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Alley JC, McDonnell AS, Diamond LM. Early adversity and sexual diversity: the importance of self-reported and neurobiological sexual reward sensitivity. Sci Rep 2024; 14:8717. [PMID: 38622142 PMCID: PMC11018754 DOI: 10.1038/s41598-024-58389-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 03/28/2024] [Indexed: 04/17/2024] Open
Abstract
Work shows that sexually-diverse individuals face high rates of early life adversity and in turn increased engagement in behavioral outcomes traditionally associated with adversity, such as sexual risk taking. Recent theoretical work suggests that these associations may be attributable to heightened sexual reward sensitivity among adversity-exposed women. We aimed to test these claims using a combination of self-report and EEG measures to test the relationship between early adversity, sexual reward sensitivity (both self-reported and EEG measured) and sexual risk taking in a sexually diverse sample of cis-gender women (N = 208) (Mage = 27.17, SD = 6.36). Results showed that childhood SES predicted self-reported sexual reward sensitivity which in turn predicted numbers of male and female sexual partners. In contrast we found that perceived childhood unpredictability predicted neurobiological sexual reward sensitivity as measured by EEG which in turn predicted male sexual partner number. The results presented here provide support for the notion that heightened sexual reward sensitivity may be a pathway through which early life adversity augments future sexual behavior, and underscores the importance of including greater attention to the dynamics of pleasure and reward in sexual health promotion.
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Affiliation(s)
- Jenna C Alley
- Department of Psychiatry and Biobehavioral Sciences, University of California, 760 Westwood Plaza, Los Angeles, CA, 90095, USA.
| | - Amy S McDonnell
- Department of Psychology, University of Utah, Salt Lake City, UT, USA
| | - Lisa M Diamond
- Department of Psychology, University of Utah, Salt Lake City, UT, USA
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2
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Eakins DR, Neilson EC, Stappenbeck CA, Nguyen HV, Cue Davis K, George WH. Alcohol intoxication and sexual risk intentions: Exploring cultural factors among heavy drinking women. Addict Behav 2022; 131:107314. [PMID: 35381432 PMCID: PMC9271756 DOI: 10.1016/j.addbeh.2022.107314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 03/11/2022] [Accepted: 03/23/2022] [Indexed: 11/01/2022]
Abstract
INTRODUCTION Sexually Transmitted Infections (STI) rates are the highest of the last 20 years, with people of color and women particularly affected. Ongoing research has identified risk factors (e.g., alcohol intoxication) and protective factors (e.g., risk perception) for sexual risk behaviors, such as inconsistent condom use. Depending on behavioral norms within a group, ethnic identity (EI) - the exploration and sense of belonging to one's ethnicity - may be a risk or protective factor. This study examined the relations between EI, alcohol intoxication, and STI risk perception on sexual risk intentions among women of color (WOC) and white women (WW). METHODS Cisgender women (N = 390; 35% WOC; 65% WW) completed measures and were randomly assigned to an alcohol condition (0.10% BrAC vs control). They projected themselves into an eroticized scenario and self-reported two aspects of STI risk perception (personal, partner) and two sexual risk behaviors (condomless sex intentions, condom decision abdication intentions). RESULTS Path analysis indicated that intoxicated women endorsed higher sexual risk intentions compared to women in the control group. Personal STI risk perception was negatively associated with sexual risk intentions. Indirect effects indicated that race was indirectly associated with both indicators of sexual risk, such that WOC reported higher perceived personal STI risk and subsequently endorsed lower sexual risk intentions compared to WW. Surprisingly, EI was associated with higher perceived partner risk for WW only. CONCLUSIONS Prevention initiatives that address STI risk perception, condom assertion behaviors, and alcohol may be effective for mitigating women's sexual risk behaviors.
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Affiliation(s)
- Danielle R Eakins
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1100 NE 45th Street, Suite 300, Box 354944 Seattle, WA 98105, USA.
| | - Elizabeth C Neilson
- Department of Psychology, Morehead State University, 151 4th Street, Suite 414, Morehead, KY 40351, USA.
| | - Cynthia A Stappenbeck
- Department of Psychology, Georgia State University, PO Box 5010, Atlanta, GA 30302, USA.
| | - Hong V Nguyen
- Veterans Affairs Palo Alto Healthcare System, 795 Willow Rd (MPD351), Menlo Park, CA 94025, USA
| | - Kelly Cue Davis
- Edson College of Nursing and Health Innovation, Arizona State University, 500 N. 3(rd) St., Phoenix, AZ 85004, USA.
| | - William H George
- Department of Psychology, University of Washington, 119A Guthrie Hall Box 351525, Seattle, WA 98195-1525, USA.
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Chandler R, Guillaume D, Tesema N, Paul S, Ross H, Hernandez ND. Social and Environmental Influences on Sexual Behaviors of College Black Women: Within Group Diversity Between HBCU vs. PWI Experiences. J Racial Ethn Health Disparities 2020; 8:852-862. [PMID: 32827124 DOI: 10.1007/s40615-020-00843-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 07/11/2020] [Accepted: 08/04/2020] [Indexed: 10/23/2022]
Abstract
Black women carry a disproportionate number of new HIV infections in the USA. Studies that have assessed HIV risk perception along with HIV prevention interventions for Black women have primarily focused on Black women of low socioeconomic status. Few studies have assessed HIV risk perceptions and sexual behavior among college-educated Black women of higher socioeconomic status despite their high risk of HIV. College-educated Black women are most likely to acquire HIV while in college, and there has been a marked absence of research assessing the environmental and cultural influences present throughout college-campuses, coupled with evaluating how these factors shape sexual behaviors. We conducted surveys with Black female students attending a historically Black college and Black female students attending a predominately White university, and compared baseline differences in sexual behaviors among both populations. Results showed that for participants attending the historically Black college certain sociocultural elements, such as music and media, had a significantly stronger influence on sexuality and sexual behaviors compared with students attending predominately White universities. The development of future HIV prevention interventions for Black women necessitates an understanding of the diverse microcultures that Black women come from. This research is high priority for college-educated Black women given this population's lack of inclusion in HIV prevention research.
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Affiliation(s)
- Rasheeta Chandler
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
| | | | - Naomi Tesema
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA
| | - Sudeshna Paul
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA
| | - Henry Ross
- Center for Community Practice, University of Rochester Medical Center, Rochester, NY, USA
| | - Natalie D Hernandez
- Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA
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Fairfortune TS, Stern JE, Richardson BA, Koutsky LA, Winer RL. Sexual Behavior Patterns and Condom Use in Newly Sexually Active Female University Students. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1053-1065. [PMID: 31407192 DOI: 10.1007/s10508-019-1411-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Revised: 01/21/2019] [Accepted: 01/28/2019] [Indexed: 06/10/2023]
Abstract
Our objective was to describe sexual behavior patterns and condom use in newly sexually active female university students. We conducted a 4-year retrospective cohort study (2000-2007) of university women enrolled close to sexual debut (N = 250). Participants reported daily information on intercourse, condom use, and partner/partnership characteristics into Web-based biweekly sexual behavior diaries. We calculated intercourse frequency, proportion of condom-protected events, and incidence of new partner acquisition. We used logistic regression to examine factors associated with condom use at sexual debut; Kaplan-Meier methods to describe cumulative incidence of condom non-use after use at debut; and Cox proportional hazards ratios to examine factors associated with condom non-use. A total of 188 women had at least one male sex partner prior to enrollment or during follow-up. One-third (34.1%) of 27,736 intercourse events were condom-protected. Older age (20+ vs. < 20 years) and use of hormonal birth control were associated with lower likelihood of condom use at sexual debut (adjusted odds ratio [aOR] 0.41, 95% CI 0.17-0.97 and aOR 0.32, 95% CI 0.10-1.03, respectively). Women who reported partners with previous sex partners were less likely to discontinue using condoms after debut (hazard ratio = 0.35, 0.16-0.77) than those reporting partners without previous partners. In college-aged women, older age and hormonal contraceptive use were each inversely associated with condom use at first intercourse. Women with sexually experienced partners were more likely to continue using condoms. Continued efforts are necessary to promote condom use among college-aged women.
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Affiliation(s)
- Tessa S Fairfortune
- HPV Research Group, Department of Epidemiology, University of Washington School of Public Health, 325 9th Ave., Box 359933, Seattle, WA, 98104, USA
| | - Joshua E Stern
- Department of Global Health, University of Washington School of Public Health, Seattle, WA, USA
| | - Barbra A Richardson
- Department of Global Health, University of Washington School of Public Health, Seattle, WA, USA
- Department of Biostatistics, University of Washington School of Public Health, Seattle, WA, USA
| | - Laura A Koutsky
- HPV Research Group, Department of Epidemiology, University of Washington School of Public Health, 325 9th Ave., Box 359933, Seattle, WA, 98104, USA
| | - Rachel L Winer
- HPV Research Group, Department of Epidemiology, University of Washington School of Public Health, 325 9th Ave., Box 359933, Seattle, WA, 98104, USA.
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Hall WJ, Erausquin JT, Nichols TR, Tanner AE, Brown-Jeffy S. Relationship intentions, race, and gender: Student differences in condom use during hookups involving vaginal sex. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2019; 67:733-742. [PMID: 30265847 DOI: 10.1080/07448481.2018.1506788] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Revised: 06/05/2018] [Accepted: 07/26/2018] [Indexed: 06/08/2023]
Abstract
Objective: To examine the relationship between race, gender, and pre-hookup relationship intentions and college students' participation in condomless vaginal sex. Participants: 3,315 Black and White college students who participated in the Online College Social Life Survey (OCSLS). Methods: Secondary data analysis of the OCSLS using Chi-square and multiple logistic regression analyses. Results: The model revealed that students who did not want a relationship with their hookup partners and students unsure of their relationship intentions were more likely to use condoms during their last vaginal hookup. Further, White and Female students were less likely to have used condoms during their last vaginal hookup.Conclusions: White and female students, as well as students desiring romantic relationships with hookup partners may be at risk for sexually transmitted infections (STIs) due to decreased condom use. However, more research is needed to explore the factors driving STI disparities facing Black students despite higher condom use.
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Affiliation(s)
| | - Jennifer Toller Erausquin
- Department of Public Health Education, The University of North Carolina Greensboro, Greensboro, North Carolina, USA
| | - Tracy R Nichols
- Department of Public Health Education, The University of North Carolina Greensboro, Greensboro, North Carolina, USA
| | - Amanda E Tanner
- Department of Public Health Education, The University of North Carolina Greensboro, Greensboro, North Carolina, USA
| | - Shelly Brown-Jeffy
- Department of Sociology, The University of North Carolina at Greensboro, Greensboro, North Carolina, USA
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Fergus KB, Copp HL, Tabler JL, Nagata JM. Eating disorders and disordered eating behaviors among women: Associations with sexual risk. Int J Eat Disord 2019; 52:1310-1315. [PMID: 31267548 PMCID: PMC9714254 DOI: 10.1002/eat.23132] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 06/19/2019] [Accepted: 06/20/2019] [Indexed: 01/27/2023]
Abstract
OBJECTIVE To evaluate the association between eating disorders or disordered eating behaviors and sexual risk in young women. METHOD We used prospective cohort data of young women ages 18-26 years from the National Longitudinal Study of Adolescent to Adult Health (N = 5,899). Exposures of interest (at 18-26 years) included a self-reported eating disorder diagnosis or disordered eating behaviors including fasting/skipping meals, vomiting, diet pills, or laxative/diuretic use to lose weight and binge eating. Sexual risk outcomes at 7-year follow-up included the number of new sexual partners, condom use, and sexually transmitted infections. RESULTS Having either an eating disorder or reporting any disordered eating behavior was associated with a greater number of new sexual partners (B = 1.09, 95% CI [0.18, 2.00]) and lower odds of condom use (odds ratio 0.70, 95% CI [0.53, 0.94] among a subsample of sexually active, unmarried women). DISCUSSION Young women with eating disorders or who engage in disordered eating behaviors are at higher risk for multiple new sexual partners and unprotected sex. Clinicians caring for young adults with eating disorders may consider screening for sexual risk behaviors.
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Affiliation(s)
- Kirkpatrick B. Fergus
- Department of Urology, University of California-San Francisco, San Francisco, California
| | - Hillary L. Copp
- Department of Urology, University of California-San Francisco, San Francisco, California
| | - Jennifer L. Tabler
- Department of Criminal Justice and Sociology, University of Wyoming, Laramie, Wyoming
| | - Jason M. Nagata
- Department of Pediatrics, University of California-San Francisco, San Francisco, CA
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Whiting W, Pharr JR, Buttner MP, Lough NL. Behavioral Interventions to Increase Condom Use Among College Students in the United States: A Systematic Review. HEALTH EDUCATION & BEHAVIOR 2019; 46:877-888. [PMID: 31165629 DOI: 10.1177/1090198119853008] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background. Traditional undergraduate college students in the United States are in the age range that experiences the highest rate of sexually transmitted infections (STIs) and are vulnerable to contracting STIs. Increasing condom use among college students is a prevention strategy to reduce the spread of STIs. Aim. The purpose of this systematic review of the literature was to identify behavioral interventions that increased condom use behaviors and/or intentions among college students. Method. The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed in systematically searching, extracting, appraising, and synthesizing the evidence. A quality assessment was also conducted with the tool provided by the Effective Public Health Practice Project. Results. The initial search yielded 715 records. After critical appraisal, seven articles remained for review. Discussion. Four of the interventions were developed using the three constructs of the information, motivation, and behavioral skills model, and all four found significant increases in condom use or condom use intentions. Additionally, interventions that included modules to increase self-efficacy for condom use, taught participants where to get condoms and how to negotiate condom use with partners, or elicited positive associations (feels) toward condoms saw increased condom use or intention to use condoms.
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Felder K, Mincey K, Turner BL, Smith T, Marshall NA. Black College Women and the Health of Black College Men. J Community Health 2019; 44:982-987. [PMID: 31054143 DOI: 10.1007/s10900-019-00672-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The purpose of this study was to understand the influence Black college women have on the health behaviors of Black men. Using the Health Belief Model and the socioecological model as guides, focus groups and interviews were conducted with Black college men (n = 35) and Black college females (n = 25) at a Historically Black College and University in the Southern United States. Participants provided responses to questions on what impacts their health behaviors and whose health they influence. Results indicate that Black college men believed Black peer women influence decisions they make regarding their diet, physical activity, and general health behaviors. However, Black college women believe they only influenced physical activity and sexual health in Black college men. While they understood they had some influence on their health, the women were unsure if they had long-term influence. These findings highlight the need for programming that informs young Black women on the important role they play in the health of men in their lives, particularly young Black men. These findings also highlight the need for peer health educator training to cross-train educators on health issues of all gender groups.
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Affiliation(s)
- Kyazia Felder
- Department of Public Health Sciences, Xavier University of Louisiana, New Orleans, LA, USA
| | - Krista Mincey
- Department of Public Health Sciences, Xavier University of Louisiana, New Orleans, LA, USA.
| | - Brian L Turner
- Department of Psychology, Xavier University of Louisiana, New Orleans, LA, USA
| | - Tatyana Smith
- Department of Psychology, Xavier University of Louisiana, New Orleans, LA, USA
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Dolphin L, Fitzgerald A, Dooley B. Risky sex behaviours among college students: The psychosocial profile. Early Interv Psychiatry 2018; 12:1203-1212. [PMID: 29235241 DOI: 10.1111/eip.12526] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 10/19/2017] [Accepted: 11/08/2017] [Indexed: 01/07/2023]
Abstract
AIMS Risky sex behaviours among college students are a growing public health concern. However, few studies have profiled these behaviours using a large range of psychosocial correlates. METHODS Participants were 6874 undergraduate and postgraduate students (64.7% female, age range 17-25 years, M = 20.43 years, SD = 1.86 years) drawn from 13 higher-level institutions in Ireland. RESULTS Regarding prevalence, 75% of the sample report that they have been, or are currently sexually active. Of this sexually active cohort (n = 5111), 27.2% report early sexual initiation, 29.5% report 5 or more lifetime sexual partners and 12.1% report 2 or more sexual partners in the past 3 months. In addition, 47.7% of students report inconsistent condom use and 39.5% report inconsistent use of other contraceptive methods in the past 3 months. Using multivariate logistic regression analyses, significant correlates of risky sex behaviour are identified across 5 groups of psychosocial predictors (demographic, sexuality and relationships, substance use, mental well-being and personal resources). Differences between males and females and between different sexual orientations are highlighted. CONCLUSIONS Suggestions are made for sexual education and intervention programs to specifically target subgroups of the student population.
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Affiliation(s)
- Louise Dolphin
- School of Psychology, University College Dublin, Belfield, Ireland
| | | | - Barbara Dooley
- School of Psychology, University College Dublin, Belfield, Ireland
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Hernandez R. Understanding Sorority Women's Privacy Management About Condom Use. QUALITATIVE HEALTH RESEARCH 2018; 28:1342-1353. [PMID: 29642774 DOI: 10.1177/1049732318766506] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Sorority women are at risk for engaging in unsafe sexual behavior. Fortunately, the positive influence of peer communication about condom use can mitigate the risk these women face. To better understand this communication, this article investigates sorority women's communication about condom use through focus groups, using the lens of the theory of Communication Privacy Management. The results revealed the criteria for privacy rules sorority women use to negotiate privacy and engage in comfortable communication with other women in the sorority. The analysis also revealed an external privacy boundary; the women sought to maintain a good reputation for their social group, and followed explicit and implicit privacy management rules to do so. The implications for this study include better understanding of the personal and collective boundaries of privacy management, and improvements in sorority and college student sexual health programs.
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Affiliation(s)
- Rachael Hernandez
- 1 Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA
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Francis DB, Noar SM, Fortune DA, Adimora AA. "Be Straight Up and So Will He": Evaluation of a Novel HIV Prevention Condom Distribution and Health Communication Intervention Targeting Young African American Females. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2018; 30:137-151. [PMID: 29688776 PMCID: PMC6476563 DOI: 10.1521/aeap.2018.30.2.137] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
This study evaluated a novel 3-month campus-based HIV prevention condom distribution and health communication intervention for African American females attending a historically Black college in North Carolina. The theoretical framework for study incorporated the integrative model of behavioral prediction and the theory of gender and power. The intervention provided free condoms via condom dispensers with point-of-access messaging on the dispensers. We assessed 195 individuals before and 118 three months after the intervention. Almost 90% of participants were exposed to the intervention. Forty-four percent used the dispensers, 70% of whom reported using the condoms for sexual intercourse. Perceptions of condom availability and accessibility increased significantly after the intervention. In a multiple regression analysis controlling for covariates, dispenser use was significantly associated with greater condom use. These findings show the promise of a low-cost, broad-reach HIV/STI prevention intervention for young African American women.
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Affiliation(s)
- Diane B Francis
- Manship School of Mass Communication, Louisiana State University, Baton Rouge, Louisiana
| | - Seth M Noar
- School of Media and Journalism, University of North Carolina at Chapel Hill, and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill
| | - Deborah A Fortune
- Department of Public Health Education, North Carolina Central University, Durham, North Carolina
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McLaurin-Jones TL, Lashley MB, Marshall VJ. Using Qualitative Methods to Understand Perceptions of Risk and Condom Use in African American College Women: Implications for Sexual Health Promotion. HEALTH EDUCATION & BEHAVIOR 2017; 44:805-814. [PMID: 28882079 DOI: 10.1177/1090198117728759] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Young African American women are disproportionately affected with sexually transmitted infections (STIs) and unintentional pregnancies. Despite adequate knowledge, assertiveness, and negotiation skills, consistent condom use remains low. AIMS We sought to assess the role of pregnancy and STI risk perception in condom decision making among African American women. METHOD We conducted a phenomenological qualitative study. Utilizing a purposive sampling strategy, 100 African American women (18-24 years) were recruited from a historically Black college and university for an open discussion of condom use. Thirteen focus groups were conducted via a semistructured interview guide and analyzed with an inductive thematic approach. RESULTS Uniformly women perceived pregnancy as a greater threat than STIs which appears to be maintained by (a) their sense of fertility, (b) self-care concept, and (c) experiences with condom failure. Thus, women were skeptical about using condoms as a form of contraception. Women perceived casual sex as having the greatest HIV/STI risk and emphasized the importance of assertiveness and self-respect to negotiate condom use. However, condom use in monogamous relationships is less likely due to (a) testing/knowing partner's status, (b) relationship trust, and (c) the use of hormonal contraception for pregnancy prevention. Perceived threat of infidelity increases condom use. CONCLUSION The implications of these findings suggest sexual health promotion programs may focus on improving women's estimate of the effectiveness of condoms to prevent pregnancy and addressing women's reliance on testing for STI prevention.
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14
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Jenkins Hall W, Tanner AE. US Black college women's sexual health in hookup culture: intersections of race and gender. CULTURE, HEALTH & SEXUALITY 2016; 18:1265-78. [PMID: 27265841 DOI: 10.1080/13691058.2016.1183046] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Approximately 60-80% of college students in the USA report a hookup experience in the form of a casual sexual encounter between individuals without the expectation of a dating or romantic relationship. Given the potential health risk posed by these sexual encounters, the need exists to critically examine this cultural phenomenon on college campuses. Yet, the existing hookup literature is overwhelming White and often exclusive of historically marginalised populations such as Black women. Accordingly, this paper examines the role of the intersecting identities of race and gender and other social factors that influence the sexual health and wellbeing of Black women on US college campuses. Specifically, we explore issues related to the gender ratio disparities present on college campuses, relationship power imbalances, inconsistent condom use and low sexual-risk perception. Moving forward, hookup research needs to utilise an intersectional approach; we offer specific suggestions for the important inclusion of Black women in the broader hookup discourse and future research.
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Affiliation(s)
- Wendasha Jenkins Hall
- a Department of Public Health Education , The University of North Carolina at Greensboro , Greensboro , USA
| | - Amanda E Tanner
- a Department of Public Health Education , The University of North Carolina at Greensboro , Greensboro , USA
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15
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Bryan AEB, Norris J, Abdallah DA, Zawacki T, Morrison DM, George WH, Davis KC, Danube CL, Stappenbeck CA. Condom-Insistence Conflict in Women's Alcohol-Involved Sexual Encounters with a New Male Partner. PSYCHOLOGY OF WOMEN QUARTERLY 2016; 41:100-113. [PMID: 29720782 DOI: 10.1177/0361684316668301] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
First-time sexual intercourse with a new male partner, relative to other sexual encounters, is associated with heightened risk to women for contracting sexually transmitted infections. Little is known, however, about women's condom-related decision-making processes during these first-time sexual encounters. In the present study, we surveyed a community sample of 179 women aged 18-30 about their alcohol consumption, desire to use a condom, perception of their partner's desire to use a condom, condom-insistence conflict, and condom-decision abdication and use during their most recent alcohol-involved first-time sexual encounter with a new partner. With structural equation modeling we tested a cognitive mediation model with various configurations of alcohol effects on abdication and condom use (direct, indirect, moderator). A moderated mediation model fit the data best. Women experienced elevated condom-insistence conflict when they wanted to use a condom and perceived their partner did not; conflict, in turn, was associated with higher likelihood of abdication and lower likelihood of condom use. Higher alcohol intoxication attenuated the associations of desire to use a condom, and perceived partner's desire to use a condom, with conflict. Results support an alcohol myopia-conflict inhibition-reduction model and emphasize the importance of sex education programs that teach young women not only about condom-related assertiveness and the effects of alcohol, but also prepare them to respond to experiences of conflict that arise during sexual encounters.
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Affiliation(s)
| | | | | | - Tina Zawacki
- Department of Psychology, University of Texas at San Antonio
| | | | | | | | - Cinnamon L Danube
- Department of Psychiatry and Behavioral Sciences, University of Washington
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Graham SM, Negash S, Lambert NM, Fincham FD. Problem Drinking and Extradyadic Sex in Young Adult Romantic Relationships. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2016. [DOI: 10.1521/jscp.2016.35.2.152] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Minority College Women's Views on Condom Negotiation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 13:ijerph13010040. [PMID: 26703642 PMCID: PMC4730431 DOI: 10.3390/ijerph13010040] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/16/2015] [Revised: 10/15/2015] [Accepted: 10/19/2015] [Indexed: 01/25/2023]
Abstract
This study utilized quantitative and qualitative methods to (1) investigate the relationship between frequency of condom use and negotiation strategies and (2) evaluate experiences with condom negotiations among sexually active, heterosexual, African American college women. One hundred female students from a Historically Black Colleges and Universities (HBCU) completed a questionnaire that included the Condom Influence Strategies Scale (CIS) and participated in a focus group. An ANOVA was conducted to compare differences between never, inconsistent, and consistent condom users. Consistent condom users scored higher than never users on the “withholding sex” subscale of the CIS (4.88 vs. 3.55; p < 0.001) as well as endorsed items more strongly on the “direct request” subscale of the CIS (4.63 vs. 3.82, p < 0.05) than never users. A thematic analysis of open discussions identified overarching themes. Similarly, refusing sex and/or having direct communications with partner emerged as primary strategies. Threats to negotiation included deciding the “right timing” of discussion and having a previous history of sexual intercourse without a condom with their partner. Other key concepts that contribute to condom negotiation are the views that condoms are a male’s responsibility and stigma of women who carry condoms.
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The Predictive Role of Self-efficacy, Outcome Expectancies, Past Behavior and Attitudes on Condom Use in a Sample of Female College Students. JOURNAL OF EUROPEAN PSYCHOLOGY STUDENTS 2014. [DOI: 10.5334/jeps.cl] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Brawner BM. A multilevel understanding of HIV/AIDS disease burden among African American women. J Obstet Gynecol Neonatal Nurs 2014; 43:633-643. [PMID: 25139057 DOI: 10.1111/1552-6909.12481] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/01/2014] [Indexed: 01/22/2023] Open
Abstract
Disproportionate HIV/AIDS rates among African American women have been examined extensively, primarily from an individual-centered focus. Beyond individual behaviors, factors such as the hyperincarceration of African American men and geographically concentrated disadvantage may better explain inequitable disease burden. In this article I propose a conceptual model of individual, social, and structural factors that influence HIV transmission among African American women. The model can be used to develop comprehensive assessments and guide prevention programs in African American communities.
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Walsh JL, Fielder RL, Carey KB, Carey MP. Dual method use among a sample of first-year college women. PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH 2014; 46:73-81. [PMID: 24684480 PMCID: PMC4201449 DOI: 10.1363/46e1014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
CONTEXT Dual method use-using one protective method to reduce the risk of STDs and another to prevent pregnancy-is effective but understudied. No prior studies have employed an event-level approach to examining characteristics associated with dual method use among college women. METHODS In 12 consecutive monthly surveys conducted in 2009-2010, data on 1,843 vaginal intercourse events were collected from 296 first-year college women. Women reported on their use of condoms and hormonal contraceptives during all events. Multilevel regression analysis was used to assess associations between event-, month- and person-level characteristics and hormonal use and dual method use. RESULTS Women used hormonal contraceptives during 53% of events and condoms during 63%. Dual method use was reported 28% of the time, and only 14% of participants were consistent users of dual methods. The likelihood of dual method use was elevated when sex partners were friends as opposed to romantic partners or ex-boyfriends (odds ratios, 2.5-2.8), and among women who had received an STD diagnosis prior to college (coefficient, 2.9); it also increased with level of religiosity (0.8). Dual use was less likely when less reliable methods were used (odds ratio, 0.2) and when women reported more months of hormonal use (0.8), were older than 18 (coefficient, -4.7) and had had a greater number of partners before college (-0.3). CONCLUSIONS A better understanding of the characteristics associated with dual method use may help in the design of potential intervention efforts.
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Affiliation(s)
- Jennifer L. Walsh
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence; and Department of Psychiatry and Human Behavior, Alpert Medical School, and Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence
| | - Robyn L. Fielder
- Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY
| | - Kate B. Carey
- Department of Behavioral and Social Sciences, Program in Public Health, and Center for Alcohol and Addiction Studies, Brown University
| | - Michael P. Carey
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence; and Department of Psychiatry and Human Behavior, Alpert Medical School, and Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence
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Walsh JL, Fielder RL, Carey KB, Carey MP. Do alcohol and marijuana use decrease the probability of condom use for college women? JOURNAL OF SEX RESEARCH 2014; 51:145-58. [PMID: 24164105 PMCID: PMC3946721 DOI: 10.1080/00224499.2013.821442] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Alcohol and marijuana use are thought to increase sexual risk taking, but event-level studies conflict in their findings and often depend on reports from a limited number of people or on a limited number of sexual events per person. With event-level data from 1,856 sexual intercourse events provided by 297 college women (M age = 18 years; 71% White), we used multilevel modeling to examine associations between alcohol and marijuana use and condom use as well as interactions involving sexual partner type and alcohol-sexual risk expectancies. Controlling for alternative contraception use, partner type, regular levels of substance use, impulsivity and sensation seeking, and demographics, women were no more or less likely to use condoms during events involving drinking or heavy episodic drinking than during those without drinking. However, for drinking events, there was a negative association between number of drinks consumed and condom use; in addition, women with stronger alcohol-sexual risk expectancies were marginally less likely to use condoms when drinking. Although there was no main effect of marijuana use on condom use, these data suggest marijuana use with established romantic partners may increase risk of unprotected sex. Intervention efforts should target expectancies and emphasize the dose-response relationship of drinks to condom use.
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Affiliation(s)
- Jennifer L. Walsh
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI
- Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI
| | - Robyn L. Fielder
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI
- Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI
- Center for Health and Behavior, Syracuse University, Syracuse, NY
| | - Kate B. Carey
- Program in Public Health and Center for Alcohol and Addiction Studies, Brown University, Providence, RI
| | - Michael P. Carey
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI
- Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI
- Department of Behavioral and Social Sciences, Program in Public Health, Brown University, Providence, RI
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Fielder RL, Carey KB, Carey MP. Hookah, cigarette, and marijuana use: a prospective study of smoking behaviors among first-year college women. Addict Behav 2013; 38:2729-35. [PMID: 23934004 DOI: 10.1016/j.addbeh.2013.07.006] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2013] [Revised: 06/13/2013] [Accepted: 07/15/2013] [Indexed: 10/26/2022]
Abstract
Better understanding of the temporal sequence of hookah, cigarette, and marijuana use will help to inform smoking prevention efforts. To address this gap in the literature, we assessed all three of these smoking behaviors in a sample of 424 first-year college women. Using a longitudinal design, we investigated whether hookah use predicts initiating/resuming cigarette and/or initiating marijuana use, and whether cigarette and/or marijuana use predicts initiating hookah use. Participants (67% White, M age = 18.1 years) completed nine monthly surveys. The initial (i.e., baseline) survey assessed demographics, sensation-seeking, impulsivity, and pre-college substance use. Follow-up surveys assessed past-month substance use; outcomes were initiating/resuming cigarette use, initiating marijuana use, and initiating hookah use during the first year of college. We controlled for sensation-seeking, impulsivity, binge drinking, and other smoking behaviors in our multivariate logistic regression models. The results showed that (a) pre-college hookah use predicted initiating/resuming cigarette use; (b) pre-college marijuana use predicted initiation of hookah tobacco smoking; and (c) pre-college cigarette use predicted neither hookah nor marijuana initiation. The findings highlight the co-occurrence of smoking behaviors as well as the need for bundling preventive interventions so that they address hookah, cigarette, and marijuana use.
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Fielder RL, Carey KB, Carey MP. Are hookups replacing romantic relationships? A longitudinal study of first-year female college students. J Adolesc Health 2013; 52:657-9. [PMID: 23298995 PMCID: PMC3622822 DOI: 10.1016/j.jadohealth.2012.09.001] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2012] [Revised: 08/24/2012] [Accepted: 09/05/2012] [Indexed: 11/19/2022]
Abstract
PURPOSE To assess the prevalence and frequency of sexual hookups across the first year of college and to compare rates of hookups and romantic relationship sex. METHODS We surveyed 483 first-year female college students (mean age, 18.1 years; range, 18-21 years, 64% white) monthly over the first year of college about the frequency of sexual behavior in the context of hookups and romantic relationships. RESULTS The prevalence of hookups involving oral or vaginal sex was 34% before college and 40% during the first year, compared with 58% and 56%, respectively, with romantic partners. Fewer than one in five participants (7%-18%) had a sexual hookup each month, whereas 25%-38% had sex in the context of relationships each month. CONCLUSIONS Hooking up varies in frequency over the first year in college, but remains less common than sex in the context of relationships.
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Affiliation(s)
- Robyn L. Fielder
- Center for Health and Behavior and Department of Psychology, Syracuse University
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital
| | - Kate B. Carey
- Center for Health and Behavior and Department of Psychology, Syracuse University
- Department of Behavioral and Social Sciences, Program in Public Health, Brown University
- Center for Alcohol and Addiction Studies, Brown University
| | - Michael P. Carey
- Center for Health and Behavior and Department of Psychology, Syracuse University
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital
- Department of Behavioral and Social Sciences, Program in Public Health, Brown University
- Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University
- Corresponding author: Michael P. Carey, Centers for Behavioral and Preventive Medicine, CORO Building, Suite 314, 1 Hoppin Street, Providence, RI 02903.
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