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International Journal of Behavioral Medicine

, Volume 25, Issue 4, pp 479–485 | Cite as

Pathways from Resilient Coping to Safer Sex Communication Among African, Caribbean, and Black Women in Toronto, Canada: Results from a Cross-sectional Survey

  • Carmen H. LogieEmail author
  • Moses Okumu
  • Shannon Ryan
  • Mary Yehdego
Brief Report

Abstract

Purpose

African, Caribbean, and Black (ACB) women in Canada are disproportionately impacted by HIV and other sexually transmitted infections. Although there is reported suboptimal consistent condom use with ACB women, limited research has explored safer sex communication among this population. Coping frameworks highlight the role that resilient coping and condom use self-efficacy may play in facilitating safer sex communication. Structural perspectives stress the need to explore associations between HIV vulnerabilities and food insecurity. We examined pathways from resilient coping to safer sex communication through the mediator of condom use self-efficacy among ACB women in Toronto.

Method

We conducted a cross-sectional survey with a purposive sample of ACB women aged 16 and older across Toronto, Canada. We conducted path analysis to test the direct effects of resilient coping on safer sex communication, and indirect pathways through the mediator (condom use self-efficacy) while controlling for food insecurity.

Results

Participant (n = 80; mean age 27, SD 7.93) ethnicities included African (58.8%, n = 47), Caribbean (30%, n = 24), and others (11.3%, n = 9). Participants with food security reported significantly higher safer sex communication. We found no direct effect of resilient coping on safer sex communication. Findings support the hypothesized mediation process; resilient coping was associated with condom use self-efficacy, which in turn was associated with safer sex communication.

Conclusion

Findings that condom use self-efficacy mediated the association between resilient coping and safer sex communication align with theoretical assertions of the protective role of adaptive coping strategies. Findings can inform tailored HIV and STI preventive interventions with ACB women.

Keywords

African, Caribbean, and Black Safer sex Condom use Sex communication Coping Resilience HIV prevention STI prevention 

Notes

Funding

This research was funded by the Canadian Institutes of Health Research (CIHR) Transitional Operating Grant, Grant No. 342702. CHL is also funded by an Ontario Ministry of Research & Innovation Early Researcher Award, the Ontario Research Fund, and Canada Foundation for Innovation.

Compliance with Ethical Standards

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Research Ethics Approval was obtained from the University of Toronto, Toronto, Canada.

Informed Consent

Written informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Public Health Agency of Canada. Summary: estimates of HIV incidence, prevalence and proportion undiagnosed in Canada, 2014. Ottawa; 2015. https://www.canada.ca/en/public-health/services/publications/diseases-conditions/summary-estimates-hiv-incidence-prevalence-proportion-undiagnosed-canada-2014.html. Accessed May 18, 2017.
  2. 2.
    Statistics Canada. Immigration and ethnocultural diversity in Canada. http://www12.statcan.gc.ca/nhs-enm/2011/as-sa/99-010-x/99-010-x2011001-eng.cfm. Published 2011.
  3. 3.
    Remis RS, Liu J, Loutfy M, et al. The epidemiology of sexually transmitted co-infections in HIV-positive and HIV-negative African-Caribbean women in Toronto. BMC Infect Dis. 2013;13(1):550.  https://doi.org/10.1186/1471-2334-13-550.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Rotermann M, Langlois KA, Severini A, Totten S. Prevalence of Chlamydia trachomatis and herpes simplex virus type 2: results from the 2009 to 2011 Canadian Health Measures Survey. Health Rep. 2013;24(4):10–5. http://www.ncbi.nlm.nih.gov/pubmed/24258059. Accessed July 5, 2017PubMedGoogle Scholar
  5. 5.
    Public Health Agency of Canada. Canadian guidelines on sexually transmitted infections: genital herpes simplex virus (HSV) infections. http://www.phac-aspc.gc.ca/std-mts/sti-its/cgsti-ldcits/. Published 2013.
  6. 6.
    Gause, N. K., Brown, J. L., Welge, J., & Northern, N. (2018). Meta-analyses of HIV prevention interventions targeting improved partner communication: effects on partner communication and condom use frequency outcomes. J Behav Med. 1–18. doi:  https://doi.org/10.1007/s1086.
  7. 7.
    Milhausen RR, Sales JM, Wingood GM, Diclemente RJ, Salazar LF, Crosby RA. Validation of a partner sexual communication scale for use in HIV/AIDS prevention interventions. J HIV AIDS Prev Child Youth. 2007;8(1):11–33.  https://doi.org/10.1300/J499v08n01_02.CrossRefGoogle Scholar
  8. 8.
    Sales JM, Lang DL, DiClemente RJ, Latham TP, Wingood GM, Hardin JW, et al. The mediating role of partner communication frequency on condom use among African American adolescent females participating in an HIV prevention intervention. Health Psychol. 2012;31:63–9.  https://doi.org/10.1037/a0025073.CrossRefPubMedGoogle Scholar
  9. 9.
    Gallo MF, Kilbourne-Brook M, Coffey PS. A review of the effectiveness and acceptability of the female condom for dual protection. Sex Health. 2012;9(1):18–26.  https://doi.org/10.1071/SH11037. CrossRefPubMedGoogle Scholar
  10. 10.
    Crosby RA, Cates W. Condom use: still a sexual health staple. Sex Health. 2012;9(1):1–3.  https://doi.org/10.1071/SH11111.CrossRefPubMedGoogle Scholar
  11. 11.
    Baidoobonso S, Bauer GR, Speechley KN, Lawson E, The BLACCH Study Team. Social and proximate determinants of the frequency of condom use among African, Caribbean, and other Black people in a Canadian city: results from the BLACCH Study. J Immigr Minor Health. 2016;18(1):67–85.  https://doi.org/10.1007/s10903-014-9984-z. CrossRefPubMedGoogle Scholar
  12. 12.
    Lazarus R, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.Google Scholar
  13. 13.
    Lazarus RS. Coping theory and research: past, present, and future. Psychosom Med. 1993;55:234–47.  https://doi.org/10.1097/00006842-199305000-00002.CrossRefPubMedGoogle Scholar
  14. 14.
    Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Adv Behav Res Ther. 1978;1(4):139–61.  https://doi.org/10.1016/0146-6402(78)90002-4.CrossRefGoogle Scholar
  15. 15.
    Sinclair VG, Wallston KA. The development and psychometric evaluation of the Brief Resilient Coping Scale. Assessment. 2004;11(1):94–101.  https://doi.org/10.1177/1073191103258144.CrossRefPubMedGoogle Scholar
  16. 16.
    Ungar M. The social ecology of resilience: addressing contextual and cultural ambiguity of a nascent construct. Am J Orthopsychiatry. 2011;81(1):1–17.CrossRefPubMedGoogle Scholar
  17. 17.
    Logie CH, Lacombe-Duncan A, MacKenzie RK, Poteat T. Minority stress and safer sex practices among sexual minority women in Toronto, Canada: results from a cross-sectional internet-based survey. LGBT Health. 2016;3(6):407–15.  https://doi.org/10.1089/lgbt.2016.0005.CrossRefPubMedGoogle Scholar
  18. 18.
    Organista KC, Worby PA, Quesada J, Arreola SG, Kral AH, Khoury S. Sexual health of Latino migrant day labourers under conditions of structural vulnerability. Cult Health Sex. 2013;15(1):58–72.  https://doi.org/10.1080/13691058.2012.740075.CrossRefPubMedGoogle Scholar
  19. 19.
    Guerra-Ordoñez JA, Benavides-Torres RA, Onofre-Rodríguez DJ, Márquez-Vega MA, Guerra-Rodríguez GM, Wall KM. Self-efficacy and coping as correlates of migrant safe sexual behavior to prevent HIV. J Assoc Nurses AIDS Care. 2017;28:761–9.  https://doi.org/10.1016/j.jana.2017.05.008.CrossRefPubMedGoogle Scholar
  20. 20.
    O’Leary A, Jemmott LS, Jemmott JB. Mediation analysis of an effective sexual risk-reduction intervention for women. Heal Psychol. 2008;27(2(Suppl.)):S180-S184. doi: https://doi.org/10.1037/0278-6133.27.2(Suppl.).S180.
  21. 21.
    Klein H. Condom use self-efficacy and HIV risk practices among men who use the Internet to find male partners for unprotected sex. Mens Health. 2014;8(3):190–204.Google Scholar
  22. 22.
    Weiser SD, Young SL, Cohen CR, Kushel MB, Tsai AC, Tien PC, et al. Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. Am J Clin Nutr. 2011;94(6):1729S–39S.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Closson K, Dietrich J, Lachowsky, et al. Gender differences in prevalence and correlates of high sexual self-efficacy among adolescents in Soweto, South Africa: implications for gender-sensitive research and programming. AIDS Care. 2018;30(4):435–43.CrossRefPubMedGoogle Scholar
  24. 24.
    Rollins N. Food insecurity—a risk factor for HIV infection. PLoS Med. 2007;4(10), e301):1576–7.CrossRefPubMedGoogle Scholar
  25. 25.
    Logie CH, Wang Y, Marcus N, Kaida A, O’Brien N, Nicholson V, et al. Factors associated with the separate and concurrent experiences of food and housing insecurity among women living with HIV in Canada. AIDS Behavior. 2018;  https://doi.org/10.1007/s10461-018-2119-0.
  26. 26.
    Brafford LJ, Beck KH. Development and validation of a condom self-efficacy scale for college students. J Am Coll Heal. 1991;39(5):219–25.  https://doi.org/10.1080/07448481.1991.9936238.CrossRefGoogle Scholar
  27. 27.
    Hayes A. Introduction to mediation, moderation, and conditional process analysis. New York: The Guilford Press; 2013.Google Scholar
  28. 28.
    Hayes AF, Montoya AK, Rockwood NJ. The analysis of mechanisms and their contingencies: PROCESS versus structural equation modeling. Australas Mark J. 2017;25(1):76–81.  https://doi.org/10.1016/j.ausmj.2017.02.001.CrossRefGoogle Scholar
  29. 29.
    Earnshaw VA, Lang SM, Lippitt M, Jin H, Chaudoir SR. HIV stigma and physical health symptoms: do social support, adaptive coping, and/or identity centrality act as resilience resources? AIDS Behav. 2015;19(1):41–9.  https://doi.org/10.1007/s10461-014-0758-3.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Research PFIP. Food insecurity in Canada 2012. Updated 2017. http://proof.utoronto.ca/food-insecurity/.
  31. 31.
    Newman AP, Williams CC, Massaquoi N, Brown M, Logie C. HIV prevention for Black women: structural barriers and opportunities. J Health Care Poor Underserved. 2008;19(3):829–41.  https://doi.org/10.1353/hpu.0.0043.CrossRefPubMedGoogle Scholar

Copyright information

© International Society of Behavioral Medicine 2018

Authors and Affiliations

  • Carmen H. Logie
    • 1
    • 2
    Email author
  • Moses Okumu
    • 1
  • Shannon Ryan
    • 3
  • Mary Yehdego
    • 3
  1. 1.Factor-Inwentash Faculty of Social WorkUniversity of TorontoTorontoCanada
  2. 2.Women’s College Research Institute, Women’s College HospitalUniversity of TorontoTorontoCanada
  3. 3.Black Coalition for AIDS Prevention (BlackCAP)TorontoCanada

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