Sexual Risk Among African American Women: Psychological Factors and the Mediating Role of Social Skills

Curran, Timothy; Monahan, Jennifer L.; Samp, Jennifer A.; Coles, Valerie Berenice; DiClemente, Ralph J.; Sales, jessica

doi:10.1080/01463373.2015.1132241

Cited by 15 publications

(15 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The methods have been described in detail elsewhere. 19,20 Briefly, 560 African American women, aged 17–24, who reported at least three occasions of alcohol consumption and at least one instance of unprotected vaginal sex in the past 90 days, were recruited through street intercept and community outreach in Atlanta, Georgia. At baseline, all participants completed an audio computer-assisted self-interview (ACASI) and provided two vaginal swab specimens, which were assayed for three common STIs: chlamydia, gonorrhea, and trichomoniasis.…”

Section: Methodsmentioning

confidence: 99%

Pregnancy Coercion as a Risk Factor for HIV and Other Sexually Transmitted Infections Among Young African American Women

Capasso

DiClemente

Wingood

2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

Self Cite

View full text Add to dashboard Cite

Background Pregnancy coercion (PC), defined as a restriction of women’s reproductive autonomy, may be associated with increased HIV and sexually transmitted infection (STI) risk. However, there are few empirical studies defining the association between PC and HIV risk, particularly among vulnerable African American women. Setting and methods African American women (N=560), ages 17–24, completed an ACASI interview assessing PC prevalence and its association with HIV/STI risk. Women were screened for prevalent STIs using polymerase chain reaction assays. Multivariate logistic and linear regressions evaluated the association of PC and multiple HIV/STI risk-associated outcomes. Results Women who had experienced PC in the prior three months, relative to those not experiencing PC, were 78% more likely to test positive for an STI [adjusted odds ratio (AOR)=1.78, 95% confidence interval (CI)=1.10 to 2.90]. Among women who experienced PC, odds of noncondom use in their last sexual encounter were 3.45 greater relative to women not experiencing PC (95% CI=1.55 to 7.85). Women who experienced PC had lower condom use intentions (coefficient, −1.31, p=0.002), greater fear of condom negotiation, and perceived more barriers to condom use (coefficients, 3.89 and 5.74, respectively, both p<0.001). Women who experienced PC had 1.98 (95% CI=1.22 to 3.21) and 1.82 (95% CI=1.09 to 3.04) odds of depression and HIV worry relative to women not experiencing PC. Conclusion Among African American women, PC was associated with a range of adverse sexual health outcomes and HIV/STI-related behaviors and attitudes. The findings underscore the need for promoting gender-equitable social norms in HIV prevention interventions.

show abstract

Section: Methodsmentioning

confidence: 99%

Pregnancy Coercion as a Risk Factor for HIV and Other Sexually Transmitted Infections Among Young African American Women

Capasso

DiClemente

Wingood

2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

Self Cite

View full text Add to dashboard Cite

show abstract

“…We conducted a secondary analysis of data from two behavioral HIV prevention trials conducted among young Black women in Atlanta, Georgia. One was conducted among women recruited from sexual health clinics (Sample 1) [31], and one recruited from various community venues (Sample 2) [32]. Neither trial included HIV testing.…”

Section: Methodsmentioning

confidence: 99%

PrEP Eligibility and Interest Among Clinic- and Community-Recruited Young Black Women in Atlanta, Georgia, USA

Sales

Steiner

Brown

et al. 2018

CHR

View full text Add to dashboard Cite

Background: Atlanta has been identified as an HIV “hot spot” for Black women and ranks 5th in the US with new infections. Yet little is known about PrEP eligibility or interest among young Black women in Atlanta. Methods: A convenience sample of 1,261 Black women (ages 14–24 years) were recruited from two settings: community venues and sexual health clinics. They provided self-reported sexual behavior data and specimens for laboratory testing for chlamydia (CT) and gonorrhea (GC) infections. For each woman, the number of key self-reported behavioral HIV risk factors was calculated (0–6 factors for the clinic sample, 0–3 factors for the community sample). A single item assessed PrEP interest in the community sample only. Results: Bacterial STI positivity, an indicator for PrEP eligibility, was 20.5% (17.1% CT, 6.3% GC) and 20.9% (18.8% CT, 5.2% GC) for the clinic and community samples, respectively. Of the 144 STI positive women from the clinic sample, 20.1% reported no behavioral risk indicators and 47.2% reported ≥ 2 behavioral indicators. Of the 117 STI positive women from the community sample, 21.4% reported no behavioral risk indicators. 60.7% of the community sample reported they would be likely or very likely to use PrEP if available. Conclusion: Young Black women in Atlanta, whether sampled from community or sexual health settings, are at substantial risk for HIV infection and meet several PrEP eligibility criteria. Scaling up PrEP among women in Atlanta could have significant implications for HIV in this high burden region.

show abstract

“…Individual level factors also account for the relationship between partner/relationship factors and HIV/STI risk (Waldrop-Valverde et al, 2013). Specifically, partner-related risk has been linked to behavioral outcomes through smoking (Berg et al, 2012), psychological symptoms (French & Neville, 2013), cognitions (Curran et al, 2016), and coping strategies (Nguyen et al, 2010). Conversely, individual factors have also been found to predict partner-related factors, suggesting an interactive contribution between individual and social domains.…”

Section: Individual and Social Factorsmentioning

confidence: 99%

Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

2020

View full text Add to dashboard Cite

Heterosexual African American youth face substantial disparities in sexual health consequences such as HIV and STI. Based on the social ecological framework, the current paper provided a comprehensive, narrative review of the past 14 years of literature examining HIV/STI risk, including risky sexual behavior, among heterosexual African American youth and a conceptual model of risk among this population. The review found that individual psychological and biological factors are insufficient to explain the sexual health disparities faced by this group; instead, structural disadvantage, interpersonal risk, and community dysfunction contribute to the disparity in HIV/STI outcomes directly and indirectly through individual psychological factors. The conceptual model presented suggests that for African American youth, a) HIV/STI risk commonly begins at the structural level and trickles down to the community, social, and individual levels, b) risk works in a positive feedback system such that downstream effects compound the influence of structural risks, and c) contextual and individual risk factors must be considered within the advanced stage of the epidemic facing this population. Despite advanced HIV and STI epidemics among heterosexual African American youth, multisystemic interventions that target structural risk factors and their downstream effects are posited to reduce the disparity among this high-risk population.

show abstract

Sexual Risk Among African American Women: Psychological Factors and the Mediating Role of Social Skills

Cited by 15 publications

References 60 publications

Pregnancy Coercion as a Risk Factor for HIV and Other Sexually Transmitted Infections Among Young African American Women

Pregnancy Coercion as a Risk Factor for HIV and Other Sexually Transmitted Infections Among Young African American Women

PrEP Eligibility and Interest Among Clinic- and Community-Recruited Young Black Women in Atlanta, Georgia, USA

Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

Contact Info

Product

Resources

About