Women's Health Issues
Volume 22, Issue 1 , Pages e9-e18 , January 2012

Sexual Risk Behaviors among African-American and Hispanic Women in Five Counties in the Southeastern United States: 2008–2009

  • Eleanor McLellan-Lemal, MA

      Affiliations

    • Centers for Disease Control and Prevention, Atlanta, Georgia
    • Corresponding Author InformationCorrespondence to: Ms. Eleanor McLellan-Lemal, Centers for Disease Control and Prevention, 1600 Clifton Rd. MS-E45, Atlanta, GA 30333. Phone: 404-639-6147; fax: 404-639-6127.
    • ,
  • Christine M. O'Daniels, RN, BS

      Affiliations

    • Centers for Disease Control and Prevention, Atlanta, Georgia
    • Carter Consulting, Inc., Atlanta, Georgia
    • ,
  • Gary Marks, PhD

      Affiliations

    • Centers for Disease Control and Prevention, Atlanta, Georgia
    • ,
  • Olga Villar-Loubet, PsyD

      Affiliations

    • University of Miami Miller School of Medicine, Miami, Florida
    • ,
  • Irene A. Doherty, PhD

      Affiliations

    • University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
    • ,
  • Cathy Simpson, PhD

      Affiliations

    • University of Alabama at Birmingham, Birmingham, Alabama
    • Health Services Center, Inc., Anniston, Alabama
    • ,
  • Stephen Weiss, PhD, MPH

      Affiliations

    • University of Miami Miller School of Medicine, Miami, Florida
    • ,
  • Barbara Hanna, MD

      Affiliations

    • Health Services Center, Inc., Anniston, Alabama
    • ,
  • Adaora A. Adimora, MD, MPH

      Affiliations

    • University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
    • ,
  • Becky L. White, MD, MPH

      Affiliations

    • University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
    • ,
  • John T. Wheeling, MPH

      Affiliations

    • Centers for Disease Control and Prevention, Atlanta, Georgia
    • Northrop Grumman, Atlanta, Georgia
    • ,
  • Craig B. Borkowf, PhD

      Affiliations

    • Centers for Disease Control and Prevention, Atlanta, Georgia

Received 1 February 2011 ,Revised 22 April 2011 ,Accepted 6 June 2011.

References 

  1. Adimora AA, Schoenbach VJ. Social context, sexual networks, and racial disparities in rates of sexually transmitted infections. Journal of Infectious Diseases. 2005;191:S115–S122
  2. Adimora AA, Schoenbach VJ, Martinson FEA, Coyne-Beasley T, Doherty I, Stancil TR, et al. Heterosexually transmitted HIV infection among African Americans in North Carolina. JAIDS-Journal of Acquired Immune Deficiency Syndromes. 2006;41:616–623
  3. Amaro H. Love, sex, and power: Considering women's realities in HIV prevention. American Psychologist. 1995;50:437–447
  4. Amaro H, Raj A. On the margin: Power and women's HIV risk reduction strategies. Sex Roles. 2000;42:723–749
  5. Brody S, Potterat JJ. Establishing valid AIDS monitoring and research in countries with generalized epidemics. International Journal of STD & AIDS. 2004;15:1–6
  6. Carter M, Henry-Moss D, Hock-Long L, Bergdall A, Andes K. Heterosexual anal sex experiences among Puerto Rican and Black young adults. Perspectives on Sexual and Reproductive Health. 2010;42:267–274
  7. Doherty IA, Padian NS, Marlow C, Aral SO. Determinants and consequences of sexual networks as they affect the spread of sexually transmitted infections. Journal of Infectious Diseases. 2005;191(Suppl. 1):S42–S54
  8. Fleming PL, Lansky A, Lee LM, Nakashima AK. The epidemiology of HIV/AIDS in women in the southern United States. Sexually Transmitted Diseases. 2006;33:S32–S38
  9. Frederick T, Burian P, Terrault N, Cohen M, Augenbraun M, Young M, et al. Factors associated with prevalent Hepatitis C infection among HIV infected women with no reported history of injection drug use: The Women's Interagency HIV Study (WIHS). AIDS Patient Care and STDs. 2009;23:915–923
  10. Frisch M, Glimelius B, vandenBrule AJC, Wohlfahrt J, Meijer CJLM, Walboomers JMM, et al. Sexually transmitted infection as a cause of anal cancer. New England Journal of Medicine. 1997;337:1350–1358
  11. Ghanem KG, Hutton HE, Zenilman JM, Zimba R, Erbelding EJ. Audio computer assisted self interview and face to face interview modes in assessing response bias among STD clinic patients. Sexually Transmitted Infections. 2005;81:421–425
  12. Gorbach PM, Manhart LE, Hess KL, Stoner BP, Martin DH, Holmes KK. Anal intercourse among young heterosexuals in three sexually transmitted disease clinics in the United States. Sexually Transmitted Diseases. 2009;36:193–198
  13. Halperin DT. Heterosexual anal intercourse: Prevalence, cultural factors, and HIV infection and other health risks, Part I. AIDS Patient Care and STDs. 1999;13:717–730
  14. Heckathorn DD. Respondent-driven sampling II: Deriving valid population estimates from chain-referral samples of hidden populations. Social Problems. 2002;49:11–34
  15. Hensel DJ, Fortenberry JD, Orr DP. Factors associated with event level anal sex and condom use during anal sex among adolescent women. Journal of Adolescent Health. 2010;46:232–237
  16. Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, Fortenberry JD. Sexual behavior in the United States: Results from a national probability sample of men and women ages 14-94. Journal of Sexual Medicine. 2010;7:235–236
  17. Holly EA, Ralston ML, Darragh TM, Greenblatt RM, Jay N, Palefsky JM. Prevalence and risk factors for anal squamous intraepithelial lesions in women. Journal of the National Cancer Institute. 2001;93:843–849
  18. Javanbakht M, Guerry S, Gorbach PM, Stirland A, Chien M, Anton P, et al. Prevalence and correlates of heterosexual anal intercourse among clients attending public sexually transmitted disease clinics in Los Angeles County. Sexually Transmitted Diseases. 2010;37:369–376
  19. Jenness SM, Begier EM, Neaigus A, Murrill CS, Wendel T, Hagan H. Unprotected anal intercourse and sexually transmitted diseases in high-risk heterosexual women. American Journal of Public Health. 2010;101:747–750
  20. Koblin BA, Hoover DR, Xu GZ, Frye V, Latka MH, Lucy D, et al. Correlates of anal intercourse vary by partner type among substance-using women: Baseline data from the UNITY Study. AIDS and Behavior. 2010;14:132–140
  21. Krishnan S, Dunbar MS, Minnis AM, Medlin CA, Gerdts CE, Padian NS. Poverty, gender inequities, and women's risk of human immunodeficiency virus/AIDS. Reducing the Impact of Poverty on Health and Human Development: Scientific Approaches. 2008;1136:101–110
  22. Kurth AE, Martin DP, Golden MR, Weiss NS, Heagerty PJ, Spielberg F, et al. A comparison between audio computer-assisted self-interviews and clinician interviews for obtaining the sexual history. Sexually Transmitted Disease. 2004;31:719–726
  23. Liljeros F, Edling CR, Nunes Amaral LA. Sexual networks: Implications for the transmission of sexually transmitted infections. Microbes and Infection. 2003;5:189–196
  24. Mackesy-Amiti ME, Mckirnan DJ, Ouellet LJ. Relationship characteristics associated with anal sex among female drug users. Sexually Transmitted Diseases. 2010;37:346–351
  25. Marin BV, Tschann JM, Gomez CA, Gregorich S. Self-efficacy to use condoms in unmarried Latino adults. American Journal of Community Psychology. 1998;26:53–71
  26. Martino SC, Collins RL, Elliott MN, Kanouse DE, Berry SH. Sexual risk-taking among adult dating couples in the United States. Perspectives on Sexual and Reproductive Health. 2009;41:92–100
  27. Maynard E, Carballo-Dieguez A, Ventuneac A, Exner T, Mayer K. women's experiences with anal sex: Motivations and implications for STD prevention. Perspectives on Sexual and Reproductive Health. 2009;41:142–149
  28. McBride KR, Fortenberry JD. Heterosexual anal sexuality and anal sex behaviors: A review. Journal of Sex Research. 2010;47:123–136
  29. McNair LD, Prather CM. African American women and AIDS: Factors influencing risk and reaction to HIV disease. Journal of Black Psychology. 2004;30:106–123
  30. Moreno CL, El-Bassel N, Morrill AC. Heterosexual women of color and HIV risk: Sexual risk factors for HIV among Latina and African American women. Women & Health. 2007;45:1–15
  31. Mosher WD, Chandra A, Jones J. Sexual behavior and selected measures: Men and women 15–44 years of age, United States, 2002. Advanced Data from Vital and Health Statistics [On-line]. 2005;Available: www.cdc.gov/nchs/data/ad/ad362.pdfAccessed September 1, 2010
  32. Muhib FB, Lin LS, Stueve A, Miller RL, Ford WL, Johnson WD, et al. A venue-based method for sampling hard-to-reach populations. Public Health Reports. 2001;116:216–222
  33. Nyamathi AM, Stein JA. Assessing the impact of HIV risk reduction counseling in impoverished African American women: A structural equations approach. AIDS Education and Prevention. 1997;9:253–273
  34. Potterat JJ, Brewer DD, Brody S. Blind spots in the epidemiology of HIV in Black Americans. International Journal of STD & AIDS. 2008;19:1–3
  35. Pulerwitz J, Amaro H, De JW, Gortmaker SL, Rudd R. Relationship power, condom use and HIV risk among women in the USA. AIDS Care. 2002;14:789–800
  36. Risser JMH, Padgett P, Wolverton M, Risser WL. Relationship between heterosexual anal sex, injection drug use and HIV infection among Black men and women. International Journal of STD & AIDS. 2009;20:310–314
  37. Rogers SM, Willis G, Al-Tayyib A, Villarroel MA, Turner CF, Ganapathi L, et al. Audio computer assisted interviewing to measure HIV risk behaviours in a clinic population. Sexually Transmitted Infections. 2005;81:501–507
  38. Sanders-Phillips K. Factors influencing HIV/AIDS in women of color. Public Health Reports. 2002;117:S151–S156
  39. Suarez ZE, Siefert K. Latinas and sexually transmitted diseases: Implications of recent research for prevention. Social Work in Health Care. 1998;28:1–19
  40. Suarez-Al-Adam M, Raffaelli M, O'Leary A. Influence of abuse and partner hypermasculinity on the sexual behavior of Latinas. AIDS Education and Prevention. 2000;12:263–274
  41. U.S. Centers for Disease Control and Prevention (CDC). Factsheet: HIV in the United States. Atlanta: Author; 2010;
  42. U.S. Centers for Disease Control and Prevention (CDC). HIV Surveillance Report, 21. Atlanta: Author; 2011;
  43. Varghese B, Maher JE, Peterman TA, Branson BM, Steketee RW. Reducing the risk of sexual HIV transmission: Quantifying the per-act risk for HIV on the basis of choice of partner, sex act, and condom use. Sexually Transmitted Diseases. 2002;29:38–43
  44. Wingood GM, DiClemente RJ. Child sexual abuse, HIV sexual risk, and gender relations of African American women. American Journal of Preventive Medicine. 1997;13:380–384
  45. Wohl AR, Johnson DF, Lu S, Jordan W, Beall G, Currier J, et al. HIV risk behaviors among African American men in Los Angeles County who self-identify as heterosexual. JAIDS-Journal of Acquired Immune Deficiency Syndromes. 2002;31:354–360
  46. Yeakley AM, Gant LM. Cultural factors and program implications: HIV/AIDS interventions and condom use among Latinos. Journal of Multicultural Social Work. 1997;6:47–71
  47. Zierler S, Krieger N. Reframing women's risk: Social inequalities and HIV infection. Annual Review of Public Health. 1997;18:401–436

PII: S1049-3867(11)00128-9

doi: 10.1016/j.whi.2011.06.002

Women's Health Issues
Volume 22, Issue 1 , Pages e9-e18 , January 2012

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