"Condoms are the standard, right?": Exploratory study of the reasons for using condoms by Black American emerging adult women.
Condoms are considered a highly effective form of sexually transmitted infection prevention for heterosexual sex. Black American women (BAW) have been and are at elevated risk for heterosexual exposure to human immunodeficiency virus (HIV) because they have been and continue to be less likely to negotiate condom use with a partner that supports them financially. However, BAW who have made tremendous educational gains may still encounter challenges regarding the distribution of power that can affect condom use and negotiation. The purpose of this exploratory study was to examine the reasons that highly educated, emerging, adult BAW reported for using condoms. One hundred twenty-seven emerging adult BAW (ages 18-29 years) completed a mixed-methods online survey during the spring of 2013 (January-May). Approximately 80% of the women were in college or college graduates. They had a high rate of previous HIV testing (68.5%). Through the use of an interpretive paradigm and grounded theory, three themes emerged regarding the reasons that the participants in this sample used condoms as their primary form of protection: (1) the reliable "standard," (2) pregnancy prevention, and (3) cost effective and "easily accessible." Findings are discussed in terms of their public health significance for this seemingly lower-risk population.
a Psychology Department , Elon University , Elon , North Carolina , USA.
Buffie
B
Longmire-Avital
a Psychology Department , Elon University , Elon , North Carolina , USA.
Virginia
V
Oberle
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D066296:Grounded Theory; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology* / Q000635:transmission; D015438:Health Behavior / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice; D020010:Heterosexuality; D006801:Humans; D009042:Motivation; D017008:Negotiating; D011247:Pregnancy; D012307:Risk Factors; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States
African American; Black American women; HIV risk; beliefs; condom use; sexually transmitted infection