Skip Ribbon Commands
Skip to main content

Title

Exploring why young African American women do not change condom-use behavior following participation in an STI/HIV prevention intervention

Authors

JM Sales, RJ DiClemente, TP Davis, and S. Sullivan

Network Affiliation

Other

Organization

 

Journal Name

Health Edu. Res.

Publication Date

5/1/2012

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/22641793

Link to full-text

 

PMID

 

Abstract

Human immunodeficiency virus (HIV) interventions can significantly reduce risky sexual behaviors among vulnerable populations. However, not everyone exposed to an intervention will reduce their sexual risk behavior. This qualitative study sought to identify factors associated with young African American females' lack of increase in condom use post-participation in an HIV prevention intervention. Semi-structured interviews were conducted with 50 young African American women (18-23 years; approximately half were mothers) after participating in a demonstrated effective HIV prevention intervention; 24 did not increase condom use post-intervention. Interviews were thematically coded for barriers to condom-use post-intervention. Although nearly all young women reported partner-associated challenges to using condoms, there were relational differences observed among those who changed their condom use versus those who did not. Many 'non-changers' were engaged in non-stable 'on and off' relationships, with high rates of infidelity, often with the father of their child, in which they were fearful of requesting condom use. 'Non-changers' also reported more substance use, feeling incapable of change and not thinking about condom use. Thus, future HIV prevention efforts may benefit from incorporating strategies on how young mothers can maintain a non-sexual relationship with their child's father, as well as elaborating on the intersection of substance use and risky sexual decision-making.

Keywords

 

Topic

Adolescents/Youth; Behavior; Black; Intervention; Substance Abuse; Women

Attachments

Created at 6/11/2012 12:56 PM by Davis, Gregory P
Last modified at 6/11/2012 12:56 PM by Davis, Gregory P