Sexual Risk and Protective Behaviors Among Reproductive-Aged Women in the United States

Aholou, Tiffiany; McCree, Donna Hubbard; Oraka, Emeka; Jeffries, William L.; Rose, Charles E.; DiNenno, Elizabeth; Sutton, Madeline Y.

doi:10.1089/jwh.2016.6224

Cited by 19 publications

(26 citation statements)

References 39 publications

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“… 16 Aholou et al found that black women were more likely to have partners who they perceived to be nonmonogamous and were more likely than women of other racial groups to report protective behaviors such as condom use at last vaginal or anal sex. 15 This is consistent with other studies that have described higher rates of condom use among black women, 17 , 18 suggesting that other social and structural factors contribute to HIV acquisition risk for these women. 16 …”

Section: Resultssupporting

confidence: 91%

“… 14 Black women, for example, who may not perceive themselves at risk for HIV have a higher probability of exposure to HIV, despite practicing the same sexual behavior (condom use, number of partners) as other women. 15 Being in a sexual network with higher rates of HIV and STIs coupled with low awareness of partners' status or risk factors, increase the risk of HIV acquisition even with protective sexual behavior. 16 Aholou et al found that black women were more likely to have partners who they perceived to be nonmonogamous and were more likely than women of other racial groups to report protective behaviors such as condom use at last vaginal or anal sex.…”

Section: Resultsmentioning

confidence: 99%

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Optimizing Delivery of HIV Preexposure Prophylaxis for Women in the United States

Aaron

Blum

Seidman

et al. 2018

AIDS Patient Care and STDs

117

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Preexposure prophylaxis (PrEP) is a highly effective HIV prevention method; however, it is underutilized among women who are at risk for acquisition of HIV. Women comprise one in five HIV diagnoses in the United States, and significant racial disparities in new HIV diagnoses persist. The rate of new HIV diagnoses among black and African American women in 2015 was 16 times greater than that of white women. These disparities highlight the importance of HIV prevention strategies for women, including the use of PrEP. PrEP is the first highly effective HIV prevention method available to women that is entirely within their control. However, because so few women who may benefit from PrEP are aware of it, few women's healthcare providers offer PrEP to their patients, PrEP has not yet achieved its potential to reduce HIV infections in women. This article describes individual and systemic barriers for women related to the uptake of PrEP services; explains how providers can identify women at risk for HIV; reviews how to provide PrEP to women; and outlines client-centered models for HIV prevention services. Better access to culturally acceptable and affordable medical and social services may offer support to women for consistent and ongoing use of PrEP. This discussion may be used to inform HIV prevention activities for women and guide interventions to decrease racial/ethnic disparities in rates of HIV infection among US women.

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Section: Resultssupporting

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Optimizing Delivery of HIV Preexposure Prophylaxis for Women in the United States

Aaron

Blum

Seidman

et al. 2018

AIDS Patient Care and STDs

117

View full text Add to dashboard Cite

show abstract

“…Dismantling faulty perceptions about black women's sexuality is key because it perpetuates a view of black women as more “promiscuous,” “irresponsible,” or “reckless” than women of other races/ethnicities, despite research findings that demonstrate otherwise. 6 , 8 , 9 These stereotypes have the potential to bias the research agenda away from addressing SDH to a disproportionate focus on individual behavior. Similarly, these stereotypes create the potential for misperceptions to influence practitioners' assumptions about, interactions with, and recommendations or treatment plans for black women, even outside of the practitioners' awareness or intent.…”

Section: Perceptions Of Black Women's Sexualitymentioning

confidence: 99%

“…The causes of these disparities are complex, extend beyond individual risk behaviors (e.g., condom use), and include social and structural factors, such as inequitable access to health care, stigma, and higher community levels of some sexually transmitted infections (STIs) that increase HIV risk. 6 , 7 Compared with women in other racial/ethnic groups, black women report higher levels of condom use during heterosexual intercourse, 6 , 8 , 9 the primary mode of HIV transmission among women. 4 This underscores that the socioecological environments in which risk behaviors occur may increase black women's risk for HIV infection.…”

Section: Introductionmentioning

confidence: 99%

Effectively Addressing Human Immunodeficiency Virus Disparities Affecting US Black Women

et al. 2018

Self Cite

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Black women have disproportionately higher rates of human immunodeficiency virus (HIV) infection, and low percentages being linked to care and becoming virally suppressed, compared with women of other races/ethnicities. To date, few evidence-based HIV prevention and care interventions tailored for black women exist. We highlight three essential factors to consider in designing culturally and gender-appropriate studies to address HIV-related disparities affecting black women: (1) social determinants of HIV risk, (2) determinants of equity, and (3) perceptions of black women's sexuality. Synergy between a strong evidence base and developing strong partnerships could accelerate progress toward HIV-related health equity for black women.

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“…Although research has demonstrated links between HIV/STI transmission, and social and individual-level factors such as drug and condom use, few have examined unique connections between individual, interpersonal, and environmental experiences on HIV/STI-associated behaviors and sexual health outcomes concurrently. 15,16 Contextualizing these factors and experiences is essential for promoting comprehensive sexual health and wellness strategies that address outcomes across the life span and are inclusive of HIV/-STI prevention and treatment interventions and policies.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Trauma, Violence, and Stress on Sexual Health Outcomes Among Female Clinic Clients in a Small Northeastern U.S. Urban Center

Leblanc

Alexander

Carter

et al. 2020

Women's Health Reports

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Background: Threats to sexual health can emerge across one's life span and are influenced by individual and interpersonal experiences, as well as certain environmental exposures. Although previous research has recognized the importance of ecological frameworks to understand the complexity of health and behaviors in marginalized communities, there continues to be a dearth of research that truly utilizes this perspective to gain insight into the multifaceted factors that can concurrently influence threats to sexual health among women. Methods: A sample of 279 ethnoracially diverse women were recruited from a U.S. northeastern small urban center health clinic to participate in a parent study on trauma and immunity. A hierarchical block analysis was conducted to investigate associations between women's experiences of trauma, stress and violence (i.e., childhood trauma (CHT), intimate partner violence (IPV), neighborhood stressors), and sexual health outcomes and behaviors (i.e., lifetime sexually transmitted infection [STI] diagnosis, concurrent partnerships, and lifetime sex trading). Results: In the full hierarchical model, IPV and life stress trauma were associated with lifetime sex trading and partner concurrency. Also in the full model, sexual CHT was associated with lifetime STI acquisition and partner concurrency, while emotional CHT was associated with lifetime sex trading. Lastly, as neighborhood disorder increased, so did the number of lifetime sex trading partners. Conclusion: Sexual health assessments in clinical and community settings require a holistic, comprehensive, and meaningful approach to inform person-centered health promotion intervention. Prevention and treatment interventions require a focus on parents and families, and should assist adolescents and young adults to adopt therapies for healing from these experiences of trauma, violence, and stress. Interventions to enhance sexual health promotion must also include the following: advocacy for safe environments, social policy that addresses lifelong impacts of CHT, and fiscal policy that addresses economic vulnerability among women and threatens sexual health. Further recommendations are discussed.

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Sexual Risk and Protective Behaviors Among Reproductive-Aged Women in the United States

Cited by 19 publications

References 39 publications

Optimizing Delivery of HIV Preexposure Prophylaxis for Women in the United States

Optimizing Delivery of HIV Preexposure Prophylaxis for Women in the United States

Effectively Addressing Human Immunodeficiency Virus Disparities Affecting US Black Women

The Effects of Trauma, Violence, and Stress on Sexual Health Outcomes Among Female Clinic Clients in a Small Northeastern U.S. Urban Center

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