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African American Adolescent Sexuality: Influences on Sexual Scripting and Sexual Risk Behaviors

  • Integrating the Psychosocial (B McCarthy, RT Segraves and AH Clayton, Section Editors)
  • Published:
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Abstract

Because of numerous documented disparities in the sexual risk behaviors of African American adolescents compared to their peers from other ethnic groups, it is necessary to better understand the context in which their sexual socialization occurs. Sexual scripting is the process of developing frameworks that adolescents use to organize and process their sexual experiences. Sexual scripts help to fill the gap in understanding key contexts of African American youth, because they are developed through exposure to multiple contexts, including mass media, the community, and peers and family. These sources of sexual information interact with characteristics of the individual to determine how an adolescent will respond to these messages. Basic research findings suggest useful ways that clinicians may address influences on sexual scripts to decrease the sexual risk behaviors of African American youth. They also lead to a model to direct future research, given that much remains unknown. Alternatively, evidence-based intervention (EBI) programs can prevent and address sexual risk behaviors, although they need adaptation to make them relevant, sustainable, and acceptable to African American youth. Guidelines for adaptation of EBIs and the usefulness of an ecologically sound approach for this population are discussed. Research on such adaptations can determine the mechanisms behind the racial, gender, and class factors affecting interventions, incorporate technology and other factors relevant to these youths’ contexts, and determine answers to current questions such as the advisability of abstinence or comprehensive sex education with these youth. Such data will ensure that future programs are sensitively adapted to the cultural, racial, and gendered context of African American youth, including their strengths.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Biello KB, Ickovics J, Niccolai L, Lin H, Kershaw T. Racial differences in age at first sexual intercourse: residential racial segregation and the black-white disparity among U.S. adolescents. Public Health Rep. 2013;128:23–32. The article seeks to examine and understand the relationship between residential racial segregation and the significant disparities in sexual risk behaviors between African Americans and their White peers. The authors propose a model examining whether five dimensions of black-white residential racial segregation can explain these disparities.

    PubMed  PubMed Central  Google Scholar 

  2. 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;103:703–9. doi:10.2105/AJPH.2012.301005.

    Article  Google Scholar 

  3. Kelly S, Shelton J. African American couples and sex. In: Hall KSK, Graham CA, editors. The cultural context of sexual pleasure and problems: psychotherapy with diverse clients. New York: Routledge; 2013. The chapter provides a contextualized understanding of the treatment of African American couples’ sexuality and sexual problems, counterbalancing negative contexts with strengths. The chapter details how to use strengths to address sexual problems, illustrated with a case example.

    Google Scholar 

  4. McGruder K. Black sexuality in the U.S.: presentations as non-normative. J Afr Am Stud. 2009;13:251–62.

    Article  Google Scholar 

  5. Ross JN, Coleman NM. Gold digger or video girl: the salience of an emerging hip-hop script. Cult Health Sex. 2011;13:157–71.

    Article  PubMed  Google Scholar 

  6. Simon W, Gagnon JH. A sexual scripts approach. In: Greer JH, O’Donohue WT, editors. Theories of human sexuality. New York: Plenum; 1987. p. 363–83.

    Google Scholar 

  7. Stephens DP, Phillips LD. Freaks, gold diggers, divas and dykes: the socio-historical development of African American female adolescent scripts. Sex Cult. 2003;7:3–47.

    Article  Google Scholar 

  8. Donovan RA. To blame or not to blame: influences of target race and observer sex on rape blame attribution. J Interpers Violence. 2007;22:722–36.

    Article  PubMed  Google Scholar 

  9. Stephens DP, Phillips LD. Integrating black feminist thought into conceptual frameworks of African American adolescent women’s sexual scripting processes. Sex Evol Gend. 2005;7:37–55.

    Article  Google Scholar 

  10. Stephens DP, Few AL. The effects of images of African American women in hip hop on early adolescents’ attitudes to physical attractiveness and interpersonal relationships. Sex Roles. 2007;56:251–64.

    Article  Google Scholar 

  11. Brown JD, L’Engle KL. X-rated: sexual attitudes and behaviors associated with U.S. early adolescents’ exposure to sexually explicit media. Commun Res. 2009;36:129–51.

    Article  Google Scholar 

  12. Wingood GM, DiClemente RJ, Bernhardt JM, Harrington K, Davies SL, Robillard A, et al. A prospective study of exposure to rap music videos and African American female adolescents’ health. Am J Public Health. 2003;93:437–40.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Ward LM, Hansbrough E, Walker E. Attributions of music video exposure to Black adolescents’ gender and sexual schemas. J Adolesc Res. 2005;20(2):143–66.

    Article  Google Scholar 

  14. Gillum TL. “How do I view my sister?” Stereotypic views of African American women and their potential to impact intimate partnerships. J Hum Behav Soc Environ. 2007;15:347–66.

    Article  Google Scholar 

  15. Adams-Bass VN, Bentley-Edwards KL, Stevenson HC. That’s not me I see on TV…: African American youth interpret media images of Black females. Women Gend Fam Color. 2014;2:79–100. The article discussed the perceived imbalance between negative and positive images of African American females in the media, as viewed by African Americans. The authors also discuss how African American youth may critically view these images.

    Article  Google Scholar 

  16. Akers AY, Muhammad MR, Corbie-Smith G. “When you got nothing to do, you do somebody”: a community’s perception of neighborhood effects on adolescent sexual behaviors. Soc Sci Med. 2011;72:91–9.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Williams PB, Sallar AM. HIV/AIDS and African American men: urban-rural differences in sexual behavior, HIV knowledge, and attitudes toward condom use. J Natl Med Assoc. 2010;102:1139–49.

    Article  PubMed  Google Scholar 

  18. Lang DL, Salazar LF, Crosby RA, DiClemente RJ, Brown LK, Donenberg GR. Neighborhood environment, sexual risk behaviors, and acquisition of sexually transmitted infections among adolescent diagnosed with psychological disorders. Am J Community Psychol. 2010;46:303–11.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Brady SS, Donenberg GR. Mechanisms linking violence exposure to health risk behavior in adolescence: motivation to cope and sensation-seeking personality. J Am Acad Child Adolesc Psychiatry. 2006;45:673–80.

    Article  PubMed  Google Scholar 

  20. Voisin D, Salazar F, Crosby RA, Diclemente RJ, Yarber WL, Staples-Horne M. Witnessing community violence and health-risk outcomes among detained adolescents. Am J Orthopsychiatry. 2007;77:506–13.

    Article  PubMed  Google Scholar 

  21. Voisin DR, Jenkins EJ, Takahashi L. Toward a conceptual model linking community violence exposure to HIV-related risk behaviors among adolescents: directions for research. J Adolesc Health. 2011;49:230–6.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Byck GR, Bolland J, Dick D, Swann G, Henry D, Mustanski B. Effect of housing relocation and neighborhood environment on adolescent mental and behavioral health. J Child Psychol Psychiatry. 2015. doi:10.2105/AJPH.2012.301005. The article examines whether recently implemented housing relocation programs have an impact on mental health and risk behaviors in adolescents who have been relocated, or whether any changes occur due to the effects of relocation.

    PubMed  Google Scholar 

  23. Gennetian LA, Sciandra M, Sanbonmatsu L, Ludwig J, Katz LF, Duncan GJ, et al. The long-term effects of moving to opportunity on youth outcomes. Cityscape. 2012;14:137–68.

    Google Scholar 

  24. Harper GW, Gannon C, Watson SE, Catania JA, Dolcini MM. The role of close friends in African American adolescents’ dating and sexual behavior. J Sex Res. 2004;41:351–62.

    Article  PubMed  Google Scholar 

  25. Beal AC, Ausiello J, Perrin JM. Social influences on health-risk behaviors among minority middle school students. J Adolesc Health. 2001;28:474–80.

    Article  CAS  PubMed  Google Scholar 

  26. DiIorio C, McCarty F, Denzmore P, Landis A. The moderating influence of mother-adolescent discussion on early and middle African-American adolescent sexual behavior. Res Nurs Health. 2007;30:193–202.

    Article  PubMed  Google Scholar 

  27. Kreager DA, Staff J. The sexual double standard and adolescent peer acceptance. Soc Psychol Q. 2009;72:143–64.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Brady SS, Dolcini MM, Harper GW, Pollack LM. Supportive friendships moderate the association between stressful life events and sexual risk taking among African American adolescents. Health Psychol. 2009;28:238–48.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Gardner M, Steinberg L. Peer influence on risk taking, risk preference, and risky decision making in adolescence and adulthood: an experimental study. Dev Psychol. 2005;41:625–35.

    Article  PubMed  Google Scholar 

  30. Bromberg DS, O’Donohue WT. Handbook of child and adolescent sexuality: developmental and forensic psychology. San Diego: Elsevier; 2013.

    Google Scholar 

  31. DiIorio C, Pluhar E, Belcher L. Parent-child communication about sexuality: a review of the literature from 1980–2002. J HIV/AIDS Prev Educ Adolesc Child. 2003;5:7–31.

    Article  Google Scholar 

  32. Wilson EK, Dalberth BT, Koo HP. “We’re the heroes!”: fathers’ perspectives on their role in protecting their preteenage children from sexual risk. Perspect Sex Reprod Health. 2010;42(2):117–24.

    Article  PubMed  Google Scholar 

  33. Barman-Adhikari A, Cederbaum J, Sathoff C, Toro R. Direct and indirect effects of maternal and peer influences on sexual intention among urban African American and Hispanic females. Child Adolesc Soc Work J. 2014;31:559–75. The article uses an ecological framework to explore how maternal peer influences and interactions with daughters affect daughters’ reported intentions to have sexual intercourse. The authors examine any direct or indirect protective effects of parent-child processes.

    Article  Google Scholar 

  34. Fasula AM, Miller KS, Wiener J. The sexual double standard in African American adolescent women’s sexual risk reduction socialization. Women Health. 2007;46:3–21.

    Article  PubMed  Google Scholar 

  35. Langley C. Father knows best: paternal presence and sexual debut in African American adolescents living in poverty. Fam Process. 2015;x:1–16.

    Google Scholar 

  36. Franklin-Jackson D, Carter RT. The relationships between race-related stress, racial identity, and mental health for Black Americans. J Black Psychol. 2007;33:5–26.

    Article  Google Scholar 

  37. Willis TA, Murry VM, Brody GH, Gibbons FX, Gerrard M, Walker C, et al. Ethnic pride and self-control related to protective and risk factors: test of the theoretical model for the Strong African American Families Program. Health Psychol. 2007;26:50–99.

    Article  Google Scholar 

  38. Brown DL, White-Johnson RL, Griffin-Fennell FD. Breaking the chains: examining the endorsement of modern Jezebel images and racial-ethnic esteem among African American women. Cult Health Sex. 2013;15:525–39. The article examines the connection between race-ethnic esteem among African American women and the endorsement of the pervasive Jezebel sexual stereotype of African American women in the media. The article also examines whether generational differences exist.

    Article  PubMed  Google Scholar 

  39. Starr LR, Donenberg GR, Emerson E. Bidirectional linkages between psychological symptoms and sexual activities among African American adolescent girls in psychiatric care. J Clin Child Adolesc Psychol. 2012;41:811–21.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Kogan S, Yu T, Allen KA, Pocock AM, Brody GH. Pathways from racial discrimination to multiple sexual partners among male African American adolescents. Psychol Men Masc. 2015;16(2):218–28. http://dx.doi.org/10.1037/aoo37453.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Robinson BA, Winiarski DA, Brennan PA, Foster SL, Cunningham PB, Whitman EA. Social context, parental monitoring, and multisystemic therapy outcomes. Psychotherapy. 2015;52(1):103–10.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Wingood GM, DiClemente RJ. The ADAPT-ITT model: a novel method of adapting evidence-based HIV interventions. J Acquir Immune Defic Syndr. 2008;47:S40–6.

    Article  PubMed  Google Scholar 

  43. DiClemente RJ, Wingood GM, Harrington KF, Lang D, Davies SL, Hood EW, et al. Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. J Am Med Assoc. 2004;292:171–9.

    Article  CAS  Google Scholar 

  44. Connell RW. Gender and power. Stanford: Stanford University Press; 1987.

    Google Scholar 

  45. 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 Behav. 2000;27:539–65.

    Article  CAS  PubMed  Google Scholar 

  46. Lee YM, Cintron A, Kocher S. Factors related to risky sexual behaviors and effective STI/HIV and pregnancy intervention programs for African American adolescents. Public Health Nurs. 2014;31:414–27. The article examines numerous effective STI/HIV and pregnancy intervention programs for African American adolescents to evaluate common factors that may help promote successful interventions. The authors find five major contributing factors related to risky sexual behaviors within this population.

    Article  PubMed  Google Scholar 

  47. Center for Disease Control and Prevention. Compendium of evidence-based interventions and best practices for HIV prevention. 2015. Retrieved from: http://www.cdc.gov/hiv/prevention/research/compendium/rr/complete.html. This compendium is public information and provides details on evidence-based interventions for HIV prevention. The interventions can be broken down by intervention level, risk category, race/ethnicity, and sex of participant.

  48. Jones R. Soap opera video on handheld computers to reduce young urban women’s HIV sex risk. AIDS Behav. 2008;12:876–84.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Jones R, Hoover DR, Lacroix LJ. A randomized controlled trial of soap opera videos streamed to smartphones to reduce risk of sexually transmitted human immunodeficiency virus (HIV) in young urban African American women. Nurs Outlook. 2013;61:205–15.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Guilamo-Ramos V, Lee JJ, Kantor LM, Levine DS, Baum S, Johnsen J. Potential for using online and mobile education with parents and adolescents to impact sexual and reproductive health. Prev Sci. 2015;16:53–60.

    Article  PubMed  Google Scholar 

  51. Weekes CVN, Haas BK, Gosselin KP. Expectations and self-efficacy of African American parents who discuss sexuality with their adolescent sons: an intervention study. Public Health Nurs. 2013;3:253–61.

    Google Scholar 

  52. Kohler PK, Manhart LE, Lafferty WE. Abstinence-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy. J Adolesc Health. 2008;42:344–51.

    Article  PubMed  Google Scholar 

  53. Jemmott JB, Jemmott LS, Fong GT. Abstinence and safer sex HIV risk-reduction interventions for African American adolescents. J Am Med Assoc. 1998;279(19):1529–36.

    Article  Google Scholar 

  54. Jemmontt JB, Jemmott LS, Fong GT. Efficacy of a theory-based abstinence-only intervention over 24 months: a randomized controlled trial with young adolescents. Arch Pediatr Adolesc Med. 2010;164(2):152–9.

    Google Scholar 

  55. Milhausen RR, DiClemente RJ, Lang DL, Spitalnick JS, Sales JM, Hardin JW. Frequency of sex after an intervention to decrease sexual risk-taking among African-American adolescent girls: results of a randomized, controlled clinical trial. Sex Education: Sexuality, Society and Learning. 2008;8(1):47–57.

    Article  Google Scholar 

  56. Lloyd SW, Owens Ferguson Y, Corbie-Smith G, Ellison A, Blumenthal C, Council BJ, et al. The role of public schools in HIV prevention: perspectives from African Americans in the rural south. AIDS Educ Prev. 2012;24(1):41–53.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Elizabeth Moses.

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EM and SK declare that they have no conflicts of interest.

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Moses, E., Kelly, S. African American Adolescent Sexuality: Influences on Sexual Scripting and Sexual Risk Behaviors. Curr Sex Health Rep 8, 64–76 (2016). https://doi.org/10.1007/s11930-016-0072-3

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  • DOI: https://doi.org/10.1007/s11930-016-0072-3

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