Condom Use at Last Sex and Sexual Negotiation Among Young African American Women in North Carolina: Context or Personal Agency.

Autor: Osakwe CE; Duke University Global Health Institute, Durham, NC, USA., van der Drift I; Substance Use, Gender, and Applied Research Program, RTI International, 3040 East Cornwallis Road, PO Box 12194, NC, 27709-2194, Durham, USA., Opper CA; Substance Use, Gender, and Applied Research Program, RTI International, 3040 East Cornwallis Road, PO Box 12194, NC, 27709-2194, Durham, USA., Zule WA; Substance Use, Gender, and Applied Research Program, RTI International, 3040 East Cornwallis Road, PO Box 12194, NC, 27709-2194, Durham, USA., Browne FA; Substance Use, Gender, and Applied Research Program, RTI International, 3040 East Cornwallis Road, PO Box 12194, NC, 27709-2194, Durham, USA.; Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA., Wechsberg WM; Substance Use, Gender, and Applied Research Program, RTI International, 3040 East Cornwallis Road, PO Box 12194, NC, 27709-2194, Durham, USA. wmw@rti.org.; Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. wmw@rti.org.; Department of Psychology, North Carolina State University, Raleigh, NC, USA. wmw@rti.org.; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA. wmw@rti.org.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Aug; Vol. 11 (4), pp. 2256-2264. Date of Electronic Publication: 2023 Jul 26.
DOI: 10.1007/s40615-023-01693-4
Abstrakt: 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.
(© 2023. The Author(s).)
Databáze: MEDLINE
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