Partnership-Level Analysis of African American Women’s Risky Sexual Behavior in Main and Non-Main Partnerships

Michelle Broaddus, Jill Owczarzak, Maria Pacella, Steven Pinkerton, Cassandra Wright

Research output: Contribution to journalArticle

Abstract

The majority of research on risky sexual behavior in African American women has examined global associations between individual-level predictors and behavior. However, this method obscures the potentially significant impact of the specific relationship or relationship partner on risky sexual behavior. To address this gap, we conducted partnership-level analysis of risky sexual behavior among 718 African American women recruited from HIV counseling, testing, and referral sites in four states. Using mixed model regressions, we tested relationships between condomless vaginal intercourse with men and variables drawn from the Theory of Planned Behavior, Theory of Gender and Power, and previous research specifically on sexual risks among African American women. Significant associations with risky sexual behavior indicate the need for continued emphasis on condom attitudes, condom negotiation behaviors, and overcoming partner resistance to condoms within both main and non-main partnerships when implementing interventions designed to address HIV and sexually transmitted infection risks among African American women.

Original languageEnglish (US)
Pages (from-to)2893-2903
Number of pages11
JournalAIDS and behavior
Volume20
Issue number12
DOIs
StatePublished - Dec 1 2016

Keywords

  • African American women
  • Condom negotiation
  • Risky sexual behavior
  • Theory of Gender and Power
  • Theory of Planned Behavior

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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