern concurrent partnerships. These findings increase knowledge about urban, African-American men's attitudes toward concurrent partnerships, and can help to improve the efficacy of sexual risk-reduction interventions for this group of underserved men and their partners.

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Gender, Race, Class and Self-Reported Sexually Transmitted Disease Incidence

Cited by 61 publications

References 12 publications

STI Research: Recruiting an Unbiased Sample

STI Research: Recruiting an Unbiased Sample

Male Role Norm Endorsement and Sexism Predict Heterosexual College Men’s Attitudes Toward Casual Sex, Intoxicated Sexual Contact, and Casual Sex

Urban African-American Men Speak Out on Sexual Partner Concurrency: Findings from a Qualitative Study

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