Exploring why young African American women do not change condom-use behavior following participation in an STI/HIV prevention intervention

J. M. Sales, Ralph DiClemente, T. P. Davis, S. Sullivan

Research output: Contribution to journalArticle

Abstract

Human immunodeficiency virus (HIV) interventions can significantly reduce risky sexual behaviors among vulnerable populations. However, not everyone exposed to an intervention will reduce their sexual risk behavior. This qualitative study sought to identify factors associated with young African American females' lack of increase in condom use post-participation in an HIV prevention intervention. Semi-structured interviews were conducted with 50 young African American women (18-23 years; approximately half were mothers) after participating in a demonstrated effective HIV prevention intervention; 24 did not increase condom use post-intervention. Interviews were thematically coded for barriers to condom-use post-intervention. Although nearly all young women reported partner-associated challenges to using condoms, there were relational differences observed among those who changed their condom use versus those who did not. Many 'non-changers' were engaged in non-stable 'on and off' relationships, with high rates of infidelity, often with the father of their child, in which they were fearful of requesting condom use. 'Non-changers' also reported more substance use, feeling incapable of change and not thinking about condom use. Thus, future HIV prevention efforts may benefit from incorporating strategies on how young mothers can maintain a non-sexual relationship with their child's father, as well as elaborating on the intersection of substance use and risky sexual decision-making.

Original languageEnglish (US)
Pages (from-to)1091-1101
Number of pages11
JournalHealth Education Research
Volume27
Issue number6
DOIs
StatePublished - Dec 1 2012

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Condoms
Sexually Transmitted Diseases
African Americans
HIV
participation
Fathers
Sexual Behavior
father
Mothers
Interviews
interview
risk behavior
Vulnerable Populations
Risk-Taking
American
Decision Making
Emotions
decision making
lack

ASJC Scopus subject areas

  • Education
  • Public Health, Environmental and Occupational Health

Cite this

Exploring why young African American women do not change condom-use behavior following participation in an STI/HIV prevention intervention. / Sales, J. M.; DiClemente, Ralph; Davis, T. P.; Sullivan, S.

In: Health Education Research, Vol. 27, No. 6, 01.12.2012, p. 1091-1101.

Research output: Contribution to journalArticle

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