Development and Evaluation of a Sexual Decision-Making and Social Skills Program: "The Choice is Yours-Preventing HIV/STDs"

1997 ◽  
Vol 24 (1) ◽  
pp. 87-101 ◽  
Author(s):  
John Noell ◽  
Dennis Ary ◽  
Terry Duncan
Keyword(s):  
Decision Making ◽  
African American ◽  
Risk Behaviors ◽  
Unprotected Sex ◽  
Interactive Videodisc ◽  
Randomized Experiment ◽  
Sexual Decision Making ◽  
Social Skills Program ◽  
Std Risk

A series of interactive videodisc programs designed to reduce HIV/STD risk behaviors was developed and evaluated. Separate programs were developed for each of three race/ethnicities (African American, Hispanic, and Caucasian) at each of two age levels (middle school and high school) using extensive formative procedures. Each program uses scenarios with extensive branching story lines to teach decision-making skills and socially appropriate responses to potentially risky sexual situations. In a randomized experiment with 827 students, significant changes were observed at posttest for the four constructs assessed: (1) belief that sex occurs as a result of decisions (vs. "it just happens"), (2) belief that even a single incident of unprotected sex can result in an STD or pregnancy, (3) intentions and attitudes toward use of condoms, and (4) self-efficacy in remaining abstinent (i.e., avoiding sex). At 30-day follow-up, three of the four measures remained significant.

A Descriptive Study of Empowerment and Sexual Decision Making in HIV-Positive African-American Women

2009 ◽  
Vol 104 (2) ◽  
pp. 482-488 ◽  
Author(s):  
Carrie A. Long ◽  
David E. Vance ◽  
Lauren A. Antia
Keyword(s):  
Decision Making ◽  
African American ◽  
Alcohol Use ◽  
African American Women ◽  
Unprotected Sex ◽  
Hiv Positive ◽  
American Women ◽  
Sexual Decision Making ◽  
Incarceration History ◽  
Sexual Choices

Empowerment, defined as economic opportunity that lessens dependence, is a unique concept that may affect a woman's sexual decision making. In this analysis taken from a larger statewide study, 91 HIV-positive African-American women were administered a survey to assess factors of empowerment in association with sexual choices. Age, incarceration history, and alcohol use were associated with bartering with sex. Incarceration history and alcohol use were associated with having unprotected sex with someone of unknown serostatus.

Impact of alcohol on sexual decision making: Intentions to have unprotected sex

2008 ◽  
Vol 23 (8) ◽  
pp. 909-934 ◽  
Author(s):  
Mark Conner ◽  
Ed Sutherland ◽  
Fiona Kennedy ◽  
Charlotte Grearly ◽  
Catherine Berry
Keyword(s):  
Decision Making ◽  
Unprotected Sex ◽  
Sexual Decision Making

A Qualitative Exploration of Religion, Gender Norms, and Sexual Decision-Making within African American Faith-Based Communities

Sex Roles ◽  
2019 ◽  
Vol 82 (3-4) ◽  
pp. 189-205 ◽  
Author(s):  
Kaitlin N. Piper ◽  
Tyler J. Fuller ◽  
Amy A. Ayers ◽  
Danielle N. Lambert ◽  
Jessica M. Sales ◽  
...  
Keyword(s):  
Decision Making ◽  
African American ◽  
Gender Norms ◽  
Sexual Decision Making ◽  
Faith Based ◽  
Qualitative Exploration

Educating African American men on prostate health and informed decision making: Initial report from a peer-education program in Louisiana.

2011 ◽  
Vol 29 (7_suppl) ◽  
pp. 211-211
Author(s):  
M. M. Robinson ◽  
A. O. Sartor ◽  
L. Jack
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Decision Making ◽  
African American ◽  
African American Men ◽  
Peer Education ◽  
Cancer Control ◽  
Informed Decision ◽  
Informed Decision Making

211 Background: Informed decision making for prostate cancer health is widely endorsed but systematic programs to address this need are sparse. Herein we report initial progress in a statewide effort targeting African American men. Methods: The Louisiana Cancer and Lung Trust Fund Board (LCLTFB) Prostate Cancer Program is funded via a “check box” on the state income tax form, in which a portion of refunds could be allocated for prostate cancer efforts. The LCLTFB partnered with the statewide comprehensive cancer control program to develop a pilot lay program to educate men on prostate informed decision. The program was developed and modeled after “My Brother's Keeper,” a CDC funded program and implemented in five regions of the state. African American men active in the cancer community and regional cancer coalitions were identified as possible trainers for the program. Staff members from “My Brother's Keeper” trained the Cancer Control regional staff, as well as the community trainers in a two day session. Upon completion, the community trainers were charged to go into their community and convene three education sessions. Educational sessions were conducted in local churches, head start centers, men social club meeting, Greek organizational meetings, and labor union meetings. Men attending the session received a short pre- and post-test assessing whether or not they had discussed prostate informed decision making with a health care provider, if they had made an appointment with a health care provider, or was any follow up from the educational session initiated. Results: A total of 250 African American men in Louisiana were educated by the program. Upon followup phone calls, 172 men self-reported that they had initiated some form of follow up as a consequence of the participation. 35 men were unable to be contacted for follow up (number no longer in service or no phone number listed) 43 men (messages left but no returned call). Conclusions: Peer education can engage African American men regarding informed decision making on prostate cancer health issues. More data are needed to verify and determine the type of followup that was initiated after the educational sessions. [Table: see text]

scholarly journals Elevated Sexual Risk Behaviors Among Postincarcerated Young African American Males in the South

2014 ◽  
Vol 9 (2) ◽  
pp. 132-138 ◽  
Author(s):  
JaNelle M. Ricks ◽  
Richard A. Crosby ◽  
Ivy Terrell
Keyword(s):  
African American ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Sexual Risk Behavior ◽  
African American Males ◽  
African American Men ◽  
History Of ◽  
Incarceration History

The dramatic racial disparities in the rates of HIV/STIs(sexually transmitted infections) among African Americans make understanding broader structural factors that increase the risk for HIV/STIs crucial. The current study of young 564 African American men attending STI clinics investigated whether those who had ever been incarcerated reported recent sexual behaviors relatively more risky than their counterparts who had never been incarcerated. Participants were recruited from clinics treating STIs in three southern U.S. cities. Males 15 to 23 years of age who identified as Black/African American and reported recent (past 2 months) sexual activity were eligible. Linear mixed-effects models and generalized estimating equation models were used to assess associations between baseline incarceration history and sexual risk behavior over a 6-month follow-up period. Mean age was 19.6 years ( SD = 1.87). At baseline, 240 (42.6%) men reported history of incarceration. Incarceration history predicted several risk behaviors over a 6-month follow-up period. Compared with those with no incarceration history, men previously incarcerated reported a desire to conceive a pregnancy (β = .40, p = .02), were less likely to have used a condom at last sex act (odds ratio = .91, p = .02) and were more likely to have used drugs and alcohol before sex in the past 2 months (β = .69, p < .001; β = .41, p < .001). A history of incarceration may influence the sexual risk behavior of young African American males. Prevention programs and interventions should intensify support for postincarceration African American males to help mitigate this behavior.

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