Self-Silencing and Age as Risk Factors for Sexually Acquired HIV in Midlife and Older Women

Objectives. This study explores the contribution of psychosocial factors on sex behaviors of midlife and older women. Methods. A community-based sample of ethnically diverse women (N = 572) between the ages of 50 and 93 completed standardized measures of self-silencing, self-esteem, sensation seeking behavior, HIV-related stigma behavior, sexual assertiveness, and safer sex behaviors. Results. Results from the regression analysis indicated the model significantly predicted safer sex behaviors (p < .001), with self silencing(â = -.115, p < .05) and age (â = .173, p < .001) as significant predictors.Bivariate correlation analysis indicated an inverse correlation between HIV stigma (p < .05) and safer sex behaviors. Discussion. Implications for further study and practice are discussed to include considerations for development of age- and gender-appropriate prevention interventions assisting women with interpersonal processes combined with skills for active involvement in addressing high-risk sex behaviors

Developmental psychology · Environmental health · Ethnically diverse · Population · Psychiatry · Psychological intervention · Psychosocial · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Gerontology

• Theory-Based Policy Development for HIV Prevention in Racial/Ethnic Minority Midlife and Older Women

  Robin J Jacobs, Michael N Kane•Journal of Women & Aging•2009

  Incluir item

• Sexuality and HIV/Aids

  Pamela Ross, Áine Humble et al.•Journal of Women & Aging•2013

  Incluir item

• Psychosocial Predictors of Self-Esteem in a Multiethnic Sample of Women Over 50 at Risk for HIV

  Robin J Jacobs, Michael N Kane•Journal of Women & Aging•2011

  Incluir item

• Midlife relationship diversity, sexual fluidity, wellbeing and sexual health from a rural perspective

  Open Access•Linda Kirkman, Virginia Dickson-Swift et al.•Rural Society•2015

  Incluir item

• Advancing the Next Generation of Research on Self-Silencing and Depression

  Open Access•Dana C Jack, Leslie R Brody et al.•Sex Roles•2026

  Incluir item

• Associations of Self-Silencing and Egalitarian Attitudes with HIV Prevention Behaviors Among Latina Immigrant Farmworkers

  Open Access•Daisy Ramírez‐Ortiz, Patria Rojas et al.•Journal of Immigrant and Minority…•2018

  Incluir item

• Female Medical Students' (Silencing the) Self

  Tal Peleg-Sagy, Golan Shahar•Self and Identity•2015

  Incluir item

• Exploring HIV concern in a population of Dominican American women midlife and older

  Open Access•Michelle Odlum, Danielle Piccinini Black et al.•BMC Public Health•2019

  Incluir item

• Feasibility and Acceptability of a Program to Promote Positive Affect, Well-Being and Gender Empowerment in Black Women Living with HIV

  Open Access•Sarah M Bassett, Leslie R Brody et al.•AIDS and Behavior•2021

  Incluir item

• You put yourself at risk to keep the relationship

  Melanie P Moore, Sarah J Javier et al.•Culture Health & Sexuality•2022

  Incluir item

• Self-silencing in school

  Open Access•Brian C Patrick, Sarah Stockbridge et al.•Social Psychology of Education•2019

  Incluir item

• Sexual Behaviors and Perceptions of HIV Risk in a Multiethnic U.S. Sample of Women Who Have Sex with Women

  Robin J Jacobs, Elliot M Sklar et al.•Journal of Social Service Research•2018

  Incluir item

• Bearing (Aguantando) With Intimate Partner Violence

  Open Access•María José Baeza, Joseph P De Santis et al.•Qualitative Health Research•2024

  Incluir item

• Society and the Adolescent Self-Image

  Morris Rosenberg•Society and the Adolescent…•1965

  Incluir item

• Sensation seeking, impulsive decision-making, and risky sex

  Open Access•Lewis Donohew, Rick Zimmerman et al.•Personality and Individual…•2000

  Incluir item

• Why Communication Is Crucial

  Seth M Noar, Kellie Carlyle et al.•Journal of Health Communication•2006

  Incluir item

• A Study of Sexuality and Health among Older Adults in the United States

  Stacy Tessler Lindau, L Phillip Schumm et al.•New England Journal of Medicine•2007

  Incluir item

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

  Hosanna Soler, David M Quadagno et al.•Family Planning Perspectives•2000

  Incluir item

• Application of the Theory of Gender and Power to Examine HIV-Related Exposures, Risk Factors, and Effective Interventions for Women

  Open Access•Gina M Wingood, Ralph J Diclemente•Health Education & Behavior•2000

  Incluir item

• Sensation seeking in England and America

  Marvin Zuckerman, Sybil B G Eysenck et al.•Journal of Consulting and…•1978

  Incluir item

• A Randomized Controlled Trial of an HIV Sexual Risk—Reduction Intervention for Young African-American Women

  Ralph J Diclemente•JAMA•1995

  Incluir item

• Trends in College Binge Drinking During a Period of Increased Prevention Efforts

  Henry Wechsler, Jae Eun Lee et al.•Journal of American College Health•2002

  Incluir item

• Interventions to Reduce HIV/Aids Stigma

  Lisanne Brown, Kate Macintyre et al.•AIDS Education•2003

  Incluir item

• Meta-Analysis of High-Risk Sexual Behavior in Persons Aware and Unaware They are Infected With HIV in the United States

  Gary Marks, Nicole Crepaz et al.•JAIDS Journal of Acquired Immune…•2005

  Incluir item

• Social learning theory

  Albert Bandura•Social learning theory•1977

  Incluir item

• Women and Aging

  Susan Gaylord•Journal of Women & Aging•1989

  Incluir item

• Sexual sensation seeking, reduced concern about HIV and sexual risk behaviour among gay men in primary relationships

  I Crawford, José Romero Serrano et al.•AIDS Care•2003

  Incluir item

• The extent of bisexual behaviour in HIV-infected men and implications for transmission to their female sex partners

  JoLynn P Montgomery, E D Mokotoff et al.•AIDS Care•2003

  Incluir item

• HIV/Aids-related services for women and the rural community context

  Donna Castaneda•AIDS Care•2000

  Incluir item

• Personality and Sexual Risk Taking

  Open Access•Rick H Hoyle, Michele C Fejfar et al.•Journal of Personality•2000

  Incluir item

• Self-Identification as “Down Low” Among Men Who Have Sex with Men (MSM) from 12 US Cities

  Open Access•Richard J Wolitski, Kenneth T Jones et al.•AIDS and Behavior•2006

  Incluir item

• Role Play Assessments of Sexual Assertiveness Skills

  Open Access•Anton M Somlai, Jeffrey A Kelly et al.•AIDS and Behavior•1998

  Incluir item

• Development of a Brief Scale to Measure Aids-Related Stigma in South Africa

  Open Access•Seth C Kalichman, Leickness C Simbayi et al.•AIDS and Behavior•2005

  Incluir item

• From Silencing the Self to Action

  Rosanna F DeMarco, Rosanna F DeMarco Kathleen H Mill Rosanna F DeMarco…•Health Care For Women International•1998

  Incluir item

• Gender Differences in Self-Concept and Psychological Well-Being in Old Age

  Martin Pinquart, Sheiva Sorensen•The Journals of Gerontology…•2001

  Incluir item

• Silencing the Self and Feminist Identity Development

  Open Access•Tricia H Witte, Martin F Sherman•Psychological Reports•2002

  Incluir item

• Predictors of Condom Use and HIV Testing Among Midlife and Older Women Seeking Medical Services

  Open Access•Mary Sormanti, Tazuko Shibusawa•Journal of Aging and Health•2007

  Incluir item

• Correlates of Service Utilization Among Midlife and Older Adults With HIV/Aids

  Open Access•Charles A Emlet, Kathleen J Farkas•Journal of Aging and Health•2002

  Incluir item

• Is Lack of Sexual Assertiveness among Adolescent and Young Adult Women a Cause for Concern

  Vaughn I Rickert, Rupal Sanghvi et al.•Perspectives on Sexual and…•2002

  Incluir item

• Theories on Coping With Loss

  Berna Van Baarsen•The Journals of Gerontology…•2002

  Incluir item

• Marital Quality and Psychological Adjustment to Widowhood Among Older Adults

  Deborah Carr, J S House et al.•The Journals of Gerontology…•2000

  Incluir item

• Measuring Stigma in Older and Younger Adults with HIV/Aids

  Open Access•Charles A Emlet•Research on Social Work Practice•2005

  Incluir item

• The Silencing the Self Scale

  Open Access•Dana Crowley Jack, Diana Dill et al.•Psychology of Women Quarterly•1992

  Incluir item

• Sexual Communication in Relationships

  Open Access•Kathryn Quina, Lisa L Harlow et al.•Sex Roles•2000

  Incluir item

• On the Margin

  Open Access•Hortensia Amaro, Anita Raj•Sex Roles•2000

  Incluir item

• Safer Sex Among HIV+ Women

  Open Access•Jane M Simoni, Karina L Walters et al.•Sex Roles•2000

  Incluir item

• Brief Report

  Open Access•Susan G Sherman, Andrea C Gielen et al.•Sex Roles•2000

  Incluir item

• Gender Roles, Power Strategies, and Precautionary Sexual Self-Efficacy

  Open Access•Lisa Bowleg, Faye Z Belgrave et al.•Sex Roles•2000

  Incluir item

• Partner Influences and Gender‐Related Factors Associated with Noncondom Use Among Young Adult African American Women

  Open Access•Gina M Wingood, Ralph J Diclemente•American Journal of Community…•1998

  Incluir item

• Reinventing fidelity

  Open Access•Laurie J Bauman, Ruth E K Stein et al.•American Journal of Community…•1991

  Incluir item

• Characteristics of women 50 years of age or older with heterosexually acquired Aids

  Barbara Schable, Susan Y Chu et al.•American Journal of Public Health•1996

  Incluir item

• Psychosocial Predictors of Emerging Adults' Risk and Reckless Behaviors

  Open Access•Graham L Bradley, Graham Bradley et al.•Journal of Youth and Adolescence•2002

  Incluir item

• Sexual activity and risk taking in young heterosexual men

  John Bancroft, Erick Janssen et al.•The Journal of Sex Research•2004

  Incluir item

• The Lifetime Cost of Current Human Immunodeficiency Virus Care in the United States

  Bruce R Schackman, Kelly A Gebo et al.•Medical Care•2006

  Incluir item

• Toward an experimental ecology of human development

  Urie Bronfenbrenner•American Psychologist•1977

  Incluir item

• Sensation seeking as an explanation for the association between substance use and HIV-related risky sexual behavior

  Open Access•Seth C Kalichman, Timothy G Heckman et al.•Archives of Sexual Behavior•1996

  Incluir item

• Sexual Assertiveness Scale (SAS) for women

  Patricia J Morokoff, Kathryn Quina et al.•Journal of Personality and Social…•1997

  Incluir item