HIV Exposure through Heterosexual Contacts: Analysis of Demographic, Behavioral and Structural Risk Factors among Black Men in Ottawa and Windsor, Ontario

We determined the association of demographic, behavioral, and structural factors with risk of HIV exposure through heterosexual contact among Black men in Ottawa (n=210) and Windsor (n=156), Ontario. We applied hierarchical linear regression model in the analysis. Mean HIV exposure risk scores were Windsor (12.08±8.42) and Ottawa (17.16±11.80) in Ottawa (Scale = 48). Age, marriage, employment, masculinity, and condom attitudes were statistically significant (p <0.05). Age groups (15-29 years and 40-49 years), traditional masculine ideology, and negative condom attitudes associated with increased risk of HIV exposure by heterosexual contact. Marriage and full-time employment associated with reduced risk of exposure the ACB heterosexual men.

Condom Attitudes and Condom Use Among First Year College Men Attending A Historically Black Institution

The increased sexually transmitted infection incidence rate for people aged 25 and younger dis-proportionately high, particularly among young African Americans. The purpose of this study was to exam-ine condom use and attitudes over a three-year period among first year college men attending a HistoricallyBlack College/University. A total of 1,117 first year men participated in the study. Condom use at lastsexual encounter was positively related to positive condom attitudes and having gotten someone pregnantwas negatively related to positive condom attitudes during years one and two. Our findings support theneed for the development of effective interventions.

Safer Sex Self-Efficacy Among Women With Experiences of Intimate Partner Violence

Women who have experienced intimate partner violence (IPV) are more likely to engage in risky sexual behaviors that increase the likelihood of adverse sexual health outcomes, including HIV acquisition. This study explored key predictors of safer sex self-efficacy in a sample of racially/ethnically diverse abused women. A total of 173 women were recruited from domestic violence agencies and completed a battery of measures that assessed risk factors associated with HIV risk. Both individual- and relationship-level predictors of safer sex self-efficacy were examined, including IPV, partner dependence, HIV knowledge, condom attitudes, self-esteem, and alcohol use. Hierarchical linear regression analysis results indicated several key predictors for safer sex self-efficacy, including IPV ( B = −0.01, p < .05), partner dependence ( B = −0.45, p < .001), condom attitudes ( B = 0.63, p < .001), and alcohol use ( B = − 0.24, p < .05). It is evident that a number of individual- and relationship-level factors affect the degree of safer sex self-efficacy among abused women. In work with this population, researchers and clinicians should intentionally attend to the identified predictors to most effectively address the needs of these women.

Father 2 Son: The Impact of African American Father–Son Sexual Communication on African American Adolescent Sons’ Sexual Behaviors

Parent–child sexual communication has been associated with reducing adolescent sexual risk behaviors. Limited research on parent–child sexual communication has been conducted on African American (AA) adolescent males who are at increased risk of sexually transmitted infections (STIs) including HIV/AIDS. The purpose of this research was to examine AA father–son sexual communication and the effect of contextual factors on the sexual risk behaviors. The final sample consisted of 96 AA adolescent males, ages 16–21 years. Structural equation modeling was used to examine the variables of interest (neighborhood characteristics, father–son closeness and connectedness, father–son communication, sexual permissiveness, condom attitudes, sexual risk behaviors). A path model was developed and tested. Results demonstrated that AA father–son closeness and connectedness were related to father–son communication. AA father–son communication was negatively related to sons’ permissiveness and positively related to condom attitudes. Sons’ permissiveness positively predicted their sexual risk behaviors. AA sons’ condom attitudes did not negatively or positively predict their sexual risk behaviors. The findings from this study demonstrate that AA father–son communication is an important factor in decreasing AA adolescent males’ sexual risk behaviors and HIV risk.

Preliminary Impacts of an HIV-Prevention Program Targeting Out-of-School Youth in Postconflict Liberia

Adolescents in Sub-Saharan Africa account for greater HIV/STI (human immuno defiency virus/sexually transmitted infection) burdens and difficult-to-reach populations. This study implemented a community-based HIV/STI program to reach at-risk youth aged 15 to 17 years in postconflict Liberia. Using a randomized controlled trial, community youths were assigned to an adapted version of an effective HIV/STI program, Making Proud Choices, or attention-matched comparison curriculum, General Health Program. Both programs were of similar doses, reach and coverage, and administered in classroom settings by trained health educators. The findings suggest that the adapted HIV/STI program had positive effects on knowledge, sexual refusal and condom use self-efficacy, condom negotiation self-efficacy, positive condom attitudes, parental communication about sex, and negative condom attitudes over time. Culturally adapted community-based, behavioral-driven programs can positively affect mediators of sexual behaviors in at-risk adolescents in postconflict settings. This is the first published report of an evidence-based HIV/STI program on sexual risk-taking behaviors of community youths in Liberia.