Abstract
In New York City, over 90% of women newly diagnosed with human immunodeficiency virus (HIV) are Black and Latina; a quarter of these infections occur among 30–39 year-olds. A survey was administered to 343 Black and Puerto Rican women (2014–2016) to examine two HIV infection risk factors: relationship exclusivity and having experienced childhood sexual abuse (CSA). A majority of male partners (69.7%) had at least one risk for HIV transmission. Women in non-exclusive sexual relationships (nESRs) had higher-risk partners, but engaged in safer sex practices than those in ESRs. Two-thirds of women in ESRs (64.8%) reported unprotected vaginal intercourse, although 33.5% had partners with a history of concurrent relationships. Among women in nESRs, having experienced CSA was a strong risk factor for HIV infection. Black and Latina women’s vulnerability to HIV infection is significant, even when in exclusive relationships. Safer sex counseling should be integrated in primary care.
References
Centers for Disease Control and Prevention. Surveillance Report HIV. 2016. 2017(28). https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2016-vol-28.pdf.
New York City Department of Health and Mental Hygiene. HIV Surveillance Annual Report, 2016. New York 2017. https://www1.nyc.gov/assets/doh/downloads/pdf/dires/hiv-surveillance-annualreport-2016.pdf.
Pflieger JC, Cook EC, Niccolai LM, Connell CM. Racial/ethnic differences in patterns of sexual risk behavior and rates of sexually transmitted infections among female young adults. Am J Public Health. 2013;103(5):903–9.
Wingood GM, DiClemente RJ. Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Educ Be. 2000;27(5):539–65.
Wilson HW, Widom CS. Pathways from childhood abuse and neglect to HIV-risk sexual behavior in middle adulthood. J Consult Clin Psychol. 2011;79(2):236–46.
Herrero J, Torres A, Rodriguez FJ. Child abuse, risk in male partner selection, and intimate partner violence victimization of women of the European Union. Prev Sci. 2018. https://doi.org/10.1007/s11121-018-0911-8.
Lee JY, Brook JS, Pahl K, Brook DW. Longitudinal pathways from unconventional personal attributes in the late 20 s to cannabis use prior to sexual intercourse in the late 30 s. Addict Behav. 2017;74:148–52.
Levine EC, Herbenick D, Martinez O, Fu T-C, Dodge B. Open Relationships, nonconsensual nonmonogamy, and monogamy among U.S. adults: findings from the 2012 National Survey of Sexual Health and Behavior. Arch Sex Behav. 2018;47(5):1439–50.
Lehmiller JJ. A Comparison of sexual health history and practices among monogamous and consensually nonmonogamous sexual partners. J Sex Med. 2015;12(10):2022–8.
Adimora AA, Schoenbach VJ. Social context, sexual networks, and racial disparities in rates of sexually transmitted infections. J Infect Dis. 2005;191(s1):115.
Funding
This research was supported by Grant R01DA035408 from the National Institutes of Health (NIH) awarded to Judith S. Brook and Kerstin Pahl.
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Pahl, K., Lee, J.Y., Capasso, A. et al. Sexual Risk Behaviors Among Black and Puerto Rican Women in Their Late Thirties: A Brief Report. J Immigrant Minority Health 21, 1432–1435 (2019). https://doi.org/10.1007/s10903-019-00877-7
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DOI: https://doi.org/10.1007/s10903-019-00877-7