Reframing Sexual Health for Black Girls and Women in HIV/STI Prevention Work: Highlighting the Role of Identity and Interpersonal Relationships

Opara, Ijeoma; Abrams, Jasmine A.; Cross, Kristina; Amutah‐Onukagha, Ndidiamaka

doi:10.3390/ijerph182212088

Cited by 18 publications

(10 citation statements)

References 78 publications

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“…ChatGPT could also provide a means for Black women to be empowered in their sexual education instead of the negative, risk-focused perspective it is often presented as. As opposed to seeking advice and information from in-person professionals, ChatGPT may be able to be used as an “anonymous” source to gather information and lead to greater perceived self-efficacy and sexual agency (Opara et al, 2021).…”

Section: The Good the Bad And The Inevitable: Chatgpt For Women's Sex...mentioning

confidence: 99%

“What Did You Say, ChatGPT?” The Use of AI in Black Women's HIV Self-Education: An Inductive Qualitative Data Analysis

Chandler,

Warner,

Aidoo-Frimpong

et al. 2024

J Assoc Nurses AIDS Care

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The emergence of widely accessible artificial intelligence (AI) chatbots such as ChatGPT presents unique opportunities and challenges in public health self-education. This study examined simulations with ChatGPT for its use in public education of sexual health of Black women, specifically in HIV prevention and/or HIV PrEP use. The research questions guiding the study are as follows: (a) does the information ChatGPT offers about HIV prevention and HIV PrEP differ based on stated race? and (b) how could this relatively new platform inform public health education of Black women educating themselves about sexual health behaviors, diagnoses, and treatments? In addressing these questions, this study also uncovered notable differences in ChatGPT's tone when responding to users based on race. This study described valuable insights that can inform health care professionals, educators, and policymakers, ultimately advancing the cause of sexual health equity for Black women and underscoring the paradigm-shifting potential of AI in the field of public health education.

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Section: The Good the Bad And The Inevitable: Chatgpt For Women's Sex...mentioning

confidence: 99%

“What Did You Say, ChatGPT?” The Use of AI in Black Women's HIV Self-Education: An Inductive Qualitative Data Analysis

Chandler,

Warner,

Aidoo-Frimpong

et al. 2024

J Assoc Nurses AIDS Care

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“…Issues of gendered racism have been identified specifically as contributors to adverse reproductive health, specifically concerning pregnancy and sexual power in relationships (Rosenthal & Lobel, 2020). However, few studies have sought to understand decision-making processes of upper- and middle-class Black girls which leads to a critical gap in prevention research (Opara et al, 2021a). In addition, age as an identity that intersects with race, gender, and class for Black girls is an important concept to consider as age contributes to how Black girls are viewed and limits their mobility and agency (Opara et al, 2019).…”

Section: Intersectionality Theorymentioning

confidence: 99%

Addressing Gendered Racism Against Black Girls Using a Strengths-Based Empowerment-Intersectional Framework for Sexual Health and Substance Use Prevention Programming

Opara

Martín²,

Hill

et al. 2023

Health Promotion Practice

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Although Black girls use substances at lower rates than boys and girls from various other racial groups, they tend to have worse health outcomes associated with substance use that can also impact their sexual health. The association between substance use and sexual risk behaviors is usually attributed to lack of access to quality health care and lack of culturally specific prevention programming and treatment options tailored to this group. Accordingly, the theoretical frameworks for health promotion for Black girls often focus on addressing deficits, ignoring the powerful and intersecting social forces that can impact identity, agency, and behavioral options. Key among these forces is gendered racism. We propose a strengths-based conceptual framework to address and challenge gendered racism as a critical foundation for promoting health and wellbeing for Black girls. Our approach integrates Intersectionality Theory and Empowerment Theory, with psychological and intrapersonal empowerment identified as critical mediators of behavior and health outcomes, supported by protective factors of positive racial identity and gendered racial socialization. This framework has been developed with and for Black girls but can be adapted for health promotion efforts with other minoritized groups.

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“…The study will use intersectionality theory as a theoretical framework to guide the formative phase and overall development of the intervention [31][32][33]. Our usage of intersectionality theory will incorporate a culturally relevant perspective that includes the voices of Black girls, allowing them to redefine themselves, include discussions around protective factors that they themselves perceive as beneficial in their lives, and celebrate supportive structures that nurture their ability to be resilient.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Sexual Health and Drug Use Prevention for Black Girls (The Dreamer Girls Project): Protocol for an Intervention Development

Opara¹,

Gabriel²,

Duran-Becerra³

et al. 2023

JMIR Res Protoc

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Background Substance use among adolescent girls is associated with numerous risk characteristics, including engaging in sexual risk behaviors, which can lead to HIV and sexually transmitted infection (STI) diagnoses. This is an important phenomenon to target as there is a significant race-gendered paradox that occurs when Black girls use and misuse drugs. When misuse occurs among this group, they are more likely to face harsher consequences and worse health outcomes than boys and other ethnic-minority girls. Therefore, there is a need to understand the risk and protective factors of drug use and sexual risk behaviors among Black girls and develop a robust intervention that can cater for this group. Objective We propose the development of a strengths-based prevention education intervention for Black girls between the ages of 13 and 18 years to promote protective factors. Methods A sequential, mixed methods study will be conducted, and we will use the first 3 steps of the ADAPT-ITT (assessment, decision, adaptation, production, topical experts, integration, training, testing) framework to begin the development of the intervention. Three aims will be described in this protocol. First, aim 1 is to explore sociocultural risk and protective factors among Black girls between the ages 13 and 18 years in drug use and HIV/STI prevention using focus group methodology and surveys. We will conduct at least 10 focus groups to include up to 75 Black girls or until we reach saturation. Our target sample size for the quantitative portion of the study will be 200 participants. Aim 2 will focus on deciding upon an intervention based on findings from aim 1 and forming a youth advisory board to guide intervention development. Aim 3 will be to conduct a pretest of the intervention with the youth advisory board to determine if the intervention is feasible and will be accepted by Black girls. Results The study is part of a 2-year research pilot study award from the National Institutes of Mental Health. Data collection for this study began in October 2021. For aim 1, data collection is 95% complete. We expect to complete all data collection for aim 1 on or before May 30, 2023. Study activities for aim 2 are occurring simultaneously as data are being collected and analyzed and will be completed in the summer of 2023. Study activities for aim 3 will begin in the fall of 2023. Conclusions This study will be one of the few interventions that address both sexual health and drug use together and cater to Black girls. We anticipate that the intervention will be beneficial for Black girls across the nation to work on building culturally appropriate prevention education and building peer social supports, resulting in reduction or delayed substance use and improved sexual health. Trial Registration ClinicalTrials.gov NCT05014074; https://clinicaltrials.gov/ct2/show/NCT05014074 International Registered Report Identifier (IRRID) DERR1-10.2196/45007

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Reframing Sexual Health for Black Girls and Women in HIV/STI Prevention Work: Highlighting the Role of Identity and Interpersonal Relationships

Cited by 18 publications

References 78 publications

“What Did You Say, ChatGPT?” The Use of AI in Black Women's HIV Self-Education: An Inductive Qualitative Data Analysis

“What Did You Say, ChatGPT?” The Use of AI in Black Women's HIV Self-Education: An Inductive Qualitative Data Analysis

Addressing Gendered Racism Against Black Girls Using a Strengths-Based Empowerment-Intersectional Framework for Sexual Health and Substance Use Prevention Programming

Sexual Health and Drug Use Prevention for Black Girls (The Dreamer Girls Project): Protocol for an Intervention Development

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