Relationship Dynamics, Ethnicity and Condom Use among Low-Income Women

Soler, Hosanna; Quadagno, David M.; Sly, David F.; Riehman, Kara; Eberstein, Isaac W.; Harrison, Dianne F.

doi:10.2307/2648216

Cited by 138 publications

(97 citation statements)

References 27 publications

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“…Our study identified HIV risk behaviors reported by African American women that are comparable to those reported in previously published studies, and researchers have made clear that African American women are no more likely to report unprotected sex, multiple sex partners, or drug use than women of other racial and ethnic groups (Gottlieb et al, 2002;Soler et al, 2000;Warren et al, 1998). Our findings suggest the importance of future research to explore social determinants of health, including poverty-related risk factors such as unstable housing that are likely to influence the vulnerability of African American women to HIV infection (Conwell et al, 2007;Hessol et al, 2001).…”

Section: Discussionsupporting

confidence: 71%

Sisters Empowered, Sisters Aware: Three Strategies to Recruit African American Women for HIV Testing

Gaiter¹,

Johnson²,

Taylor³

et al. 2013

AIDS Education and Prevention

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African American women account for 66% of new HIV infections among U.S. women, and many are not aware of their status. The authors compared three strategies (targeted outreach, alternate venues, and social networks) to recruit African American women for HIV testing in Houston, New York City, Baltimore, and Dayton. A quasi-experimental design (N = 4,942) was used to compare HIV-positivity rates and to identify risk factors for previously undiagnosed infection. A total of 2.1% of the women were newly diagnosed with HIV. The proportion newly identified as HIV-positive did not differ significantly among the three strategies (2.4% for social networks, 1.7% for both targeted outreach and alternate venues). However, the social networks strategy recruited women with greater risk behaviors and other characteristics associated with newly identified HIV infection and thus may be effective at reaching some high-risk women before they become infected.

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Section: Discussionsupporting

confidence: 71%

Sisters Empowered, Sisters Aware: Three Strategies to Recruit African American Women for HIV Testing

Gaiter¹,

Johnson²,

Taylor³

et al. 2013

AIDS Education and Prevention

View full text Add to dashboard Cite

show abstract

“…Prior research has found mixed results for the relationship between HIV risk and race/ethnicity. 54,56 For example, more recent studies have shown that Black and Latina women report more consistent condom use compared to White women, 57,58 while an earlier study reported more consistent condom use among White and Latina women. 59 Additional research with drug-involved women is needed to unpack contextual and cultural differences across race and ethnicity in the relationship between power and HIV sexual risk behaviors.…”

Section: Discussionmentioning

confidence: 99%

Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

et al. 2009

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Relationship power has been highlighted as a major factor influencing women's safer sex practices. Little research, however, has specifically examined relationship power in drug-involved women, a population with increased risk for HIV transmission. Using baseline data from a National Institute on Drug Abuse Clinical Trials Network multisite trial of a women's HIV prevention intervention in communitybased drug treatment programs, this paper examined the association between sexual relationship power and unprotected vaginal or anal sex. The Sexual Relationship Power Scale, a measure of relationship control and decision-making dominance, was used to assess the association between power and unprotected sex in relationships with primary male partners. It was hypothesized that increased relationship power would be associated with decreased unprotected sexual occasions, after controlling for relevant empirical and theoretical covariates. Findings show a more complex picture of the association between power and sexual risk in this population, with a main effect in the hypothesized direction for decision-making dominance but not for relationship control. Possible explanations for these findings are discussed, and future research directions for examining power constructs and developing interventions targeting relationship power among drug-involved women are suggested.

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“…7 Additionally, Soler et al found that women who did not participate in financial decisions were nearly two times less likely to use a condom consistently. 26 Over a century of research has been conducted on social determinants of health, highlighting the importance of social context in shaping health and health behaviors. [27][28][29] Specifically, the decision to use a condom, while often understood as an individual choice, may be strongly impacted by many external factors.…”

Section: Discussionmentioning

confidence: 99%

Economic Dependence and Unprotected Sex: The Role of Sexual Assertiveness among Young Urban Mothers

et al. 2010

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In the USA, sexual intercourse is the leading route of human immunodeficiency virus transmission among women, primarily through their main partner. Because male condom use is not directly under a woman's control, gender inequalities may help shape this sexual risk behavior. To examine this association, data came from follow-up interviews of young, primarily minority, pregnant women enrolled in a prospective, randomized controlled trial. Specifically, we aimed to determine the relationship between economic dependence on a male partner and condom use, and to establish whether this relationship was mediated by sexual assertiveness. Overall, 28% of women reported being economically dependent on a male partner. Young women dependent on a male partner were 1.6 times more likely to report not using a condom at last sex than women not dependent on their partner (95% confidence interval=1.11-2.32; p=0.01). Sexual assertiveness mediated the relationship between economic dependence and condom use (Sobel=2.05, p=0.04). Coupled with past research, this study supports the premise that sexual behaviors may be rooted in a complex web of social determinants. Addressing gender inequalities in contextual factors may promote healthier decisions within sexual relationships.

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Relationship Dynamics, Ethnicity and Condom Use among Low-Income Women

Abstract: HIV prevention and intervention programs should emphasize birth control discussion between partners and the development of condom-related self-efficacy and negotiation skills, and these programs also should customize prevention messages according to ethnicity and social context.

Cited by 138 publications

References 27 publications

Sisters Empowered, Sisters Aware: Three Strategies to Recruit African American Women for HIV Testing

Sisters Empowered, Sisters Aware: Three Strategies to Recruit African American Women for HIV Testing

Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

Economic Dependence and Unprotected Sex: The Role of Sexual Assertiveness among Young Urban Mothers

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