Condom Use at Last Sex and Sexual Negotiation Among Young African American Women in North Carolina
Context or Personal Agency
Bibliographic Data
| ID | 2073012 |
|---|---|
| Authors | Chukwunomso E Osakwe (0009-0004-7251-2846, Duke Institute for Health Innovation, corresponding author), Isa Van Der Drift (0000-0003-1354-2207, RTI International), Claudia A Opper (0000-0001-9039-1612, RTI International), William A Zule (0000-0002-6781-1030, RTI International), F A Browne (0000-0002-4230-2096, RTI International), W M Wechsberg (0000-0002-5146-6463, Department of Health) |
| Year | 2024 |
| Volume | 11 |
| Issue | 4 |
| Pages | 2256-2264 |
| Publication date | 2024-08-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Racial and Ethnic Health Disparities (JOURNAL) |
| Journal identifiers | ISSN: 2196-8837 • E-ISSN: 2197-3792 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s40615-023-01693-4 |
| PMID | 37495904 |
| OpenAlex | W4385269595 |
| Language | EN |
| Citations received | 1 |
| References cited | 78 |
African American women are 10.8 times more likely to be diagnosed with HIV compared with White women. This descriptive study fills a gap by examining associations among social and contextual factors and sexual communication, condom use, and safer sex negotiation among African American women. Study participants between 18 and 25 years of age and who reported recent substance use were recruited from three North Carolina counties. A risk behavior survey was administered via audio computer-assisted self-interview, and logistic regression analyses were conducted to assess associations between social and contextual variables and condom use at last sex with a main partner. Education (AOR: 2.078; 95% CI: 1.214, 3.556), sexual communication with a main partner (AOR: 1.079; 95% CI: 1.050, 1.109), and condom use relationship scale (AOR: 1.059; 95% CI: 1.023, 1.098) were positively associated with condom use at last sex, whereas living with a main partner (AOR: 0.447; 95% CI: 0.210, 0.950) and the alcohol and drug problem scale (AOR: 0.971; 95% CI: 0.944, 0.998) were negatively associated with condom use (p < 0.05). The study findings show that among young African American women at risk for HIV, contextual and personal factors may influence condom use. A socio-ecological approach combining personal empowerment, interpersonal, structural, and biobehavioral strategies is necessary in implementing holistic gender-focused HIV prevention programs
Condom · Context (archaeology · Empowerment · Family medicine · Geography · Human immunodeficiency virus (HIV · Interpersonal communication · Political science · Sociology · Syphilis · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology · Gerontology
Understanding and responding to disparities in HIV and other sexually transmitted infections in African Americans
Implementation Strategies to Increase PrEP Uptake in the South
Partner type and condom use
Racial/Ethnic Group Differences in the Prevalence of Sexually Transmitted Diseases in the United States
Relationship Dynamics, Ethnicity and Condom Use among Low-Income Women
Contextual Factors and the Black-White Disparity in Heterosexual HIV Transmission
Reframing Women's Risk
Poverty, Gender Inequities, and Women's Risk of Human Immunodeficiency Virus/Aids
How to improve the validity of sexual behaviour reporting
Social Context, Sexual Networks, and Racial Disparities in Rates of Sexually Transmitted Infections
The Impact of Racism on the Sexual and Reproductive Health of African American Women
Risk and protective factors of drug abuse among adolescents
An Ecological Perspective on Health Promotion Programs
Between a Rock and a Hard Place
Beyond the syndemic
The Effects of Social Determinants on Black Women’s HIV Risk
HIV Pre-exposure Prophylaxis Use and Persistence among Black Ciswomen
An Analysis of Sex Practices and Behaviors Among African Americans in Sexually Concurrent and Sexually Exclusive Relationships
MHealth versus face-to-face
Severe Food Insecurity, Gender-Based Violence, Homelessness, and HIV Risk among Street-based Female Sex Workers in Baltimore, Maryland
Sexual Risk and Criminal Justice Involvement Among Women Who Use Drugs
Female Condom Use and Adoption Among Men and Women in a General Low-Income Urban U.S. Population
Correlates of HIV Infection Among African American Women from 20 Cities in the United States
Predictors of Consistent Condom Use Among Young African American Women
Derivation of an HIV Risk Score for African Women Who Engage in Sex Work
Alcohol Use as a Marker for Risky Sexual Behaviors and Biologically Confirmed Sexually Transmitted Infections Among Young Adult African-American Women
College Graduation Reduces Vulnerability to STIs/HIV among African-American Young Adult Women
The influence of social determinants on sexual risk among out-of-school African American female adolescents
Alcohol, drug use, and sexual risk among young African American women in North Carolina
Economic Dependence and Unprotected Sex
Importance of Women’s Relative Socioeconomic Status within Sexual Relationships in Communication about Safer Sex and HIV/STI Prevention
Partner Influences and Gender‐Related Factors Associated with Noncondom Use Among Young Adult African American Women
Low Prospects and High Risk
Perceived partner beliefs about condoms and self‐efficacy communication within the context of the theory of gender and power
Sexual and Drug Behavior Patterns and HIV and STD Racial Disparities
Addressing the Unique Needs of African American Women in HIV Prevention
Efficacy of a Woman-Focused Intervention to Reduce HIV Risk and Increase Self-Sufficiency Among African American Crack Abusers
The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women
Reducing disparities and achieving equity in African American women’s health
Food Insecurity, Substance Use, and Sexual Transmission Risk Behavior Among People Living with HIV
African American Women and Aids
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |