AIDS and Behavior

, Volume 16, Issue 1, pp 179–188 | Cite as

Gender Power Control, Sexual Experiences, Safer Sex Practices, and Potential HIV Risk Behaviors Among Young Asian-American Women

  • Hyeouk Chris Hahm
  • Jieha Lee
  • Kathryn Rough
  • Steffanie A. Strathdee
Original Paper

Abstract

We examined the prevalence of three domains of sexual behaviors among young Asian-American women: sexual experiences, safer sex practices, and potential HIV risk behaviors. We also investigated the impact of gender power control on these domains. Among sexually experienced women, 51% reported using condoms during their most recent sex act, 63% reported inconsistent condom use, and 18% reported ever having forced sex. Multiple logistic regression analyses revealed that women’s perceived lower relationship power control was not associated with vaginal sex or safer sex practices, but it was powerfully associated with forced sex and all three potential HIV risk behaviors. This study demonstrates that control within young Asian-American women’s intimate relationships exerts different associations depending on the type of sexual behavior. The application of the Theory of Gender and Power should be employed with prudence when designing HIV interventions for this population.

Keywords

HIV risk behaviors Condom use Gender power relationship Asian-American women Asian-Americans HIV/AIDS Asian culture 

References

  1. 1.
    Centers for Disease Control and Prevention. HIV/AIDS among women. 2007. http://www.cdc.gov/hiv/topics/women/resources/factsheets/pdf/women.pdf. Accessed 19 Jul 2010.
  2. 2.
    Centers for Disease Control and Prevention. Racial/ethnic disparities in diagnoses of HIV/AIDS—33 states, 2001–2004. Atlanta 2006:121–125.Google Scholar
  3. 3.
    Wingood GM, DiClemente RJ. Partner influences and gender-related factors associated with noncondom use among young adult African American women. Am J Community Psychol. 1998;26(1):29–51.PubMedCrossRefGoogle Scholar
  4. 4.
    Connell R. Gender and power: society, the person, and sexual politics. Chicago: Stanford University Press; 1987.Google Scholar
  5. 5.
    Ho C. An analysis of domestic violence in Asian American communities: a multicultural approach to counseling. Women Ther. 1990;9(1–2):129–50.CrossRefGoogle Scholar
  6. 6.
    Rimonte N. A question of culture: cultural approval of violence against women in the Pacific Asian community and the cultural defense. Stan L Rev. 1991;42(6):1311–26.CrossRefGoogle Scholar
  7. 7.
    Chow ENL. The development of feminist consciousness among Asian American women. Gend Soc. 1987;1(3):284–99.CrossRefGoogle Scholar
  8. 8.
    Huisman KA. Wife battering in Asian American communities. Violence Against Women. 1996;2(3):260–83.PubMedCrossRefGoogle Scholar
  9. 9.
    Okazaki S. Influences of culture on Asian Americans’ sexuality. J Sex Res. 2002;39(1):34–41.PubMedCrossRefGoogle Scholar
  10. 10.
    Chin D. HIV-related sexual risk assessment among Asian/Pacific Islander American women: an inductive model. Soc Sci Med. 1999;49(2):241–51.PubMedCrossRefGoogle Scholar
  11. 11.
    Pulerwitz J, Gortmaker SL, DeJong W. Measuring sexual relationship power in HIV/STD research. Sex Roles. 2000;42(7):637–60.CrossRefGoogle Scholar
  12. 12.
    Pulerwitz J, Amaro H, De Jong W, Gortmaker SL, Rudd R. Relationship power, condom use and HIV risk among women in the USA. AIDS Care. 2002;14(6):789–800.PubMedCrossRefGoogle Scholar
  13. 13.
    Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA, Harlow SD. Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet. 2004;363(9419):1415–21.PubMedCrossRefGoogle Scholar
  14. 14.
    Pettifor AE, Measham DM, Rees HV, Padian NS. Sexual power and HIV risk, South Africa. Emerg Infect Dis. 2004;10(11):1996–2004.PubMedGoogle Scholar
  15. 15.
    Knudsen HK, Leukefeld C, Havens JR, Duvall JL, Oser CB, Stanton-Tindall M, Mooney J, Clarke J, Frisman L, Surratt HL, Inciardi JA. Partner relationships and HIV risk behaviors among women offenders. J Psychoactive Drugs. 2008;40(4):471–81.PubMedCrossRefGoogle Scholar
  16. 16.
    Bui HN, Morash M. Domestic violence in the Vietnamese immigrant community: an exploratory study. Violence Against Women. 1999;5(7):769–95.CrossRefGoogle Scholar
  17. 17.
    Rhee S. Domestic violence in the Korean immigrant family. J Soc Welfare. 1997;14(1):63–77.Google Scholar
  18. 18.
    Raj A, Silverman JG. Immigrant South Asian women at greater risk for injury from intimate partner violence. Am J Public Health. 2003;93(3):435–7.PubMedCrossRefGoogle Scholar
  19. 19.
    Bronfenbrenner U. Ecological systems theory. Ann Child Dev. 1989;6(1):87–249.Google Scholar
  20. 20.
    Van Horne BS, Wiemann CM, Berenson AB, Horwitz IB, Volk RJ. Multilevel predictors of inconsistent condom use among adolescent mothers. Am J Public Health. 2009;99(S2):S417–24.PubMedCrossRefGoogle Scholar
  21. 21.
    Voisin DR, DiClemente RJ, Salazar LF, Crosby RA, Yarber WL. Ecological factors associated with STD risk behaviors among detained female adolescents. Soc Work. 2006;51(1):71–9.PubMedGoogle Scholar
  22. 22.
    Brown JL, Vanable PA. The effects of assessment mode and privacy level on self-reports of risky sexual behaviors and substance use among young women. J Appl Soc Psychol. 2009;39(11):2756–78.CrossRefGoogle Scholar
  23. 23.
    Lazzarin A, Saracco A, Musicco M, Nicolosi A. Man-to-woman sexual transmission of the human immunodeficiency virus: risk factors related to sexual behavior, man’s infectiousness, and woman’s susceptibility. Arch Intern Med. 1991;151(12):2411–6.PubMedCrossRefGoogle Scholar
  24. 24.
    Lock S, Holland R, Macpherson G, Smith J. Risk factors for male to female transmission of HIV. BMJ. 1989;298:415–8.CrossRefGoogle Scholar
  25. 25.
    Maman S, Mbwambo JK, Hogan NM, Kilonzo GP, Campbell JC, Weiss E, Sweat MD. HIV-positive women report more lifetime partner violence: findings from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. Am J Public Health. 2002;92(8):1331–7.PubMedCrossRefGoogle Scholar
  26. 26.
    Lansky A, Nakashima AK, Jones JL. Risk behaviors related to heterosexual transmission from HIV-infected persons. Sex Transm Dis. 2000;27(8):483–9.PubMedCrossRefGoogle Scholar
  27. 27.
    Olson DH, Gorall DM, Tiesel JW. FACES IV & the circumplex model. 2006. http://www.facesiv.com/pdf/3.innovations.pdf. Accessed 25 Jun 2010.
  28. 28.
    Hahm HC, Lahiff M, Guterman NB. Acculturation and parental attachment in Asian-American adolescents’ alcohol use. J Adolesc Health. 2003;33(2):119–29.PubMedCrossRefGoogle Scholar
  29. 29.
    Cochran SD, Mays VM, Leung L. Sexual practices of heterosexual Asian-American young adults: implications for risk of HIV infection. Arch Sex Behav. 1991;20(4):381–91.PubMedCrossRefGoogle Scholar
  30. 30.
    Grunbaum JA, Lowry R, Kann L, Pateman B. Prevalence of health risk behaviors among Asian American/Pacific Islander high school students. J Adolesc Health. 2000;27(5):322–30.PubMedCrossRefGoogle Scholar
  31. 31.
    Mosher WD, Chandra A, Jones J. Sexual behavior and selected health measures: men and women 15–44 years of age, United States, 2002. Adv Data. 2005;362(362):1–55.PubMedGoogle Scholar
  32. 32.
    Centers for Disease Control and Prevention. HIV/AIDS and Women. 2010. http://www.cdc.gov/hiv/topics/women/. Accessed 23 Jul 2010.
  33. 33.
    Wingood GM, DiClemente RJ, Harrington KF, et al. Efficacy of an HIV prevention program among female adolescents experiencing gender-based violence. Am J Public Health. 2006;96(6):1085–90.PubMedCrossRefGoogle Scholar
  34. 34.
    DiClemente RJ, Wingood GM. A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA. 1995;274(16):1271–6.PubMedCrossRefGoogle Scholar
  35. 35.
    Tucker JS, Elliott MN, Wenzel SL, Hambarsoomian K. Relationship commitment and its implications for unprotected sex among impoverished women living in shelters and low-income housing in Los Angeles County. Health Psychol. 2007;26(5):644–9.PubMedCrossRefGoogle Scholar
  36. 36.
    Marín BV, Tschann JM, Gomez CA, Gregorich S. Self-efficacy to use condoms in unmarried Latino adults. Am J Community Psychol. 1998;26(1):53–71.PubMedCrossRefGoogle Scholar
  37. 37.
    Catania JA, Dolicini MM, Coates TJ, Kegeles SM, Greenblatt RM, Puckett S. Predictors of condom use and multiple partnered sex among sexually-active adolescent women: Implications for AIDS-related health interventions. J Sex Res. 1989;26:514–24.CrossRefGoogle Scholar
  38. 38.
    Reinisch JM, Hill CA, Sanders SA, Ziemba-Davis M. High-risk sexual behavior at a Midwestern university: A confirmatory survey. Fam Plann Perspect. 1995;27(2):79–82.PubMedCrossRefGoogle Scholar
  39. 39.
    Osajima K. Asian Americans as the model minority: an analysis of the popular press image in the 1960s and 1980s. In: Ono K, editor. A companion to Asian American studies. Oxford: Blackwell Publishing; 2005.Google Scholar
  40. 40.
    Higgins JA, Hoffman S, Dworkin SL. Rethinking gender, heterosexual men, and women’s vulnerability to HIV/AIDS. Am J Public Health. 2010;100(3):435–45.PubMedCrossRefGoogle Scholar
  41. 41.
    Bralock AR, Koniak-Griffin D. Relationship, power, and other influences on self-protective sexual behaviors of African American female adolescents. Health Care Women Int. 2007;28(3):247–67.PubMedCrossRefGoogle Scholar
  42. 42.
    Corbett AM, Dickson-Gómez J, Hilario H, Weeks MR. A little thing called love: condom use in high-risk primary heterosexual relationships. Perspect Sex Reprod Health. 2009;41(4):218–24.PubMedCrossRefGoogle Scholar
  43. 43.
    Bowleg L, Belgrave FZ, Reisen CA. Gender roles, power strategies, and precautionary sexual self-efficacy: implications for Black and Latina women’s HIV/AIDS protective behaviors. Sex Roles. 2000;42(7):613–35.CrossRefGoogle Scholar
  44. 44.
    Hou SI, Basen-Engquist K. Human immunodeficiency virus risk behavior among White and Asian/Pacific Islander high school students in the United States: does culture make a difference? J Adolesc Health. 1997;20(1):68–74.PubMedCrossRefGoogle Scholar
  45. 45.
    Hahm HC, Lee J, Al Ozonoff MA. Predictors of STDs among Asian and Pacific Islander young adults. Perspect Sex Reprod Health. 2007;39(4):231–9.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Hyeouk Chris Hahm
    • 1
  • Jieha Lee
    • 2
  • Kathryn Rough
    • 3
  • Steffanie A. Strathdee
    • 4
  1. 1.School of Social WorkBoston UniversityBostonUSA
  2. 2.Department of Social WelfareSoongsil UniversityDonjak-Gu, SeoulSouth Korea
  3. 3.Department of Health SciencesBoston UniversityBostonUSA
  4. 4.Division of Global Public Health, Department of MedicineUniversity of California, San DiegoLa JollaUSA

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