College Graduation Reduces Vulnerability to STIs/HIV among African-American Young Adult Women

Painter, Julia E.; Wingood, Gina M.; DiClemente, Ralph J.; DePadilla, Lara; Simpson-Robinson, LaShun

doi:10.1016/j.whi.2012.03.001

Cited by 43 publications

(43 citation statements)

References 36 publications

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“…Additionally, previous research has indicated that African-American women with higher educational attainment may be at lower risk for STDs and HIV. 18 Thus, women with higher educational attainment may perceive themselves to be at lower risk for HIV and, consequently, less interested in adopting PrEP as an HIV prevention strategy. These findings are congruent with the recent FDA licensure of PrEP for individuals, including men and women, at high risk for HIV infection.…”

Section: Discussionmentioning

confidence: 99%

Racial Differences and Correlates of Potential Adoption of Preexposure Prophylaxis

Wingood

Dunkle

Camp

et al. 2013

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Objective To examine the association between sociodemographic factors, sexual behaviors, and social factors on potential uptake of PrEP among African-American and White adult women in the United States. Methods Participants were recruited through a nationally representative random-digit dial telephone household survey. Participants comprised a nationally representative random sample of unmarried African-American (N=1068) and White women (N=441) aged 20–44. Interviews were conducted using computer-assisted telephone interviewing technology. Bivariate and multivariate analyses examined the relationship between sociodemographics, sexual behaviors, and social influences on women’s potential uptake of PrEP. Results In multivariate analyses, women with lower educational status, greater lifetime sexual partners, provider recommendations supportive of PrEP, and peer norms supportive of PrEP use were more likely to report potential PrEP uptake. Racial analyses revealed that compared to White women, African-American women were significantly more likely to report potential use of PrEP (aOR=1.76; p ≤ 0.001), more likely to report use PrEP if recommended by a healthcare provider (aOR=1.65; p≤0.001), less likely to report that they would be embarrassed to ask a healthcare provider for PrEP (aOR=0.59; p ≤ 0.05) and more likely to report use of PrEP if their female friends also used PrEP (aOR=2.2; p ≤ 0.001). The potential cost for PrEP was identified as a barrier to adoption by both African-American and White women. Conclusions Findings suggest that women at increased risk for HIV, including those with less education and greater number of sexual partners, may be more likely to use PrEP, although cost may serve as a barrier.

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Section: Discussionmentioning

confidence: 99%

Racial Differences and Correlates of Potential Adoption of Preexposure Prophylaxis

Wingood

Dunkle

Camp

et al. 2013

JAIDS Journal of Acquired Immune Deficiency Syndromes

Self Cite

View full text Add to dashboard Cite

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“…Studies that have examined the link between educational attainment and HIV/STI risk in the USA have provided mixed evidence. Some studies find a protective association, 30,31 other studies find no associations, [32][33][34] and others find education is associated with increased risk. 35 Our results demonstrate that analyses of the association between HIV/STI-related behaviors and women's SES can yield different results depending on whether SES is measured in absolute terms or relative to the male partner.…”

Section: Sensitivity Analysis and Falsification Testsmentioning

confidence: 99%

Importance of Women’s Relative Socioeconomic Status within Sexual Relationships in Communication about Safer Sex and HIV/STI Prevention

2015

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The socioeconomic status (SES) of women is increasingly considered an important factor for HIV/STI risk. The HIV/STI literature has largely focused on women's absolute levels of SES, and therefore, the importance of their SES relative to their male sexual partners remains understudied. This paper examines the association between women's relative SES and frequency of safer sex communication among heterosexual couples. A convenience sample of 342 couples (N = 684) recruited in New York City was asked about frequency of discussions with their partner about the need to use male condoms, about HIV prevention, and about STI prevention in the previous 90 days. Differences between partners in education, income, employment, housing, and incarceration history were combined using principal component analysis to form an index of women's relative SES. Negative binomial regression models assessed associations between woman's relative SES and communication frequency controlling for age, sex, race, ethnicity, education, and relationship type using a generalized estimating equation framework. On average, participants had 2.5, 4.2, and 4.8 discussions regarding the need to use male condoms, about HIV prevention, and about STI prevention, respectively. A one standard deviation increase in a woman's relative SES score was associated with increased frequency of discussions about male condom use (adjusted rate ratio [aRR], 1.15; 95% confidence interval [CI], 1.03-1.29), about HIV prevention (aRR, 1.25; CI, 1.14-1.37), and about STI prevention (aRR, 1.29; CI, 1.18-1.41). Women's relative SES may be an important factor for sexual communication, and further research on its role in HIV/STI risk may uncover avenues for intervention.

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“…Black women are 20 times more likely to be infected with HIV than women in other racial/ethnic groups [25]. HIV incidence is further complicated by educational disparities because young Black women with a college degree are 73% less likely to report STI and HIV diagnoses than young Black women without a college degree [26]. Furthermore, having less than a college education may directly influence young Black women’s economic status, by increasing the likelihood of living in poverty.…”

Section: Introductionmentioning

confidence: 99%

Intimate Partner Violence and PrEP Acceptability Among Low-Income, Young Black Women: Exploring the Mediating Role of Reproductive Coercion

et al. 2017

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A few studies suggest that women who experience intimate partner violence (IPV) are willing to use pre-exposure prophylaxis (PrEP), but no research has examined mediators of this relationship. The current study used path analysis to examine a phenomenon closely associated with IPV: reproductive coercion or explicit male behaviors to promote pregnancy of a female partner without her knowledge or against her will. Birth control sabotage and pregnancy coercion—two subtypes of reproductive coercion behaviors—were examined as mediators of the relationship between IPV and PrEP acceptability among a cohort of 147 Black women 18 to 25 years of age recruited from community-based organizations in an urban city. IPV experiences were indirectly related to PrEP acceptability through birth control sabotage (indirect effect=0.08; p<0.05), but not to pregnancy coercion. Findings illustrate the importance of identifying and addressing reproductive coercion when assessing whether PrEP is clinically appropriate and a viable option to prevent HIV among women who experience IPV.

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College Graduation Reduces Vulnerability to STIs/HIV among African-American Young Adult Women

Cited by 43 publications

References 36 publications

Racial Differences and Correlates of Potential Adoption of Preexposure Prophylaxis

Racial Differences and Correlates of Potential Adoption of Preexposure Prophylaxis

Importance of Women’s Relative Socioeconomic Status within Sexual Relationships in Communication about Safer Sex and HIV/STI Prevention

Intimate Partner Violence and PrEP Acceptability Among Low-Income, Young Black Women: Exploring the Mediating Role of Reproductive Coercion

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