Relationship power, condom use and HIV risk among women in the USA

Pulerwitz, Julie; Amaro, Hortensia; Jong, Wouter; Gortmaker, Steven L.; Rudd, Rima

doi:10.1080/0954012021000031868

Cited by 472 publications

(421 citation statements)

References 26 publications

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“…The divergent results for the relationship control subscale have also been noted in recent studies 60,61 and may indicate that it is capturing more than one construct. Prior studies have found higher total SRPS scores to be associated with fewer unprotected sexual occasions in a community sample 13 and substance abuse treatment-seeking sample. 14 The current findings support the use of multidimensional domains of power to better understand and disentangle heterosexual power dynamics in the context of sexual risk behavior.…”

Section: Discussionmentioning

confidence: 86%

“…8,9 Gendered relationship power, herein referred to as relationship power, is a multidimensional construct with roots in individual empowerment, interpersonal dominance, and macrolevel social and structural factors, such as gender norms and economic practices favoring men. 10,11 Although research has examined the association between relationship power and sexual risk, 12,13 it has been hampered by inconsistent measurement 10 and a lack of differentiation among conceptual domains of relationship power.…”

Section: Introductionmentioning

confidence: 99%

“…Studies conducted in the USA found positive associations between sexual power, as measured by the total SRPS score, and condom use. 13,14 Using data collected from a sample of women with substance abuse disorders, mental health disorders, and a history of trauma (and a part of the larger Substance Abuse and Mental Health Services Administration Women, Co-Occurring Disorders and Violence Study), Amaro and colleagues 14 showed that women with higher relationship power were less likely to have unprotected sex. Several international studies (i.e., Haiti, South Africa) using an adapted 12-item SRPS measure 26 or a subset of SRPS questions 27,28 found mixed results.…”

Section: Introductionmentioning

confidence: 99%

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Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

et al. 2009

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Relationship power has been highlighted as a major factor influencing women's safer sex practices. Little research, however, has specifically examined relationship power in drug-involved women, a population with increased risk for HIV transmission. Using baseline data from a National Institute on Drug Abuse Clinical Trials Network multisite trial of a women's HIV prevention intervention in communitybased drug treatment programs, this paper examined the association between sexual relationship power and unprotected vaginal or anal sex. The Sexual Relationship Power Scale, a measure of relationship control and decision-making dominance, was used to assess the association between power and unprotected sex in relationships with primary male partners. It was hypothesized that increased relationship power would be associated with decreased unprotected sexual occasions, after controlling for relevant empirical and theoretical covariates. Findings show a more complex picture of the association between power and sexual risk in this population, with a main effect in the hypothesized direction for decision-making dominance but not for relationship control. Possible explanations for these findings are discussed, and future research directions for examining power constructs and developing interventions targeting relationship power among drug-involved women are suggested.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

et al. 2009

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“…In addition, findings from a growing body of research suggest that relationship factors and dynamics may be important determinants of condom use behavior, including relationship status or type; 9,26,27 relationship duration; 26,27 commitment; 28,29 power; [30][31][32][33] communication with sexual partners; 34-37 sexual decision-making; 27,30,38,39 and partner reactions to condoms. 38,40 Examining these factors in a sample of Latino men is important because of cultural characteristics that may be particularly salient to this population.…”

Section: Conceptual Backgroundmentioning

confidence: 99%

Correlates of Condom Use Intentions and Behaviors Among a Community-Based Sample of Latino Men in Los Angeles

Harvey

Henderson²

2006

J Urban Health

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HIV/AIDS has disproportionately affected Latino communities. The majority of research addressing HIV risk behaviors within this population has focused on women. However, men who have sex with women (MSW) are a population increasingly becoming infected with HIV and heterosexual contact is the primary source of HIV transmission among Latinos diagnosed with AIDS. It has been assumed that because men are likely to control condom use, relationship factors are less likely to influence safer sex behavior among men. However, because condom use is an interdependent behavior, understanding factors that predict safer sex behavior among MSW is critical. This study examined the influence of multiple factors on condom use behavior in a community-based sample of young Latino men. Data from 191 Latino men who completed baseline interviews for an intervention were analyzed to examine the association of background, intrapersonal and relationship factors with intentions to use condoms and condom use in the past three months. Findings from multivariate analyses indicated that more positive attitudes toward condoms, stronger partner condom norms and greater participation in decision-making about condom use were significantly associated with both condom use and condom use intentions. Additionally, men reporting lower expectations of negative partner reactions to condom requests were more likely to use condoms, and condom use intentions were higher among men reporting more health protective communication in the relationship. Findings suggest that interventions to prevent HIV need to include men as well as women and address the role of relationship factors and dynamics in safer sex practices.

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“…[8][9][10] Several factors have been found to reduce consistent condom use among heterosexual men regardless of race/ethnicity, including reduced sexual pleasure and concerns about sexual performance, [11][12][13] negative outcome expectancies, 14,15 condom use selfefficacy, [16][17][18][19] attitudes towards condoms, 13,17,19 and risk perceptions. [20][21][22] Condom use also varies by partnership type, 23 relationship duration, 24,25 use of other contraceptive methods, 26,27 and sexual communication, [28][29][30][31] as well as drug and alcohol use. [32][33][34][35] Some qualitative research reports that condoms symbolize infidelity, disease status, and mistrust, which acts as a barrier to continued condom use in long-term and committed relationships.…”

Section: Introductionmentioning

confidence: 99%

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

et al. 2012

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African Americans are overrepresented among heterosexual cases of HIV/ AIDS in the USA. Inconsistent condom use and concurrent partnering are two sexual behaviors driving the heterosexual HIV epidemic in the African American community. To inform the development of an HIV prevention behavioral intervention to decrease concurrent partnering and increase condom use among African American heterosexual men, we conducted formative research, including 61 structured interviews, 5 focus groups with 25 men, and 30 in-depth qualitative interviews between July and December 2009. We used a grounded theoretical approach and categorizing strategies to code and analyze the qualitative data. Results around condom use confirmed earlier findings among heterosexual men in general: condoms diminish pleasure, interfere with erection, and symbolize infidelity. Although valued by some as a form of disease prevention and pregnancy prevention, condoms are often used only with specific types of female partners, such as new or casual partners, or due to visual risk assessment. Sex partner concurrency was described as normative and ascribed to men's "natural" desire to engage in a variety of sexual activities or their high sex drive, with little recognition of the role it plays in the heterosexual HIV epidemic. Fatherhood emerged among many men as a crucial life event and compelling motivation for reducing sexual risk behavior. Based on these results, we conclude that existing HIV prevention efforts to improve attitudes towards and motivate use of condoms either have not reached or have not been successful with African American heterosexual men. In designing behavioral interventions to decrease concurrent partnering and increase condom use, addressing negative attitudes towards condoms and partner risk assessment is critical, as is integrating novel motivational approaches related to identity as fathers and men in the African American community.

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Relationship power, condom use and HIV risk among women in the USA

Cited by 472 publications

References 26 publications

Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

Correlates of Condom Use Intentions and Behaviors Among a Community-Based Sample of Latino Men in Los Angeles

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

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