Advertisement

Sex Roles

, Volume 42, Issue 7–8, pp 495–521 | Cite as

Factors Affecting HIV Contraceptive Decision-Making Among Women

  • Gail E. Wyatt
  • Jennifer Vargas Carmona
  • Tamra Burns Loeb
  • Donald Guthrie
  • Dorothy Chin
  • Gwen Gordon
Article

Abstract

We examined contraceptive decision-making among African American, Latina, and European American women ages 18–50 years. Logistic regressions examined relationships between demographic and religious factors, unintended pregnancies, sexually transmitted diseases (STDs), reasons for sex, and contraceptive decision-making. Women who were older, single, African American, used pregnancy prevention, and had histories of STDs and unintended pregnancies made contraceptive decisions alone. Older and African American women were more likely to choose no contraception. Among contraceptive users, African Americans used effective methods of pregnancy, but not disease, prevention. Women with STD histories, and younger, more educated women were more likely to use methods that prevent against both pregnancy and disease. Theoretical implications about contraceptive choices among ethnically diverse women are discussed.

Keywords

Logistic Regression Social Psychology American Woman Transmitted Disease African American Woman 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  2. Akbar, N. (1981). Mental disorder among African Americans. Black Books Bulletin, 7, 18–25.Google Scholar
  3. Amaro, H. (1988). Considerations for prevention of HIV infection among Hispanic women. Psychology of Women Quarterly, 12, 429–443.Google Scholar
  4. Amaro, H. (1995). Love, sex, and power—Considering women's realities in HIV prevention.American Psychologist, 50, 437–447.Google Scholar
  5. Bandura, A. (1986). Social foundation of thought and action. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
  6. Belgrave, F., & Randolph, S. (1993). Psychological aspects of AIDS prevention among African Americans. Journal of Black Psychology, 19, 103–107.Google Scholar
  7. Bing, E. G., Nichols, S. E., Golfinger, F. M., Fernandez, F., Cabaj, R., Dudley, G., Krener, P., Prager, M., & Ruiz, P. (1990). Themany faces of AIDS:Opportunities for intervention.New Directions in Mental Health Services, 48, 69.Google Scholar
  8. Blumstein, P., & Schwartz, P. (1983). American couples: Money, work, sex. New York: William Morrow.Google Scholar
  9. Centers for Disease Control. (1992). HIV/AIDS surveillance. Centers for Disease Control: Atlanta, GA.Google Scholar
  10. Centers for Disease Control. (1997). HIV/AIDS surveillance. Centers for Disease Control: Atlanta, GA.Google Scholar
  11. Cohen, M. A., & Alfonso, C. A. (1997).A comprehensive approach to sexual history-taking using the biopsychosocial model. Journal of Mental Health, 26(1), 3–14.Google Scholar
  12. Committee on Unintended Pregnancy. (1995). In S. S. Brown & L. Eisenberg (Eds.), The best intentions: Unintended pregnancy and the well-being of children and families. Washington, DC: National Academy Press.Google Scholar
  13. Espin, O. M. (1997). In R. T. Hare—Mustin & J. Marecek (Eds.), Latina realities—Essays on healing, migration, and sexuality. Boulder, CO: Westview Press.Google Scholar
  14. Exner, T. M., Seal, D. W., & Ehrhardt, A. A. (1997). A review of HIV interventions for atrisk women. AIDS and Behavior, 1, 93–124.Google Scholar
  15. Forrest, J. D., & Singh, S. (1990). The sexual and reproductive behavior of American women, 1982–1988. Family Planning Perspectives, 22, 206–214.Google Scholar
  16. Gasch, H., Poulson, D., Fullilove, R., & Fullilove, M. (1993). Shaping AIDS education and prevention programs for African Americans amidst community decline. Journal of Negro Education, 60, 85–96.Google Scholar
  17. Golub, E. L. (1995). Women centered prevention techniques and technologies. In A. O'Leary and L. Sweet Jemmott (Eds.), Women at risk: Issues in the primary prevention of AIDS (pp. 43–82). New York: Plenum Press.Google Scholar
  18. Gomez, C., & VanOss Marin, B. (1996). Gender, culture, and power: Barriers to HIVprevention strategies for women. Journal of Sex Research, 33, 355–362.Google Scholar
  19. Gutierrez, L. M. (1990). Working with women of color: An empowerment perspective. Social Work, 35, 149–154.Google Scholar
  20. Holland, J., Ramanzonoglu, C., Sharpe, S., & Thomson, R. (1992a). Pleasure, pressure, and power: Some contradictions of gendered sexuality. Sociological Review, 645–674.Google Scholar
  21. Holland, J., Ramanzanoglu, C., Scott, S., Sharpe, S., & Thomson, R. (1992b). Risk, power and the possibility of pleasure: Women and safer sex. AIDS Care, 4, 273–283.Google Scholar
  22. Inazu, J. K., & Fox, G. L. (1980). Maternal influence on the sexual behavior of teen-age daughters. Journal of Family Issues, 1, 81–102.Google Scholar
  23. Jacobs Institute of Women's Health. (1995). In J. A. Horton (Ed.), The women's health data book. Aprofile of women's health in the United States (2nd ed.). Washington, DC: Elsevier.Google Scholar
  24. Kelaghan, J., Rubin, G. L., Ory, H. W., & Layde, P. M. (1982). Barrier-method contraceptives and pelvic inflammatory disease. Journal of the American Medical Association, 248, 184–187.Google Scholar
  25. Krishnan, V. (1990). A causal approach to the study of fertility and familism. Social Biology, 37, 59–68.Google Scholar
  26. Land, H. (1994). AIDS and women of color. Families in Society, 1994, 355–361.Google Scholar
  27. Levine, O. H., Britton, P. J., James, T. C., Jackson, A. P., & Hobfoll, S. E. (1993). The empowerment of women: A key to HIV prevention. Journal of Community Psychology, 21, 320–334.Google Scholar
  28. Mays, V. M., & Cochran, S. D. (1988). Issues in the perception of AIDS risk and risk reduction activities by Black and Hispanic/Latina women. American Psychologist, 43, 949–957.Google Scholar
  29. Michael, R. T., Gagnon, J. H., Laumann, E. O., & Kolodny, R. C. (1994). Sex in America: A definitive survey. Boston: Little Brown.Google Scholar
  30. Newcomb, M. D., Romero, G. J., Wyatt, G. E., Tucker, M. B., Wayment, H. A., Vargas-Carmona, J., Solis, B., & Mitchell-Kernan, C. (1998). Acculturation, sexual risk taking, and health promotion among Latinas. Journal of Counseling Psychology, 45, 454–467.Google Scholar
  31. Nicholas, L., & Durrheim, K. (1995). Religiosity, AIDS, and sexual knowledge, attitudes, beliefs, and practices of Black South-African first-year university students. Psychological Reports, 77, 1328–1330.Google Scholar
  32. Novey, P., & Novey, T. (1983). Don't make daddy mad or teaching women how to negotiate with men. Women, 13, 97–103.Google Scholar
  33. Park, B. J., Stergachis, A., Scholes, D., Hendrick, F. E., Holmes, K. K., & Stamm, W. E. (1995). Contraceptive methods and the risk of Chlamydia trachomatous infection in young women. American Journal of Epidemiology, 142, 771–778.Google Scholar
  34. Poma, P. A. (1987). Pregnancy in Hispanic women. Journal of the National Medical Association, 79, 929–935.Google Scholar
  35. Poulson, R. L., Eppler, M. A., Satterwhite, T. N., Wuensch, K. L., & Bass, L. A. (1998).Alcohol consumption, strength of religious beliefs and risky sexual behavior in college students. Journal of American College Health, 46, 227–232.Google Scholar
  36. Riger, S. (1993). What's wrong with empowerment. American Journal of Community Psychology, 21, 279–292.Google Scholar
  37. Rosenberg, M., & Simmons, R. G. (1971). Black and European American self esteem: The urban school child. Washington, DC: American Psychological Association.Google Scholar
  38. Sobo, E. J. (1993). One blood—The Jamaican body. Albany: State University of New York Press.Google Scholar
  39. St. Lawrence, J. S., Eldridge, G. D., Reitman, D., Little, C. E., Shelby, M. C., & Brasfield, T. L. (1998). American Journal of Community Psychology, 26, 7–28.Google Scholar
  40. Studer, M., & Thornton, A. (1987). Adolescent religiosity and contraceptive usage. Journal of Marriage and the Family, 49, 117–128.Google Scholar
  41. Tucker, M. B., & Mitchell-Kernan, C. (Eds.) (1995). The decline in marriage among African Americans: Causes, consequences, and policy implications. New York: Russell Sage Foundation.Google Scholar
  42. UN Chronicle. (1994). Women and children: Increasingly targeted by HIV. UN Chronicle, 31, 56–57.Google Scholar
  43. VanOss Marin, B., Tschann, J. M., Gomez, C. A., & Gregorich, S. (1998). Self-efficacy to use condoms in unmarried Latino adults. American Journal of Community Psychology, 26, 53–71.Google Scholar
  44. VanOss Marin, B., Tschann, J. M., Gomez, C. A., & Kegeles, S. M. (1993). Acculturation and gender differences in sexual attitudes and behaviors: Hispanic vs. Non-hispanic White unmarried adults. American Journal of Public Health, 83, 1759–1761.Google Scholar
  45. Vargas, A. (1988). Literacy in the Hispanic community. Washington, DC: National Council of La Raza.Google Scholar
  46. White, J. L. (1984). The psychology of Blacks. Englwood Cliffs, NJ: Prentice-Hall.Google Scholar
  47. Wilson, W. J. (1987). The truly disadvantaged. Chicago: University of Chicago Press.Google Scholar
  48. Worth, D. (1990). Sexual decision-making and AIDS:Why condom promotion among vulnerable women is likely to fail. Studies in Family Planning, 20, 297–307.Google Scholar
  49. Wyatt, G. E. (1985). The Wyatt sexual history questionnairre. Los Angeles: UCLA.Google Scholar
  50. Wyatt, G. E. (1992). The sociocultural context of African American and White American Women's rape. Journal of Social Issues, 48(1), 77–91.Google Scholar
  51. Wyatt, G. E. (1994). The sociocultural relevance of sex research: Challenges for the 1990's and beyond. American Psychologist, 49, 748–754.Google Scholar
  52. Wyatt, G. E. (1997). Stolen women: Reclaiming our sexuality, taking back our lives. New York: Wiley.Google Scholar
  53. Wyatt, G. E., et al. (1994). Final report 1990–1994: Sexual decision—making among Jamaicans.Family Health International. Google Scholar
  54. Wyatt, G. E., Carmona, J. V., Ashing-Giwa, K. T., Loeb, T. B., Chin, D., & Guthrie, D. (1999). Predicting women's HIV related risk taking with the sexual health model. Manuscript submitted for publication.Google Scholar
  55. Wyatt, G. E., Forge, N. G., & Guthrie, D. (1998). Family constellation and ethnicity: Current and lifetime HIV-related risk taking. Journal of Family Psychology, 12, 93–101.Google Scholar
  56. Wyatt, G. E., Myers, H., & Ashing-Giwa. (in press). Socio-cultural factors in sexual risk taking among Black men and women. In R. Staples (Ed.), The black family: Essays and studies. Newbury Park, CA: Sage.Google Scholar
  57. Wyatt, G. E., Newcomb, M. D., & Riederle, M. (1993). Sexual abuse and consensual sex: Women's developmental patterns and outcomes. Newbury Park, CA: Sage.Google Scholar
  58. Wyatt, G. E., & Riederle, M. H. (1994). Reconceptualizing issues that affect women's sexual decision-making and sexual functioning. Psychology of Women Quarterly, 18, 611–625.Google Scholar
  59. Wyatt, G. E., Tucker, B. M., Romero, G. J., Vargas-Carmona, J., Newcomb, M. D., Wayment, H. A., Loeb, T. B., Solis, B. M., & Mitchell-Kernan, C. (1997). Adapting a comprehensive approach to African American women's sexual risk taking. Journal of Health Education, 28, 52–60.Google Scholar
  60. Zelnik, M., & Kantner, J. F. (1980). Sexual activity, contraceptive use, and pregnancy among metropolitan—area teenagers: 1971–1979. Family Planning Perspectives, 12, 230–237.Google Scholar

Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Gail E. Wyatt
    • 1
  • Jennifer Vargas Carmona
    • 1
  • Tamra Burns Loeb
    • 1
  • Donald Guthrie
    • 1
  • Dorothy Chin
    • 1
  • Gwen Gordon
    • 1
  1. 1.University of CaliforniaLos Angeles

Personalised recommendations