Inner-city women and AIDS: The psycho-social benefits of unsafe sex

Sobo, Elisa J.

doi:10.1007/bf01379310

Cited by 154 publications

(92 citation statements)

References 36 publications

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“…15,67,68 Simply promoting condom use within intimate relationships could signify mistrust and ultimately threaten relationship stability. [69][70][71][72][73][74][75] Our findings also highlight the importance of assessing relationship and social network dynamics in HIV/STI transmission research. Thus, additional dyadic, qualitative, and mixed methods studies are needed to understand how relationship dynamics can be leveraged by couple-based interventions to enhance risk disclosure, particularly among HIV/STI-discordant couples.…”

Section: Discussionmentioning

confidence: 59%

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

et al. 2014

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Female sex workers (FSWs) acquire HIVand other sexually transmitted infections (STIs) through unprotected sex with commercial and non-commercial (intimate) male partners. Little research has focused on FSWs' intimate relationships, within which condom use is rare. We sought to determine the prevalence and correlates of HIV/STIs within FSWs' intimate relationships in Northern Mexico. From 2010 to 2011, we conducted a crosssectional survey of FSWs and their non-commercial male partners in Tijuana and Ciudad Juárez, Mexico. Eligible FSWs and their verified male partners were aged ≥18 years; FSWs reported lifetime use of heroin, cocaine, crack, or methamphetamine and recently exchanged sex (past month). Participants completed baseline questionnaires and testing for HIV, chlamydia, gonorrhea, and syphilis. We determined the prevalence and correlates of individuals' HIV/STI positivity using bivariate probit regression. Among 212 couples (n=424), prevalence of HIV was 2.6 % (n=11). Forty-two (9.9 %) tested positive for any HIV/STIs, which was more prevalent among women than men (12.7 % vs. 7.1 %, pG0.05). FSWs with regular sex work clients were less likely to test positive for HIV/STIs than those without regular clients. Similarly, male partners of FSWs who had regular clients were 9 % less likely to have HIV/STIs. Higher sexual decision-making power was protective against HIV/STIs for women. Men who recently used methamphetamine or reported perpetrating any conflict within steady relationships were more likely to test positive for HIV/STIs. Within FSWs' intimate relationships in two Mexican-US border cities, nearly one in ten partners tested positive for HIV/STIs. Couple-based prevention interventions should recognize how intimate relationship factors and social contexts influence HIV/STI vulnerability.

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Section: Discussionmentioning

confidence: 59%

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

et al. 2014

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“…Aside from abstinence or a mutually monogamous sexual relationship, correct and consistent condom use offers the best protection against STIs (Centers for Disease Control, 2000). The sociocultural barriers to condom use experienced by men and women at risk for STIs have been documented in a number of studies (Bowleg, 2004;Jones, 2004;Sobo, 1993;Whitehead, 1997;Worth, 1989).…”

Section: Introductionmentioning

confidence: 99%

Withdrawal (Coitus Interruptus) as a Sexual Risk Reduction Strategy: Perspectives from African-American Adolescents

et al. 2008

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This study examined adolescents' beliefs about the benefits and risks of withdrawal (coitus interruptus) with respect to both pregnancy and sexually transmitted infections (STIs). In the course of qualitative interviews with African-American youth aged 14-19 (n = 124) about sexuality and risk, 24 adolescents spontaneously introduced the subject of withdrawal as a sexual risk reduction strategy. Eighteen percent of the sexually experienced adolescents mentioned their own use of withdrawal as a contraceptive method. From adolescents' accounts of their own and

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“…Adherence to traditional scripts may put both women and men at risk for HIV, with men feeling pressured to push for sexual opportunities regardless of safety concerns, and women feeling distanced from their own sexual needs, or finding it difficult to negotiate a male partner's insistence on unprotected sexual encounters effectively (Gupta, 2001;Logan, Cole, & Leukefeld, 2002;Seal & Ehrhardt, 2003;Wagner, Seal, & Ehrhardt 2001;Williams, Gardos, Ortiz-Torres, Tross, & Ehrhardt, 2001). Many women report difficulty negotiating safer sex practices with male partners (Ehrhardt, Exner, Hoffman, Silberman, & Yingling, et al, 2002;Fullilove, Fullilove, Haynes, & Gross, 1990;Gómez & VanOss Marín, 1996;Gupta & Weiss, 1993), at times acquiescing to unsafe sex in order to sustain relationships (or to avoid conflict or abuse) (Sobo, 1993). These actions are partly shaped by unequal economic and social status, which have been found to put women at a distinct disadvantage in terms of negotiating safer sex (Exner et al, 2003;Gupta, 2001).…”

Section: Introductionmentioning

confidence: 99%

Sexual Scripts of Women: A Longitudinal Analysis of Participants in a Gender-Specific HIV/STD Prevention Intervention

2006

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Project FIO (The Future Is Ours) was a three arm randomized controlled HIV prevention intervention trial carried out with heterosexually-active women in a high sero-prevalence area of New York City. The trial was effective and women in the eight-session intervention arm were significantly more likely to report decreased unsafe sex or no unsafe sex compared to controls at one month and one year post-intervention. The current investigation was a qualitative analysis of women's sexual scripts at baseline and one year follow-up for a randomly selected subsample of participants in Project FIO. We examined the domains of sexual initiation, pace setting, sexual decision-making, communication about sexual needs, and the timing of condom introductions in the experimental and control arms at baseline and one year follow-up. At one year follow-up, among both the experimental and control arms, results showed changes away from maledominated and toward female-dominated sexual initiation and sexual decision-making. Among both the experimental and control arms, results also showed that trial participants shifted from a late condom introduction (right before intercourse) toward much earlier mention of condoms (e.g. during a date). The fact that shifts in sexual scripts at one year follow-up occurred in both groups is likely reflective of the degree to which a lengthy assessment interview facilitated comfort with

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Inner-city women and AIDS: The psycho-social benefits of unsafe sex

Cited by 154 publications

References 36 publications

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

Withdrawal (Coitus Interruptus) as a Sexual Risk Reduction Strategy: Perspectives from African-American Adolescents

Sexual Scripts of Women: A Longitudinal Analysis of Participants in a Gender-Specific HIV/STD Prevention Intervention

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