title: Partnership-Level Analysis of African American Women's Risky Sexual Behavior in Main and Non-Main Partnerships.
abstract: The majority of research on risky sexual behavior in African American women has examined global associations between individual-level predictors and behavior. However, this method obscures the potentially significant impact of the specific relationship or relationship partner on risky sexual behavior. To address this gap, we conducted partnership-level analysis of risky sexual behavior among 718 African American women recruited from HIV counseling, testing, and referral sites in four states. Using mixed model regressions, we tested relationships between condomless vaginal intercourse with men and variables drawn from the Theory of Planned Behavior, Theory of Gender and Power, and previous research specifically on sexual risks among African American women. Significant associations with risky sexual behavior indicate the need for continued emphasis on condom attitudes, condom negotiation behaviors, and overcoming partner resistance to condoms within both main and non-main partnerships when implementing interventions designed to address HIV and sexually transmitted infection risks among African American women.
authors.affiliation: Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit Ave., Milwaukee, WI, 53202, USA. mbroaddus@mcw.edu.
authors.forename: Michelle
authors.initials: M
authors.lastname: Broaddus
authors.affiliation: Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Jill
authors.initials: J
authors.lastname: Owczarzak
authors.affiliation: Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Pacella
authors.affiliation: Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit Ave., Milwaukee, WI, 53202, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Pinkerton
authors.affiliation: Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit Ave., Milwaukee, WI, 53202, USA.
authors.forename: Cassandra
authors.initials: C
authors.lastname: Wright
mesh_terms: D015492:AIDS Serodiagnosis; D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control / Q000635:transmission*; D006801:Humans; D033182:Intention; D008875:Middle Aged; D017008:Negotiating / Q000523:psychology; D011582:Psychological Theory; D012044:Regression Analysis; D012747:Sexual Partners / Q000523:psychology*; D047568:Unsafe Sex / Q000208:ethnology* / Q000523:psychology*; D055815:Young Adult
keywords: African American women; Condom negotiation; Risky sexual behavior; Theory of Gender and Power; Theory of Planned Behavior