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Sex Roles

, Volume 42, Issue 7–8, pp 723–749 | Cite as

On the Margin: Power and Women's HIV Risk Reduction Strategies

  • Hortensia Amaro
  • Anita Raj
Article

Abstract

HIV risk and prevention research has failed to investigate adequately the effects of gender-related factors such as relationship power, sexual communication, abuse, and gender roles on women's abilities to engage in protective actions. We propose that women's HIV risk from heterosexual transmission is embedded in the context of gender, race/ethnicity, and class oppression. This context has central implications for interpersonal relationship factors relevant to women's HIV risk. We suggest a framework for understanding women's HIV risk within the context of oppression and the role of power in intimate sexual relationships. Three common dynamics of oppression are considered: (1) Silencing, (2) Violence and Fear of Violence, and (3) Internalized Oppression. These dynamics are based on characteristics of oppression discussed in the work of Jean Baker Miller on gender, Hussain Bulhan on race, and Paulo Freire on class. These dynamics are discussed in the context of findings reported in this journal issue and those of other authors. Finally, the discussion identifies common patterns across studies, as well as areas of disagreement and directions for future research and public health prevention efforts.

Keywords

Gender Role Sexual Relationship Prevention Research Sexual Communication Risk Reduction Strategy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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REFERENCES

  1. Amaro, H.(1995).Love, sex and power.Considering women's realities in HIV prevention.American Psychologist, 50, 437–447.Google Scholar
  2. Amaro, H., Fried, L., Cabral, H., & Zuckerman, B.(1990).Violence during pregnancy: The relationship to drug use among women and their partners.American Journal of Public Health, 80, 575–579.Google Scholar
  3. Amaro, H., Whitaker, R., Coffman, G., and Heeren, T.(1990).Acculturation and marijuana and cocaine use: Findings from the Hispanic HANES.American Journal of Public Health, 80(Supplement), 54–60.Google Scholar
  4. Aptheker, H.(1974).Sterilization, experimentation and imperialism.Political Affairs, 53, 37–48.Google Scholar
  5. Aries, E.(1975).Interaction patterns and themes of male, female, and mixed groups.Small Group Behavior, 7, 7–18.Google Scholar
  6. Atkinson, D., Morten, G., & Sue, D.W.(1983).Counseling American minorities.Dubuque, IA: Wm.C.Brown.Google Scholar
  7. Auerbach, J.D., Wypijewska, C., and Brodie, H.(Eds.).(1994).AIDS and behavior: An integrated approach.Washington, DC: Institute of Medicine, National Academy Press.Google Scholar
  8. Axelrod, J., Myers, H.F., Durvasula, R.S., Wyatt, G.E., & Cheng, M.(1999).The impact of relationship violence, HIV and ethnicity on adjustment in women.Cultural Diversity and Ethnic Minority Psychology, 5, 263–275.Google Scholar
  9. Beadnell, B., Baker, S.A., Morrison, D.M., & Knox, K.(2000).HIV/STD risk factors for women with violent male partners.Sex Roles, this issue.Google Scholar
  10. Broverman, I.K., Broverman, D.M., Clarkson, S.E., Rosenkrantz, P.S., & Vogel, S.R.(1970).Sex-role stereotypes and clinical judgements of mental health.Journal of Consulting and Clinical Psychology, 34(1), 1–7.Google Scholar
  11. Berry, J.W.(1984).Cultural relations in plural societies: Alternatives to segregation and their socio-psychological implications.In N. Baker Miller and M.B. Brewer (Eds.), Groups in contact (pp.11–27).New York: Academic Press.Google Scholar
  12. Bowen, S.P., & Michal-Johnson, P.(1996).HIV/AIDS: A crucible for understanding the dark side of sexual interactions.In.S. Duck & J.T. Wood (Eds.) Confronting relationship challenges(pp.150–180).Thousand Oaks, CA: Sage.Google Scholar
  13. Bowleg, L., Belgrave, F.Z., and Reisen, C.A.(2000).Gender roles, power strategies, and precautionary sexual self-efficacy: Implications for Black and Latina women's HIV/AIDS protective behaviors.Sex Roles, this issue.Google Scholar
  14. Brown, L.M., & Gilligan, C.(1992).Meeting at the crossroads: Women's psychology and girls' development.Cambridge, MA: Harvard University Press.Google Scholar
  15. Bulhan, H.A.(1985).Frantz Fanon and the psychology of oppression.NewYork: Plenum Press.Google Scholar
  16. Carey, M.P., Maisto, S.A., K alichman, S.C., Forsyth, A.D., Wright, E.M., & Johnson, B.T.(1997).Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women.Journal of Consulting and Clinical Psychology, 65, 531–541.Google Scholar
  17. Castañeda, D.(2000).The close relationship context and HIV/AIDS risk reduction among Mexican Americans.Sex Roles, this issue.Google Scholar
  18. Cecil, H., Perry, M.J., Seal, D.W., & Pinkerton, S.D.(1998).The female condom: What we have learned thus far.AIDS and Behavior, 2, 241–256.Google Scholar
  19. Centers for Disease Control and Prevention.(1999).HIV/AIDS Surveillance Report:Midyear Edition, 11, 3–42.Google Scholar
  20. Corea, G.(1992).The Invisible Epidemic.New York: Harper/Collins.Google Scholar
  21. Cross, W.E., Jr. (1978).The Thomas and Cross models of psychological nigrescence: A literature review.Journal of Black Psychology, 4, 13–31.Google Scholar
  22. Cunningham, R.M., Stiffman, A.R., Dore, P., & Earls, F.(1994).The association of physical and sexual abuse with HIV risk behaviors in adolescence and young adulthood: Implications for health.Child Abuse and Neglect, 18, 233–245.Google Scholar
  23. Darroch, J.E., & Frost, J.J.(2000).Women's interest in vaginal microbicides.Family Planning Perspectives, 31, 16–23.Google Scholar
  24. DeBruyn, M.(1992).Women and AIDS in developing countries.Social Science and Medicine, 34, 249–262.Google Scholar
  25. DiClemente, R.J., & Wingood, G.M.(1995).A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women.Journal of the American Medical Association, 274, 1271–1276.Google Scholar
  26. Dwyer, D.C., Smokowski, P.R., Bricout, J.C., & Woarski, J.S.(1995).Domestic violence research: Theoretical and practice implications for social work.Clinical Social Work Journal, 23, 185–198.Google Scholar
  27. Ehrhardt, A.A., and Wasserheit, J.N.(1991).Age, gender, and sexual risk behaviors for sexually transmitted disease in the United States.In J.N. Wasserheit, S.O. Aral, and K.K. Holmes (Eds.), Research issues in human behavior and sexually transmitted diseases in the AIDS era (pp.97–121).Washington, DC: American Society for Microbiology.Google Scholar
  28. Eichenbaum, L., & Orbach, S.(1988).Between women: Love, envy, and competition in women's friendships.New York: Viking.Google Scholar
  29. Eldridge, G.D., St.Lawrence, J.S., Little, C.E., Shelby, M.C., Brasfield, T.L., Service, J.W., & Sly, K.(1997).Evaluation of the HIV risk reduction intervention for women entering inpatient substance abuse treatment.AIDS Education and Prevention, 9( Supplement 1),62–76.Google Scholar
  30. Essed, P.(1991).Understanding everyday racism.London: Sage.Google Scholar
  31. Felmlee, D.H.(1994).Who's on top? Power dynamics in romantic relationships.Sex Roles, 31, 275–295.Google Scholar
  32. Ferreira-Pinto, J.B.(1995).HIV/AIDS prevention among female sexual partners of injection drug users in Cuidad Juarez, Mexico.AIDS Care, 7, 477–488.Google Scholar
  33. Freire, P.(1970).Pedagogy of the oppressed.New York: Seabury Press.Google Scholar
  34. Freire, P., & Ramos, M.B.(1974).Education for critical consciousness.New York: Continuum.Google Scholar
  35. Frye, M.(1983).Sexism.In The politics of reality: Essays in feminist theory (pp.17–40).Freedom, CA: Crossing Press.Google Scholar
  36. Fullilove, M.T., Fullilove, R.E., Haynes, K., & Gross, S.(1990).Black women and AIDS prevention: A view towards understanding the gender rules.Journal of Sex Research, 27, 46–64.Google Scholar
  37. Fullilove, M.T., Lown, E.A., & Fullilove, R.E.(1992).Crackv´hos and skeezers: Traumatic experiences of women crack users.Journal of Sex Research, 29(2), 275–287.Google Scholar
  38. Galton, F.(1952 [1892]).The comparative worth of different races.In Hereditary genius: An inquiry into its laws and consequences (pp.325–337).New York: Horizon Press.Google Scholar
  39. Gamble, V.N.(1997).Under the shadow of Tuskegee: African Americans and health care.American Journal of Public Health, 87, 1773–1778.Google Scholar
  40. Gilbert, L.K.(1999).The female condom in the US: Lessons learned.American Journal of Public Health, 89(6, Insert), 1–28.Google Scholar
  41. Gilligan, C., Lyons, N.P., & Hanmer, T.J.(1990).Making connections: The relational worlds of adolescent girls at Emma Willard School.Cambridge, MA: Harvard University Press.Google Scholar
  42. Gilligan, C., Rogers, A.G., & Tolman, D.L.(1991).Women, girls, and psychotherapy: Reframing resistance.New York: Haworth Press.Google Scholar
  43. Gilmore, S., DeLamater, J., & Wagstaff, D.(1996).Sexual decision-making by inner city Black adolescent males: A focus groups study.Journal of Sex Research, 33, 363–371.Google Scholar
  44. Golding, J.(1996).Sexual assault history and women's reproductive and sexual health.Psychology of Women Quarterly, 20, 101–121.Google Scholar
  45. Gómez, C., & Marín, B.(1996).Gender, culture and power: Barriers to HIV prevention strategies for women.Journal of Sex Research, 33, 355–362.Google Scholar
  46. Gratch, L.V., Bassett, M.E., & Attra, S.L.(1995).The relationship of gender and ethnicity to self-silencing and depression among college students.Psychology of Women Quarterly, 19, 509–516.Google Scholar
  47. Gutiérrez, L.M., Oh, H.J., & Gillmore, M.R.(2000).Toward an understanding of (Em)Power( Ment) for HIV/AIDS prevention with adolescent women.Sex Roles, this issue.Google Scholar
  48. Harding, S.(1991).'strong objectivity' and socially situated knowledge.In Whose science? Whose knowledge? Thinking from women's lives (pp.138–163).Ithaca, NY: Cornell University Press.Google Scholar
  49. Harlow, L.L., Rose, J.S., Morokoff, P.J., Quina, K., Mayer, K., Mitchell, K., & Schnoll, R.(1998).Women HIV sexual risk takers: Related behaviors, interpersonal issues, and attitudes.Women's Health, 4(4), 407–439.Google Scholar
  50. Hans, S.L.(1999).Demographic and psychosocial characteristics of substance-abusing pregnant women.Clinical Perinatology, 26, 55–74.Google Scholar
  51. Hasian, M.A.(1996).Race and African American interpretations of eugenics.In The rhetoric of eugenics in Anglo American thought (pp.51–88).Athens, GA: University of Georgia Press.Google Scholar
  52. Health Research Group.(1973).A Health Research Group study of surgical sterilization: Present abuses and proposed regulations.Washington, DC: Author.Google Scholar
  53. Heckman, T.G., Sikkema, K.L., Kelly, J.A., Fuqua, R.W., Mercer, M.B., Hoffman, R.G., Winett, R.A., Anderson, E.S., Perry, M.J., Roffman, R.A., Solomon, L.J., Wagstraff, D.A., Cargil, v. Norman, D., & Crumble, D.(1996).Predictors of condom use and human immunodeficiency virus test seeking among woman living in inner-city public housing developments.Sexually Transmitted Diseases, 32, 357–365.Google Scholar
  54. Heise, L.(1999).Topical microbicides: New hope for STI/HIV prevention.Takoma Park, MD: Center for Health and Gender Equity.Google Scholar
  55. Heise, L.L., & Elias, C.(1995).Transforming AIDS prevention to meet women's needs: A focus on developing countries.Social Science and Medicine, 40, 931–943.Google Scholar
  56. Helms, J.(1990).Black and White racial identity: Theory, research, and practice.New York: Greenwood.Google Scholar
  57. Herold, J.W., Warren, C.W., Smith, J.C., Rochat, R.W., Martinez, R., & Vera, M.(1986).Contraceptive use and the need for family planning in Puerto Rico.Family Planning Perspectives, 18, 185–192.Google Scholar
  58. Hobfoll, S.E., Jackson, A.P., Lavin, J., Britton, P.J., & Shepherd, J.B.(1994).Reducing inner-city women's AIDS risk activities: A study of single, pregnant women.Health Psychology, 13, 397–403.Google Scholar
  59. Holland, J., Ramazanoglu, C., Scott, S., Sharpe, S., & Thompson, R.(1992).Risk, power, and the possibility of pleasure: Young women and safer sex.AIDS Care, 4, 273–283.Google Scholar
  60. Ickovics, J., & Rodin, J.(1992).Women and AIDS in the United States: Epidemiology, natural history, and mediation mechanisms.Health Psychology, 11, 1–16.Google Scholar
  61. Irvine, J.J.(1986).Teacher—student interactions: Effects of student race, sex, and grade level.Journal of Educational Psychology, 78, 14–21.Google Scholar
  62. Irwin, K.L., Edlin, B.R., Wong, L., Faruque, S., McCoy, H.V., Word, C., Schilling, R., McCoy, C.B., Evans, P.E., Holmberg, S.D., et al.(1995).Urban rape survivors: Characteristics and prevalence of human immunodeficiency virus and other sexually transmitted infections.Obstetrics and Gynecology, 85, 330–336.Google Scholar
  63. Jack, D.C.(1991).Silencing the self: Women and depression.Cambridge, MA: Harvard University Press.Google Scholar
  64. Jack, D.C., and Dill, D.(1992).The Silencing the Self Scale: Schemas of intimacy associated with depression in women.Psychology of Women Quarterly, 16, 97–106.Google Scholar
  65. Jemmott, J.B., Jemmott, L.S., & Fong, G.T.(1998).Abstinence and safer sex HIV risk reduction interventions for African American adolescents.Journal of the American Medical Association, 279, 1529–1536.Google Scholar
  66. Jones, J.(1993).Bad blood: The Tuskegee syphilis experiment.New York: Free Press.Google Scholar
  67. Kalichman, S.C., Hunter, T.L., & Kelly, J.A.(1992).Perceptions of AIDS susceptibility among minority and nonminority women at risk for HIV infection.Journal of Consulting and Clinical Psychology, 60, 725–732.Google Scholar
  68. Kalichman, S.C., Kelly, J.A., Hunter, T.L., Murphy, D.A., & Tyler, R.(1993).Culturally tailored HIV-AIDS risk-reduction messages targeted to African-American urban women: Impact and risk sensitization and risk reduction.Journal of Consulting and Clinical Psychology, 61, 291–295.Google Scholar
  69. Kalichman, S.C., Rompa, D., & Coley, B.(1996).Experimental component analysis of a behavioral HIV-AIDS prevention intervention for inner-city women.Journal of Consulting and Clinical Psychology, 64, 687–693.Google Scholar
  70. Kelly, J.A., Murphy, D.A., Washington, C.D., Wilson, T.S., Koob, J.J., Davis, D.R., Ledezma, G., & Davantes, B.(1994).The effects of HIV/AIDS intervention groups for high-risk women in urban clinics.American Journal of Public Health, 84, 1918–1922.Google Scholar
  71. Kim, J.(1981).The process of Asian-American identity development: A study of Japanese American women's perceptions of their struggle to achieve positive identities.Doctoral dissertation, University of Massachusetts, Amherst, Massachusetts [cited in J.S.Phinney (1993)].A three-stage model of ethnic identity development in adolescence.In M.B. Bernal and G.P. Knight (Eds.), Ethnic identity: Formation and transmission among Hispanics and other minorities (pp.61–79).New York: State University of New York.Google Scholar
  72. Koss, M.P., Goodman, L.A., Browne, A., Fitzgerald, L.F., Puryear-Keita, G., & Russo, N.F.(1994).No safe haven: Male violence against women at home, at work, and in the community.Washington, DC: American Psychological Association.Google Scholar
  73. La Guardia, K.(1991).AIDS and reproductive health: Women's perspectives.In L.C. Chen, J. Sepulveda Amor, and S.J. Segal (Eds.), AIDS and women's reproductive health (pp.17–25).Plenum Press, New York.Google Scholar
  74. Lips, H.M.(1999).A new psychology of women: Gender, culture, and ethnicity.London: May-field.Google Scholar
  75. Liskin, L.S., & Sakondhvat, C.(1992).The female condom: A new option for women.In J. Mann, D.J.M. Tarantola, & T.W. Netter (Eds.), AIDS in the world.A global report.Cambridge, MA: Harvard University Press.Google Scholar
  76. Lopez, I.(1985).Sterilization of Puerto Rican women in New York City.Doctoral Dissertation, Columbia University, New York.Google Scholar
  77. Mann, J.(1991).AIDS: Challenges to epidemiology in the 1990s.In L.C. Chen, J. Sepulveda Amor, and S.J. Segal (Eds.), AIDS and women's reproductive health (pp.11–15).Plenum Press, New York.Google Scholar
  78. Mann, J., Tarantola, D., & Netter, T.(Eds.).(1992).AIDS in the world.Cambridge, MA: Harvard University Press.Google Scholar
  79. Marcia, J.(1966).Development and validation of ego-identity status.Journal of Personality and Social Psychology, 3, 551–558.Google Scholar
  80. McCauley, J., Kern, D.E., Kolodner, K., Dill, L., Schroeder, A.F., DeChant, H.K., Ryden, J., Bass, E.B., & Derogatis, L.R.(1995).The “battering syndrome”: Prevalence and clinical characteristics of domestic violence in primary care internal medicine practices.Annals of Internal Medicine, 123, 737–146.Google Scholar
  81. McCormick, N.(1994).Sexual salvation: Affirming women's sexual rights and pleasures.Westport, CT: Praeger.Google Scholar
  82. Merideth, E.(1994).Critical pedagogy and its application to health education: A critical appraisal of the Casa en Casa model.Health Education Quarterly, 21, 355–367.Google Scholar
  83. Miller, J.B.(1986).Toward a new psychology of women.Boston: Beacon Press.Google Scholar
  84. Molina, L.D., & Basinait-Smith, C.(1998).Revisiting the intersection between domestic abuse and HIV risk.American Journal of Public Health, 88, 1267–1268.Google Scholar
  85. National Institutes of Health [NIH] Consensus Panel.(1997).Interventions to Prevent HIV Risk Behaviors.NIH Consensus Statement Online 1997, Feb 11–13; 15(2), 1–41.Google Scholar
  86. Paul, D.B.(1995).Whose country is this? Eugenics and race.Controlling human heredity: 1865 to the present (pp.97–114).Atlantic Highlands, NJ: Humanities Press.Google Scholar
  87. Perper, T., & Weis, D.L.(1987).Proceptive and rejective strategies of US and Canadian college women.Journal of Sex Research, 23,455–480.Google Scholar
  88. Phinney, J.S.(1993).A three-stage model of ethnic identity development in adolescence.In M.B. Bernal and G.P. Knight (Eds.), Ethnic identity: Formation and transmission among Hispanics and other minorities (pp.61–79).New York: State University of New York.Google Scholar
  89. Piper, A.(1990).Higher-order discrimination.In O. Flanagan & A.O. Rorty (Eds.), Identity, character, and morality: Essays in moral psychology (pp.285–309).Cambridge, MA: MIT Press.Google Scholar
  90. Pleck, J., Sonenstein, F.L., & Ku, L.C.(1993).Masculinity ideology: Its impact on adolescent males' heterosexual relationships.Journal of Social Issues, 49, 11–29.Google Scholar
  91. Plichta, S.B., & Abraham, C.(1996).Violence and gynecological health in women <50 years old.American Journal of Obstetrics and Gynecology, 174, 903–907.Google Scholar
  92. Potts, M.(1994).The urgent need for a vaginal microbicide in the prevention of HIV transmission.American Journal of Public Health, 84, 890–891.Google Scholar
  93. Powell-Hopson, D., & Hopson, D.S.(1988).Implications of doll color preferences among Black preschool children and White preschool children.Journal of Black Psychology, 14, 57–63.Google Scholar
  94. Pulerwitz, J., Gortmaker, S.L., & DeJong, W.(2000).Measuring sexual relationship power in HIV/STD research.Sex Roles, this issue.Google Scholar
  95. Quina, K., Harlow, L.L., Morokoff, P.J., Burkholder, G., & Deiter, P.J.(2000).Sexual communication in relationships: When words speak louder than actions.Sex Roles, this issue.Google Scholar
  96. Quina, K., Harlow, L.L., Morokoff, P.J., & Saxon, S.E.(1997).Interpersonal power and women's HIV risk.In J. Manlowe & N. Goldstein (Eds.), Gender and the politics of HIV(pp.188–206).New York: New York University Press.Google Scholar
  97. Raj, A., Silverman, J., Wingood, G., & DiClemente, R.(1997, November).Predictors of relationship abuse among African-American women.Presented at the 125th Annual Meeting of the American Public Health Association, Indianapolis, Indiana.Google Scholar
  98. Raj, A., & Wingood, G.(1997, May).The relationship between condom use and fear of conflict resulting from safer sex negotiation among low-income African-American women.Presented at the 1997 Women and HIV Conference, Los Angeles, California.Google Scholar
  99. Reid, P.(1993).Poor women in psychological research.Shut up and shut out.Psychology of Women Quarterly, 17, 133–150.Google Scholar
  100. Reiker, P.P., & Jankowski, M.K.(1995).Sexism and women's psychological status.In C.V. Willie, P.P. Reiker, B.M. Kramer, & B.S. Brown(Eds.), Mental health, racism and sexism (pp.27–50).Pittsburgh, PA: University of Pittsburgh Press.Google Scholar
  101. Rhodes, F., Wolitski, R.J., & Thornton-Johnson, S.(1992).An experiential program to reduce AIDS among female sex partners of injection-drug users.Health and Social Work, 17, 261–272.Google Scholar
  102. Roberts, G.L., Lawrence, J.M., Williams, G.M., & Raphael, B.(1998).The impact of domestic violence on women's mental health.Australian-New Zealand Journal of Public Health, 22, 796–801.Google Scholar
  103. Rodriguez-Trias, H.(1984).The women's health movement: Women take power.In V. Sidel & R. Sidel (Eds.), Reforming medicine: Lessons of the last quarter century (pp.107–126).New York: Pantheon.Google Scholar
  104. Russell, K., Wilson, M., & Hall, R.(1992).Embracing whiteness.In K. Russell, M. Wislon, & R. Hall (Eds.), The color complex: The politics of skin color among African Americans (pp.41–61).New York: Doubleday.Google Scholar
  105. Sadker, M., & Sadker, D.(1985).Sexism in the schoolroom of the 80's.Psychology Today, 19, 54–57.Google Scholar
  106. Samson, A.Y., Bensen, S., Beck, A., Price, D., & Nimmer, C.(1999).Posttraumatic stress disorder in primary care.Journal of Family Practice, 48, 222–227.Google Scholar
  107. Sanger, M.(1919).Birth control and racial betterment.Birth Control Review, 1919(February), 11–12.Google Scholar
  108. Santinelli, J.S., Celantano, D.D., Rozsenich, C., Crump, A.D., Davis, M.V., Polacsek, M., Augustyn, M., Rolf, J., McAlister, A.L., & Burwell, L.-W.(1995).Interim outcomes for a community-based program to prevent perinatal HIV transmission.AIDS Education and Prevention, 7, 210–220.Google Scholar
  109. Schensul, S., Borrero, M., Barrera, V., Backstrand, J., & Guarnaccia, P.(1982).A model of fertility control in a Puerto Rican community.Urban Anthropology, 11, 81–100.Google Scholar
  110. Scholle, S.H., Rost, K.M., & Golding, J.M.(1998).Physical abuse among depressed women.Journal of General Internal Medicine, 13, 607–613.Google Scholar
  111. Simoni, J.M., Walters, K.L., & Nero, D.K.(2000).Safer sex among HIV+ women: The role of relationships.Journal of Sex Role, this issue.Google Scholar
  112. Stevens, S.J., Estruda, A.L., & Estrada, B.D.(1998).HIV sex and drug risk behavior and behavior change in a national sample of injection drug and crack cocaine using women.Women and Health, 27, 25–48.Google Scholar
  113. Sutherland, C., Bybee, D., & Sullivan, C.(1998).The long-term effects of battering on women's health.Women's Health, 4, 41–70.Google Scholar
  114. Thompson, N.J., Potter, J.S., Sanderson, C.A., & Maibach, E.W.(1997).The relationship of sexual abuse and HIV risk behaviors among heterosexual adult female STD patients.Child Abuse and Neglect, 21, 149–156.Google Scholar
  115. Tjaden, P., & Thoennes, N.(1998, November).Prevalence, incidence, and consequences of violence against women: findings from the national violence against women survey.National Institute of Justice/Centers for Disease Control and Prevention: Partners in Research on Violence Against Women.Washington, DC: U.S.Department of Justice, Office of Justice Programs.Google Scholar
  116. Townsend, J.(1995).Racial, ethnic, and mental illness stereotypes: Cognitive process and behavioral effects.In C.V. Willie, P.P. Reiker, B.M. Kramer, & B.S. Brown (Eds.), Mental health, racism and sexism (pp.51–118).Pittsburgh, PA: University of Pittsburgh Press.Google Scholar
  117. Turner, C.B., & Kramer, B.M.(1995).Connections between racism and mental health.In C.V. Willie, P.P. Reiker, B.M. Kramer, & B.S. Brown (Eds.), Mental health, racism and sexism (pp.3–26).Pittsburgh, PA: University of Pittsburgh Press.Google Scholar
  118. U.S.General Accounting Office.(1976).Report to Honorable James G.Abourezk, B164031 {5}, November.Google Scholar
  119. Warren, C.W., Westoff, C.F., Herold, J.M., Rochat, R.W., & Smith, J.C.(1986).Contraceptive sterilization in Puerto Rico, Demography, 23, 351–356.Google Scholar
  120. Way, N.(1995). “Can't you see the courage, the strength that I have?” Listening to urban adolescent girls speak about their relationships.Psychology of Women Quarterly, 19, 107–128.Google Scholar
  121. Weintraub, T.A., Lacet, B., Bonet, C., & Amaro, H.(1996, November). Violence: A pervasive reality for high risk adolescent girls.Presentation at the American Public Health Association Conference, New York.Google Scholar
  122. Werner, D.(1982).Helping health workers learn: A book of methods, aids and ideas for instructors at the village level.Berkeley, CA: Hesperian Foundation.Google Scholar
  123. West, C.(1993).Race matters.Boston. Beacon Press.Google Scholar
  124. Whitehead, T.(1997).Urban low-income African American men, HIV/AIDS, and gender identity.Medical Anthropology Quarterly, 11, 411–447.Google Scholar
  125. Williams, D.R., Lavizzo-Mourey, R., & Warren, R.C.(1994).The concept of race and health status in America.Public Health Reports, 109, 26–41.Google Scholar
  126. Wingood, G.M., & DiClemente, R.J.(1996).HIV sexual risk reduction interventions for women: A review.American Journal of Preventive Medicine, 12, 209–217.Google Scholar
  127. Wingood, G.M., & DiClemente, R.J.(1997).The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women.American Journal of Public Health, 87, 1016–1018.Google Scholar
  128. Wingood, G.M., & DiClemente, R.J.(1998).Relationship characteristics and gender-related factors associated with non-condom use among young adult African-American women.American Journal of Community Psychology, 26, 29–51.Google Scholar
  129. Worth, D.(1989).Sexual decision-making and AIDS:Why condom promotion among vulnerable women is likely to fail.Studies in Family Planning, 20, 297–307.Google Scholar
  130. Wyatt, G.E.(1994).The sociocultural relevance of sex research: Challenges for the 1990s and beyond.American Psychologist, 49, 748–754.Google Scholar
  131. Wyatt, G.E., Vargas Carmona, J., Burns Loeb, T., Guthrie, D., Chin, D., & Gordon, G.(2000).Factors affecting HIV contraceptive decision making among women.Sex Roles, this issue.Google Scholar
  132. Young, I.M.(1990). Five faces of oppression.In I.M. Young (Ed.), Justice and the politics of difference (pp.39–63).Princeton, NJ: Princeton University Press.Google Scholar
  133. Zierler, S., Feingold, L., Laufer, D., Velentgas, P., Kantrowitz-Gordon, I., & Mayer, K.(1991).Adult survivors of childhood sexual abuse and subsequent risk of HIV infection.American Journal of Public Health, 81, 572–575.Google Scholar
  134. Zierler, S., & Krieger, N.(1989).Reframing women's risk: Social inequalities and HIV infection.Annual Review of Public Health, 18, 401–436.Google Scholar

Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Hortensia Amaro
    • 1
  • Anita Raj
    • 1
  1. 1.School of Public HealthBoston UniversityUSA

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