Masculinity, condom use self-efficacy and abusive responses to condom negotiation: the case for HIV prevention for heterosexual African-American men

Sexual Health ◽  
2013 ◽  
Vol 10 (5) ◽  
pp. 467 ◽  
Author(s):  
Jerris L. Raiford ◽  
Puja Seth ◽  
Nikia D. Braxton ◽  
Ralph J. DiClemente
Keyword(s):  
African American ◽  
Condom Use ◽  
Self Efficacy ◽  
African American Men ◽  
Masculine Norms ◽  
Hiv Interventions ◽  
Female Partners ◽  
Condom Negotiation ◽  
Sexually Transmissible Infections ◽  
Condom Use Skills

Background This study explored the role of masculinity and perceived condom use skills in African-American men’s abusive response to female partners’ condom requests. Methods: Eighty African-American men aged 18–29 years completed measures on sexual behaviour, responses to condom requests, condom use self-efficacy and other masculine constructs. Men also were tested for sexually transmissible infections. Results: Men’s condom use self-efficacy explained 16.5% of the variance in abusive response to condom requests, beyond demographics and masculine constructs. The full model accounted for 63% of the variance. Conclusions: Many HIV interventions with women encourage condom negotiation. Findings highlight the need to address men’s condom use skills and masculine norms.

scholarly journals Concurrent partnering and condom use among rural heterosexual African-American men

Sexual Health ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 81 ◽  
Author(s):  
JaNelle M. Ricks ◽  
Angelica Geter ◽  
Richard A. Crosby ◽  
Emma Brown
Keyword(s):  
African American ◽  
Condom Use ◽  
African American Men ◽  
Consistent Condom ◽  
Sexual Risk Behaviour ◽  
Eastern United States ◽  
Cross Sectional Survey ◽  
Consistent Condom Use ◽  
Cross Sectional ◽  
Concurrent Partnerships

Background Limited research has targeted HIV risk among heterosexual African-American men in the rural south-eastern United States. Methods: A cross-sectional survey was administered to 538 men to assess HIV knowledge, attitudes towards HIV testing and sexual risk behaviour. Results: Fifty-one percent reported consistent condom use in the past 3 months. Monogamous men reported more consistent condom use (t = 3.47, d.f. = 536, P < 0.001). In concurrent partnerships, condom use was inversely related to age (adjusted odds ratio (AOR) = 0.98, 95% confidence interval (CI) = 0.95–0.998, P = 0.03) and increased with the number of female partners (AOR = 1.49, 95% CI = 1.26–1.76, P < 0.001). Conclusions: African-American HIV prevention outreach should include focus on concurrent partnering in rural settings.

Acceptability, Feasibility, and Preliminary Efficacy of a Theory-Based Relational Embodied Conversational Agent Mobile Phone Intervention to Promote HIV Medication Adherence in Young HIV-Positive African American MSM

2019 ◽  
Vol 31 (1) ◽  
pp. 17-37 ◽  
Author(s):  
Mark S. Dworkin ◽  
Sangyoon Lee ◽  
Apurba Chakraborty ◽  
Colleen Monahan ◽  
Lisa Hightow-Weidman ◽  
...  
Keyword(s):  
African American ◽  
Health Literacy ◽  
Pilot Study ◽  
Self Efficacy ◽  
African American Men ◽  
Personal Health ◽  
Conversational Agent ◽  
Embodied Conversational Agent ◽  
African American Msm

An embodied conversational agent can serve as a relational agent and provide information, motivation, and behavioral skills. To evaluate the feasibility, acceptability, and preliminary efficacy of My Personal Health Guide, a theory-based mobile-delivered embodied conversational agent intervention to improve adherence to antiretroviral therapy in young African American men who have sex with men, we conducted this prospective pilot study using a 3-month pre–post design. Outcome measures included adherence, acceptability, feasibility, pre versus post health literacy, and pre versus post self-efficacy. There were 43 participants. Pill count adherence > 80% improved from 62% at baseline to 88% at follow-up (p = .05). The acceptability of the app was high. Feasibility issues identified included loss of usage data from unplanned participant app deletion. Health literacy improved whereas self-efficacy was high at baseline and follow-up. This pilot study of My Personal Health Guide demonstrated acceptability and preliminary efficacy in improving adherence in this important population.

Psychological Effects of Abuse, Partner Pressure, and Alcohol: The Roles of in-the-Moment Condom Negotiation Efficacy and Condom-Decision Abdication on Women’s Intentions to Engage in Condomless Sex

2019 ◽  
pp. 088626051985716 ◽  
Author(s):  
Elizabeth C. Neilson ◽  
Amanda K. Gilmore ◽  
Cynthia A. Stappenbeck ◽  
Natasha K. Gulati ◽  
Erin Neilon ◽  
...  
Keyword(s):  
Condom Use ◽  
Self Efficacy ◽  
Low Pressure ◽  
Psychological Effects ◽  
Pressure Condition ◽  
Women’S Experiences ◽  
Condomless Sex ◽  
Condom Negotiation ◽  
Women's Experiences ◽  
The Moment

Women’s experiences of intimate partner violence (IPV) from their male partners can include psychological, physical, and sexual control and abuse. The psychological effects of abuse (PEA) include terror, shame, and loss of power and control in relationships. While women’s experiences of IPV are associated with decreased condom use, limited research has examined the impact of PEA on women’s condom use. Intoxicated (breath alcohol content [BrAC] = .10%) versus sober women were evaluated to test the hypothesis that PEA would interact with intoxication and scenario-context partner pressure to forgo condom use and be associated with intentions to engage in condomless sex. After beverage administration, community women ( N = 405) projected themselves into a computerized scenario depicting a male partner exerting high or low pressure for condomless sex. In-the-moment condom negotiation self-efficacy and condom-decision abdication—letting the man decide on condom use—were assessed. Path analysis examined the direct and indirect effects of PEA, alcohol, and partner pressure conditions on condomless sex intentions. PEA increased condomless sex intentions indirectly through decreased condom negotiation self-efficacy. Intoxication increased condomless sex intentions indirectly through decreased condom negotiation self-efficacy and increased condom-decision abdication. Intoxicated women in the low pressure condition were more likely to abdicate the condom decision than women in the high pressure condition. Women who have experienced greater PEA may benefit from interventions focusing on how condom negotiation self-efficacy, condom-decision abdication, and intoxication influence sexual decision-making.

scholarly journals Associations of psychosocial factors with fruit and vegetable intake among African-Americans

2007 ◽  
Vol 10 (7) ◽  
pp. 701-711 ◽  
Author(s):  
Joanne L Watters ◽  
Jessie A Satia ◽  
Joseph A Galanko
Keyword(s):  
African American ◽  
African Americans ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
African American Men ◽  
Predisposing Factors ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
Enabling Factors

AbstractObjectiveTo examine associations of various psychosocial factors with fruit and vegetable intake in African-American adults.MethodsA cross-sectional survey of a population-based sample of 658 African-Americans, aged 18–70 years, in North Carolina. Information was collected on diet-related psychosocial (predisposing, reinforcing and enabling) factors based on the PRECEDE (Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation) planning framework; demographic, lifestyle and behavioural characteristics, and fruit and vegetable intake.ResultsThe mean participant age was 43.9 years (standard deviation 11.6), 57% were female and 76% were overweight/obese. Participants expressed healthy beliefs regarding many of, but not all, the psychosocial factors. For example, although half of the respondents believed it is important to eat a diet high in fruits/vegetables, only 26% knew that ≥ 5 daily servings are recommended. The strongest associations of the psychosocial factors with fruit/vegetable intake were for predisposing factors (e.g. belief in the importance of a high fruit/vegetable diet and knowledge of fruit/vegetable recommendations) and one reinforcing factor (social support), with differences between the healthiest and least healthy responses of 0.5–1.0 servings per day. There was evidence of effect modification by gender in associations between psychosocial factors and fruit/vegetable consumption (e.g. self-efficacy was only significant in women), with higher intakes and generally healthier responses to the psychosocial variables in women than men.ConclusionsInterventions to increase fruit/vegetable intake in African-Americans may be more effective if they focus primarily on predisposing factors, such as knowledge, self-efficacy and attitudes, but not to the exclusion of reinforcing and enabling factors. The psychosocial factors that are targeted may also need to be somewhat different for African-American men and women.

Prostate Cancer in African American Men: Increasing Knowledge and Self-Efficacy

1995 ◽  
Vol 12 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Susan Boehm ◽  
Patricia Coleman-Burns ◽  
Elizabeth A. Schlenk ◽  
Martha M. Funnell ◽  
Jeanne Parzuchowski ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Self Efficacy ◽  
African American Men ◽  
Increasing Knowledge

Relational correlates of unprotected oral and vaginal sex and among African-American adolescent females

Sexual Health ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 284 ◽  
Author(s):  
Richard A. Crosby ◽  
Dexter R. Voisin ◽  
Ralph J. DiClemente ◽  
Gina M. Wingood ◽  
Laura F. Salazar ◽  
...  
Keyword(s):  
African American ◽  
Self Efficacy ◽  
Protective Factor ◽  
Sexual Communication ◽  
Sexual Relationships ◽  
African American Females ◽  
African American Adolescent ◽  
Condom Negotiation ◽  
Vaginal Sex ◽  
Communication Frequency

ObjectivesTo identify relational correlates of unprotected oral sex (UOS) and vaginal intercourse (UVI) among African-American females. Methods: Participants (n = 715) provided data on demographics, sexual communication self efficacy (SCSE), sexual communication frequency, condom self-efficacy, power in sexual relationships, fear of negotiating condom use, UOS and UVI. Results: Participants reporting low SCSE were 2.5 and 1.6 times more likely to report UOS and UVI respectively. Additionally, participants who reported fear of condom negotiation were 3.1 times more likely to report UVI. Conclusions: Interventions promoting stronger SCSE may be a protective factor against having UOS and UVI among African-American females.

scholarly journals Self-Rated Health and Health Care Access Associated With African American Men’s Health Self-Efficacy

2015 ◽  
Vol 11 (5) ◽  
pp. 1385-1387 ◽  
Author(s):  
Terry Thompson ◽  
Jamie A. Mitchell ◽  
Vicki Johnson-Lawrence ◽  
Daphne C. Watkins ◽  
Charles S. Modlin
Keyword(s):  
Health Care ◽  
African American ◽  
Health Insurance ◽  
Health Care Access ◽  
Self Efficacy ◽  
African American Men ◽  
Good Care ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Care Access

Health self-efficacy, a measure of one’s self-assurance in taking care of their own health, is known to contribute to a range of health outcomes that has been under examined among African American men. The purpose of this investigation was to identify and contextualize predictors of general health self-efficacy in this population. A cross-sectional sample of surveys from 558 African American was examined. These men were older than 18 years, could read and write English, and attended a hospital-based community health fair targeting minority men in 2011. The outcome of interest was health self-efficacy, which was assessed by asking, “Overall, how confident are you in your ability to take good care of your health?” Responses ranged from 1 ( not confident at all) to 5 ( completely confident). Covariates included age, self-rated health, health insurance status, having a regular physician, and being a smoker. The mean age of participants was 54.4 years, and 61.3% of participants indicated confidence in their ability to take good care of their health. Older age and being a smoker were inversely associated with the outcome. Good self-rated health, having health insurance, and having a regular doctor were positively associated with reports of health self-efficacy. Findings suggest that multiple points of connection to the health care system increase the likelihood of health self-efficacy for this sample and interventions to support older African American men who may evaluate their own health status as poor and who may face barriers to health care access are implicated.

scholarly journals Condom Use in the Context of Main and Casual Partner Concurrency: Individual and Relationship Predictors in a Sample of Heterosexual African American Men

2016 ◽  
Vol 11 (3) ◽  
pp. 585-591 ◽  
Author(s):  
Megan R. Hicks ◽  
Steven M. Kogan ◽  
Junhan Cho ◽  
Assaf Oshri
Keyword(s):  
African American ◽  
Condom Use ◽  
Sexually Transmitted Infections ◽  
African American Men ◽  
Casual Partner ◽  
Inconsistent Condom ◽  
Main Partner ◽  
Sexually Transmitted ◽  
Sexual Concurrency ◽  
Inconsistent Condom Use

Researchers have identified engagement in sexual concurrency, particularly when condom use is inconsistent, as a risk factor for HIV and other sexually transmitted infections. This risk is particularly salient in rural communities in which dense interconnection of sexual networks can promote the spread of sexually transmitted infections. The authors investigated individual and relationship factors that predict inconsistent condom use in the context of main and casual partner sexual concurrency among 176 rural African American men. The individual psychosocial factors investigated included impulsivity and anger/hostility. Relationship variables included fidelity expectations, criticism from partners, and relationship control in both main and casual relationships. No individual risk factors were associated with main partner inconsistent condom use; however, impulsivity and anger/hostility positively predicted inconsistent condom use with a casual partner. Relationship control in the main partnership predicted inconsistent condom use with the main partner. Criticism from the main partner positively predicted inconsistent condom use with a casual partner. Finally, expectations for a casual partner’s fidelity positively predicted inconsistent condom use with that partner. These findings underscore the importance of considering the influence of one sexual partnership on behavior in another and of taking this complexity into account in the development of preventive interventions.

scholarly journals When Spreading HIV May Matter Most: The Unclassifiable Sexual Non-Identity Of Adolescent African American MSMW On Their Journey To Testing

2014 ◽  
Vol 5 (2) ◽  
pp. 109-116
Author(s):  
Deymon X. Fleming ◽  
James A. Johnson ◽  
Le’Roy Reese ◽  
Daniel E. Walker
Keyword(s):  
Public Health ◽  
African American ◽  
Sexual Identity ◽  
Sexual Minority ◽  
African American Men ◽  
Men And Women ◽  
Female Partners ◽  
Down Low ◽  
Sex With Men ◽  
And Behavior

Recent studies have found that many young African American men who have sex with men and women (MSMW) do not identify as bisexual or non-heterosexual. The present study explored the mental journeys of twenty African American MSMW as they decided to undergo HIV testing. The rejection of sexual identity labels may contribute to the rising annual HIV infection rate among African American men who have sex with men (MSM) and MSMW. Furthermore, sexual identity ambivalence may lead to secretive sexual behavior and failure to disclose homosexual relations to female partners, behavior colloquially referred to as “down-low.” Greater understanding of the nuanced distinctions between sexual identity and behavior may help public health researchers address the needs of this racial and sexual minority that remains especially vulnerable to HIV/AIDS. 

Sign in / Sign up

Export Citation Format

Share Document