Condom Use Efficacy and Sexual Communication Skills Among African American College Women

2016 ◽  
Vol 19 (2) ◽  
pp. 287-294 ◽  
Author(s):  
Sarah J. Javier ◽  
Jasmine A. Abrams ◽  
Melanie P. Moore ◽  
Faye Z. Belgrave
Keyword(s):  
African American ◽  
Hiv Prevention ◽  
Condom Use ◽  
College Women ◽  
Sexual Communication ◽  
Intervention Effect ◽  
Condom Negotiation ◽  
Prevention Interventions ◽  
The Relationship

Despite condom use being the most protective measure against the transmission of human immunodeficiency virus (HIV), little is known about the intermediary relationships between condom negotiation, assertive sexual communication, and condom use efficacy. The purpose of the current study was to examine the relationships between these constructs within the context of an HIV prevention intervention. We examined two samples of African American college women participating in two HIV prevention interventions, one of which was based on social learning theory ( N = 214). Data collected at intervention posttest and 3-month follow-up were analyzed. Findings revealed that condom use efficacy at posttest fully mediated the relationship between intervention effect and assertive sexual communication at 3-month follow-up. In addition, condom use efficacy at posttest fully mediated the relationship between intervention effect and condom negotiation at 3-month follow-up. Implications of the importance of experiential learning, in combination with behavior observance, on the maintenance of condom protective behaviors are discussed. Findings have the potential to inform clinic and community-based HIV prevention interventions conducted among African American women.

Validation of a Parent-Adolescent Communication Scale for Use in STD/HIV Prevention Interventions

2007 ◽  
Vol 35 (3) ◽  
pp. 332-345 ◽  
Author(s):  
Jessica McDermott Sales ◽  
Robin R. Milhausen ◽  
Gina M. Wingood ◽  
Ralph J. DiClemente ◽  
Laura F. Salazar ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Communication ◽  
Parental Knowledge ◽  
Female Adolescents ◽  
African American Female ◽  
Sex Partners ◽  
Prevention Interventions ◽  
Test Retest Reliability ◽  
Communication Scale

This study reports on the validation of a scale to assess adolescent girls' frequency of sexual communication with their parents. The Parent-Adolescent Communication Scale (PACS) was administered to 522 African American female adolescents ranging in age from 14 to 18. The PACS demonstrated satisfactory internal consistency (across multiple administrations) and acceptable test-retest reliability over a 12-month follow-up period. Concurrently, scores on the PACS were correlated with frequency of sexual communication with partner, sexual communication self-efficacy (boyfriend), perceived parental knowledge, family support, depression, and condom use with steady male sex partners. Prospectively, baseline PACS scores were correlated with frequency of sexual communication with partner and condom use. The present investigation indicates that the PACS is a reliable and valid measure of frequency of sexual communication between female adolescents and their parents. Utility of the PACS for researchers and practitioners is discussed.

Long-Term Effects of HIV Prevention Interventions With African American Crack-Using Women

2006 ◽  
Author(s):  
Wendee M. Wechsberg ◽  
Wendy K. K. Lam ◽  
Rhonda S. Karg ◽  
Kara Riehman ◽  
Kyla M. Sawyer
Keyword(s):  
African American ◽  
Hiv Prevention ◽  
Long Term Effects ◽  
Prevention Interventions ◽  
Hiv Prevention Interventions

scholarly journals Illuminating the Context and Circumstances of Male Couples Establishing a Sexual Agreement in Their Relationship

2016 ◽  
Vol 11 (3) ◽  
pp. 600-609 ◽  
Author(s):  
Jason W. Mitchell ◽  
Ji-Young Lee ◽  
Cory Woodyatt ◽  
José Bauermeister ◽  
Patrick Sullivan ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Convenience Sample ◽  
Male Couples ◽  
Relationship Themes ◽  
Prevention Interventions ◽  
The Individual ◽  
Relationship Factors ◽  
Sexual Exploration ◽  
Skill Building ◽  
The Relationship

A sexual agreement is an explicit mutual understanding made between two partners about which sexual and relational behaviors they agree to engage in within and/or outside of their relationship. Factors that prompt male couples to form a sexual agreement and under what circumstances remain underinvestigated, yet are important considerations for development of couples-based sexual health and HIV prevention interventions. By using thematic analysis with qualitative dyadic data from a convenience sample of 29 HIV-negative male couples, the present study sought to describe the timing and investigate the context and circumstances that led male couples to establish a sexual agreement in their relationship at both the individual and couple levels, and by agreement type. Themes identified for when a sexual agreement was formed included within the first 6 months, and after 6 months in the relationship. Themes related to context and circumstances of couples’ sexual agreement formation were as follows: (a) desire for sexual exploration, (b) arisen circumstances or events with other men, (c) influences from past relationship(s) and/or other couples (i.e., peers), (d) to protect against HIV, and (e) purposeful conversations versus understood. Findings suggest HIV prevention efforts should include skill-building exercises to help improve communication and promote sex positivity within male couples’ relationships.

African-American Adolescents Residing in High-risk Urban Environments Do Use Condoms: Correlates and Predictors of Condom Use Among Adolescents in Public Housing Developments

PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 269-278 ◽  
Author(s):  
Ralph J. DiClemente ◽  
Mark Lodico ◽  
Olga A. Grinstead ◽  
Gary Harper ◽  
Richard L. Rickman ◽  
...  
Keyword(s):  
African American ◽  
High Risk ◽  
Condom Use ◽  
Public Housing ◽  
San Francisco ◽  
African American Adolescents ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Housing Developments

Objective. African-American adolescents living in high-risk inner-city environments have been disproportionately affected by the epidemics of human immunodeficiency virus (HIV) and other sexually transmitted diseases. Understanding the factors that influence the use of condoms by adolescents is critical for developing effective behavioral interventions. The present study examined the demographic, psychosocial, and behavioral correlates of condom use among African-American adolescents residing in public housing developements in an HIV epicenter (San Francisco) and prospectively evaluated the stability of these significant cross-sectional variables to predict consistent condom use. Design. A prospective study. Setting. Two public housing developments in San Francisco. Participants. African-American adolescents and young adults between 12 and 21 years of age were recruited though street outreach and completed a theoretically derived research interview assessing HIV-related knowledge, attitudes, and behaviors. After a 6-month period, adolescents completed a follow-up interview similar to the baseline measure. Among adolescents reporting sexual activity in the 6 months before completing the baseline interview (n = 116), logistic regression analysis evaluated the influence of demographic, psychosocial, and behavioral factors on consistent condom use. Results. Adolescents who had high assertive self-efficacy to demand condom use (adjusted odds ratio [OR], 11), perceived peer norms as supporting condom use (OR, 4.2), had greater impulse control (OR, 3.7), were male (OR, 4.7), and were younger (OR, 2.9) were more likely to report consistent condom use. Frequency of sexual intercourse was inversely related to condom use; adolescents with higher numbers of sexual episodes were less likely to use condoms consistently. Prospective analyses identified the baseline level of condom use as the best predictor of condom use at the 6-month followup Adolescents who were consistent condom users at baseline were 7.4 times as likely to be consistent condom users during the follow-up period. Of those adolescents changing their frequency of condom use during the follow-up interval, significantly more engaged in risky behavior; 33.3% changed from consistent to inconsistent condom use, whereas 20.6% changed from inconsistent to consistent use (OR, 1.6). Conclusions. The findings suggest that HIV prevention programs need to be implemented early, before high-risk behaviors are established and may be more difficult to modify.

An Evaluation of Sisters Informing Healing Living Empowering: Increasing HIV Knowledge Among African American Adolescent Females Using an Evidence-Based HIV Prevention Intervention

2017 ◽  
Vol 10 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Cynthera McNeill ◽  
Nancy George ◽  
Raenita Glover
Keyword(s):  
African American ◽  
Health Education ◽  
Hiv Prevention ◽  
Condom Use ◽  
Adolescent Females ◽  
Evidence Based ◽  
Sexual Health Education ◽  
Hiv Knowledge ◽  
African American Adolescent ◽  
Hiv Epidemic

Background: In Detroit, Michigan, 85% of HIV cases are among African American youth. Approximately 53.4% of African American high school females have had sexual intercourse; 44.7% did not use a condom during the last sexual encounter. School-based sexual health education may be limited regarding HIV prevention. Sexual health education that is culturally and gender-specific is needed to provide knowledge that may impact condom self-efficacy and address the HIV epidemic among African American adolescents in Detroit. Community-based organizations may be used to implement an evidence-based educational intervention. Methods: A 1-group, pretest/posttest design was used to evaluate knowledge of HIV and condom use among 11 African American adolescent females who participated in an evidence-based intervention, Sisters Informing Healing Living Empowering (SIHLE), during 3-hr sessions over 4 consecutive Saturdays. There was 100% attendance among participants for all sessions. Knowledge of HIV and condom use was measured with a 16-item true/false survey before and after the intervention. Results: A significant difference between HIV knowledge at pretest and HIV knowledge at posttest was noted, z = −2.322, p = .02. Conclusion: Nurses and community stakeholders can be instrumental in addressing the HIV epidemic by implementing evidence-based interventions that increase knowledge of HIV prevention and condom use.

Relational correlates of unprotected oral and vaginal sex and among African-American adolescent females

Sexual Health ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 284 ◽  
Author(s):  
Richard A. Crosby ◽  
Dexter R. Voisin ◽  
Ralph J. DiClemente ◽  
Gina M. Wingood ◽  
Laura F. Salazar ◽  
...  
Keyword(s):  
African American ◽  
Self Efficacy ◽  
Protective Factor ◽  
Sexual Communication ◽  
Sexual Relationships ◽  
African American Females ◽  
African American Adolescent ◽  
Condom Negotiation ◽  
Vaginal Sex ◽  
Communication Frequency

ObjectivesTo identify relational correlates of unprotected oral sex (UOS) and vaginal intercourse (UVI) among African-American females. Methods: Participants (n = 715) provided data on demographics, sexual communication self efficacy (SCSE), sexual communication frequency, condom self-efficacy, power in sexual relationships, fear of negotiating condom use, UOS and UVI. Results: Participants reporting low SCSE were 2.5 and 1.6 times more likely to report UOS and UVI respectively. Additionally, participants who reported fear of condom negotiation were 3.1 times more likely to report UVI. Conclusions: Interventions promoting stronger SCSE may be a protective factor against having UOS and UVI among African-American females.

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