HIV Sexual Risk Behavior in Older Black Women: A Systematic Review

Smith, Tanyka K.; Larson, Elaine

doi:10.1016/j.whi.2014.09.002

Cited by 25 publications

(14 citation statements)

References 34 publications

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“…However, they included both sexually active and inactive community-dwelling OAs in their analyses, with 50.7% of the sample reporting no sexual behaviors, which likely affected such low condom usage rates. A review of studies conducted with racial/ethnically diverse older women with ages ranging from 50 to 81 found that condom use was infrequent and knowledge of the protective efficacy of condoms was low (Smith & Larson, 2015). Studies cited several reasons for low condom use among diverse older women, including lower education and income levels, low perceived risk, lower condom use self-efficacy, and history of interpersonal violence.…”

Section: Sexual Risk Among Older Adults In the United Statesmentioning

confidence: 99%

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Syme

Cohn

Barnack‐Tavlaris

2016

The Journal of Sex Research

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Sexual risk among older adults (OAs) is prevalent, though little is known about the accuracy of sexual risk perceptions. Thus, the aim was to determine the accuracy of sexual risk perceptions among OAs by examining concordance between self-reported sexual risk behaviors and perceived risk. Data on OAs aged 50 to 92 were collected via Amazon Mechanical Turk. Frequency of sexual risk behaviors (past 6 months) were reported along with perceived risk (i.e., STI susceptibility). Accuracy categories (accurate, underestimated, overestimated) were established based on dis/concordance between risk levels (low, moderate, high) and perceived risk (not susceptible, somewhat susceptible, very susceptible). Approximately half of the sample reported engaging in vaginal (49%) and/or oral sex (43%) without a condom in the past 6 months. However, approximately two-thirds of the sample indicated they were “not susceptible” to STIs. No relationship was found between risk behaviors and risk perceptions, and approximately half (48.1%) of OAs in the sample underestimated their risk. Accuracy was found to decrease as sexual risk level increased, with 93.1% of high risk OAs underestimating their risk. Several sexual risk behaviors are prevalent among OAs, particularly men. However, perception of risk is often inaccurate and warrants attention.

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Section: Sexual Risk Among Older Adults In the United Statesmentioning

confidence: 99%

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Syme

Cohn

Barnack‐Tavlaris

2016

The Journal of Sex Research

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“…Safe spaces are needed for social support and stigma reduction, as well as for HIV testing and treatment (Garcia et al 2015). Gender differences, including masculine ideologies that promote concurrent sexual partnerships and HIV risk behaviours among older Black women, should also be considered (Bowleg et al 2011; Smith and Larson 2015). …”

Section: Discussionmentioning

confidence: 99%

Stakeholder conceptualisation of multi-level HIV and AIDS determinants in a Black epicentre

Brawner

Reason

Hanlon

et al. 2017

Culture, Health & Sexuality

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HIV has reached epidemic proportions among African Americans in the USA but certain urban contexts appear to experience a disproportionate disease burden. Geographic information systems mapping in Philadelphia, indicates increased HIV incidence and prevalence in predominantly Black census tracts, with drastic differences across adjacent communities. What factors shape these geographic HIV disparities among Black Philadelphians? This descriptive qualitative study was designed to refine and validate a conceptual model developed to better understand multi-level determinants of HIV-related risk among Black Philadelphians. We used an expanded ecological approach to elicit reflective perceptions among administrators, direct service providers, and community members about individual, social, and structural factors that interact to protect against or increase the risk for acquiring HIV within their community. Gender equity, social capital, and positive cultural mores (e.g., monogamy, abstinence) were seen as the main protective factors. Historical negative contributory influences of racial residential segregation, poverty, and incarceration were the most salient risk factors. This study was a critical next step toward initiating theory-based, multi-level community-based HIV prevention initiatives.

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“…Additional research is necessary to explore stigma and nondisclosure of sexual behavior by African American men as an HIV prevention effort aimed at decreasing the occurrence of HIV risk for Black women (Smith & Larson, 2014). …”

Section: Discussionmentioning

confidence: 99%

Sexual Protective Strategies and Condom Use in Middle-aged African American Women: A Qualitative Study

Smith¹

2015

Journal of the Association of Nurses in AIDS Care

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The heterosexual transmission of HIV has affected middle-age African American women at alarming rates; yet there is a paucity of research and interventions focused on this population. This study used a qualitative approach to understand middle-age urban African American women’s experiences with HIV-related sexual risk behaviors and to identify the sexual protective strategies they employed to reduce their risk for HIV infection. Ten African American women, ages 45 to 56, were recruited from low-income neighborhoods in New York City. Data were collected using in-depth interviews and analyzed using content analysis. Investigator triangulation and member checking were used to ensure rigor. Five salient themes emerged that highlighted the individual, gender/relationship power factors, and the sociocultural elements that influenced sexual protection or risk-taking behavior. Findings provide new insight into the complexities of HIV sexual risk behavior and can guide future HIV prevention interventions for middle-age, African American, urban women.

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HIV Sexual Risk Behavior in Older Black Women: A Systematic Review

Cited by 25 publications

References 34 publications

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Stakeholder conceptualisation of multi-level HIV and AIDS determinants in a Black epicentre

Sexual Protective Strategies and Condom Use in Middle-aged African American Women: A Qualitative Study

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