Stigma,Disclosure and Relationship Agency in Black Women’s Sexual Relationships with Behaviorally Bisexual Black Men

The health needs and relationships of Black women partnered with behaviorally bisexual Black men are under addressed in the public health literature. This paper explores the relationship dynamics of Black women’s sexual relationships with behaviorally bisexual Black men. We conducted thirty qualitative interviews with a group of HIV negative and HIV positive women partnered with behaviorally bisexual Black men in the San Francisco Bay Area. Women took part in a one-time qualitative interview that addressed relationships, bisexual partners, sexuality, HIV risk behaviors, and disclosure. Women described experiences of their own and their partner’s experiences of disclosure and sexual stigma, along with structural racism and masculine cultural norms that contribute to men’s non-disclosure of sex with men. The paper identifies the ways in which disclosure and stigma are experienced by a sample of women in relationships with behaviorally bisexual Black male partners, pointing to the ways in which these women demonstrate sexual agency in these relationships. These sexual narratives emphasize the ways in which Black women are at once agentic and also navigate gendered vulnerability in their relationships with bisexual men. These findings of Black women’s sexual agency present a call to develop health interventions resonant with Black women’s relationship experiences and structures of bisexual relationships.     

An Intersectional Analysis of Television Narratives of African American Women with African American Men on “the Down Low”

The controversial phenomenon of “the down low” has created fear and suspicion of male sexual partners among many African American women. Being on the down low refers to men that lead seemingly heterosexual lives, yet secretly have sex with other men. Popular media have portrayed this topic more widely in more recent years and generally focus on African Americans. Two popular television shows, Law and Order: Special Victims Unit and Girlfriends, have dedicated episodes centering heterosexual African American women partnered with African American men on the down low. The popular television film, Cover, features an African American woman who learns her husband secretly has affairs with other men. Black feminist thought provides an intersectional frame for analyzing the content of these portrayals of Black women in relationships with men on the down low. The analysis demonstrates that the down low associates more affluent African Americans with socially deviant behavior and issues, such as hyper-sexuality and HIV/AIDS. Further, they show newer interpretations of African American women “in love and in trouble” and that African American men often have to disguise and remain silent about their sexuality to garner acceptance into their communities.     

Individual,Interpersonal, and Sociostructural Factors Influencing Partner Nonmonogamy Acceptance among Young African American Women

In 2015 in the United States, the HIV diagnosis rate among African American women was 16 times that of White women, and HIV especially affected young African American women. African American women’s partnerships with nonmonogamous men may be one factor contributing to this disparity. Previous research has not adequately described factors influencing acceptance of partner nonmonogamy among African American women. To better understand this phenomenon, we interviewed 11 African American women aged 18–24 years-old who reported having sex in the past 3 months and reported knowing or suspecting a partner to have another female partner in the past 12 months. We employed a semi-structured interview guide designed to elicit in-depth, narrative responses from women about their partnerships. We used narrative analysis to interpret findings. Participants described factors that encouraged acceptance of partner nonmonogamy. These factors were social (i.e., limited partner availability, gender norms, and cultural norms), interpersonal (i.e., partner-specific comfort, sexual connection and emotional attachment, and casual partnership type), and intrapersonal (i.e., low self-esteem, loneliness, and fatalistic attitudes about nonmonogamy) in nature. The sociocultural context in which young African American women develop sexual partnerships may influence their attitudes, expectations, and behaviors within these partnerships and place them at increased risk for HIV and other sexually transmitted infections.     

How Gendered Attitudes Relate to Women’s and Men’s Sexual Behaviors and Beliefs

This study examines associations between endorsement of a sexual double standard, gender role attitudes, and sexual behaviors and beliefs. First year university students in the northeastern United States (N = 434; 52 % female; 33 % Black, 29 % Latino, 39 % White; ages 17–19) participated during their first year of college. Endorsement of a sexual double standard was associated with more conventionally gender-stereotyped sexual behaviors and beliefs, specifically, more sexual partners and fewer perceived barriers to condom use for young men, and more perceived barriers to condom use for young women. Women who were more conventional about men’s roles in society tended to use condoms less, whereas women who were more conventional about women’s roles tended to use condoms more. Men who were more conventional about men’s roles tended to have fewer sexual partners. Findings suggest the importance of examining gender’s role in sexual behaviors and beliefs by assessing multiple gendered attitudes, rather than simply considering biological sex.     

Factor structure of the Condoms Barriers Scale with a sample of men at high risk for HIV

This study assesses the psychometric properties of the Condom Barriers Scale (CBS), an instrument originally designed to measure women's perceptions and attitudes regarding male condom use, with a sample of men at high risk for human immunodeficiency virus (HIV). Participants include 590 male patients in drug abuse treatment involved in a gender-specific HIV prevention intervention for teaching safer sex skills. Second-order confirmatory factor analysis generally supported the underlying four-factor subscale structure of the CBS. However, exploratory factor analysis revealed a few specific discrepancies in the factor structure between men and women. Internal consistency and test-retest reliability estimates were moderate to high in value. CBS scores correlated with use of condoms for men with high-risk sexual partners, supporting criterion-related validity. Overall, the analysis indicates that the CBS is a potentially valid and reliable instrument and has utility for assessing barriers to condom use with men, but may need some item content modifications to allow appropriate assessment of gender differences and comparisons across studies.     

Alcohol,Fear, and Woman Abuse

Although there is ample evidence that alcoholusage is associated with greater frequency, incidenceand severity of spouse battering, there is alsoconsiderable evidence which does not support a direct linkage. This research investigates aheretofore neglected area, the role of substance use ininducing fear in victims. As part of a larger study ofthe police response to battering, 419 female victims of male offenders participated in intensiveinterviews; the sample consisted of 69.9% Black and28.9% White women. All the women had been victims of atleast one occurrence of misdemeanor-level abuse, and many were in chronically abusive relationships.The women participating in this study were moderatelyeducated and relatively young, with a mean age of 30years old. Relationship status was bimodal with roughly equal numbers of married and cohabitingcouples; there were relatively few who were divorced orseparated from their assailants, or were ex-cohabitants.The male partners of women represented in this sample were extremely heavy drinkerscompared to a national sample. The quantity andfrequency of alcohol use was less predictive ofthreatening or physically battering behavior than wasmale drunkenness. Frequent drunkenness was highly correlated withboth threats and with battering. Similarly, victims'fear of their partners was much more strongly associatedwith how frequently they were drunk than with drinking itself.     

A criminological assessment on South African women who murdered their intimate male partners

This study aimed to unravel the offence-specific factors to murder by females of their intimate male partners. Participants were 15 South African women prison inmates serving sentences for murdering their male partners (age range from 22 years to 62 years). The majority (80%) of the sample were Black. Data were collected with in-depth one-on-one interviews with sentenced females and analysed from a criminological perspective according to reoccurring themes that emerged from the data. Results indicate availability of hit men and cultural consultation with sangomas or traditional African healers, substance abuse and experience of abuse to be associated with intimate male partner murders by females. Participants seemed to have also been driven to murder by jealousy, in regard to extramarital affairs by partners, and also to be acting in self-defence when the murder occurred. The females’ unique life histories explained their particular pathways to murder.     

Men’s Experience of Psychological Abuse: Conceptualization and Measurement Issues

In this paper the literature on men’s experience of psychological abuse (in the U.S.) is reviewed and the ability to conceptualize and measure such abuse is reconsidered. Scales used to measure psychological abuse based on the experiences of battered women are critiqued as inadequate as measures of psychological abuse of men. Although both men and women direct psychological abuse toward their partners, violence perpetrated by men and women is not necessarily the same. Adopting a gender role perspective on psychological abuse, we argue that women may use different strategies to hurt men including manipulation and gender role harassment, whereas coercive control paired with physical abuse may constitute one version of (male) intimate partner violence.     

Predictors of Condom Use in Mexican Migrant Laborers

The purpose of this study was to explore predictors of condom use with occasional sex partners and regular sex partners, as well as carrying condoms in a new high-risk group for HIV infection, Mexican migrant laborers. This study extends previous findings by (1) exploring additional predictors not previously examined, (2) utilizing a large sample of male and female Mexican migrant laborers, (3) carefully controlling for the effects of various demographic and lifestyle variables related to condom use, and (4) assessing the interactive effects of gender on predictors of condom use. Snowball sampling was used to survey 501 adult Mexican migrant laborers. Results revealed that condom use with occasional sex partners was predicted by carrying condoms and condom self-efficacy and that women were more likely to use condoms with occasional partners when both men and women knew someone with HIV/AIDS. Condom use with regular sex partners was predicted by procondom social norms, less negative attitudes toward condoms, not knowing someone with HIV/AIDS, and condom self-efficacy. Carrying condoms was predicted by procondom social norms, less negative attitudes toward condoms, condom self-efficacy, worry about contracting HIV/AIDS, and women were more likely than men to carry condoms when both men and women were married. Understanding these findings, future research directions, and implications for condom promotion strategies with Mexican migrant laborers are discussed.     

Low Prospects and High Risk: Structural Determinants of Health Associated with Sexual Risk Among Young African American Women Residing in Resource-Poor Communities in the South

African American women at increased risk of HIV/sexually transmitted infection (STI) may engage in risky sex as a coping mechanism for depressed economic conditions. This study examines the association between high-risk sexual behavior and structural determinants of sexual health among a sample of young African American women. 237 young African American women (16–19 years old) from economically disadvantaged neighborhoods in North Carolina were enrolled into a randomized trial testing the efficacy of an adapted HIV/STI prevention intervention. Logistic regression analyses predicted the likelihood that young women reporting lack of food at home, homelessness and low future prospects would also report sexual risk behaviors. Young women reporting a lack of food at home (22 %), homelessness (27 %), and low perceived education/employment prospects (19 %) had between 2.2 and 4.7 times the odds as those not reporting these risk factors of reporting multiple sex partners, risky sex partners including older men and partners involved in gangs, substance use prior to sex, and exchange sex. Self-reported structural determinants of sexual health were associated with myriad sexual risk behaviors. Diminished economic conditions among these young women may lead to sexual risk due to hopelessness, the need for survival or other factors.     

The Role of Male Sexual Partners in HIV Infection Among Male-to-Female Transgendered Individuals

SUMMARY

Male-to-female transgendered persons (MtF) in San Francisco have very high HIV prevalence and incidence. To explore possible sources for these high rates of HIV infection, a rapid needs assessment was conducted using two methods: (1) an interviewer-administered, mostly closed-ended survey with the male partners of MtF persons, and (2) focus groups with MtF persons. Five main themes were evident from the findings: (1) male partners of MtF persons are of all ages, races, sexual orientations, and socioeconomic backgrounds; (2) high-risk sex occurs between MtF persons and their male sexual partners, despite a high level of concern about HIV among both the male and MtF study participants; (3) drug use appears to play a role in unsafe sex between MtF and their male partners; (4) male partners of MtF persons may represent a possible bridge for HIV transmission among different populations, given that they reported sex with male and female partners, as well as transgendered partners; and (5) men engaging in receptive anal sex with MtF partners probably occurs more frequently than reported by the male participants, given the comments of MtF study participants. The results indicate a need for creative, community-based HIV prevention strategies that target the male partners of MtF transgendered persons.     

Are Transgender Persons at Higher Risk for HIV Than Other Sexual Minorities? A Comparison of HIV Prevalence and Risks

SUMMARY

Recent studies have shown that transgender people are at high risk for HIV. Few studies, however, have directly compared the HIV risks and sexual health of transgender persons with that of other sexual minority populations. This study used baseline data of intervention studies targeting transgender persons, men who have sex with men, and women who have sex with women and men to compare their HIV risk behavior and sexual health. No significant differences were found between transgender persons and nontransgender men or women in consistent condom use or attitudes toward condom use. Transgender persons were less likely to have multiple partners and more likely to be monogamous than men who have sex with men; no differences were found between transgender persons and the women in this respect. When combining data on condom use, monogamy, and multiple partners, transgender persons did not differ from either nontransgender group in their overall risk for HIV. Transgender persons were less likely than the men or the women to have been tested for HIV. With regard to HIV prevalence, 17% of the men compared to only one transgender person and none of the women reported being HIV-positive. Transgender persons were also less likely than men who have sex with men to use drugs; no differences were found in the use of alcohol. However, with regard to mental health, transgender persons were more likely than the men to have experienced depression and more likely than men or women to have considered or attempted suicide. Finally, transgender persons reported the lowest levels of support from family and peers. Thus, in our sample, transgender persons appear to be at lower risk for HIV but at higher risk for mental health concerns than men who have sex with men. Remarkably few differences were found between transgender persons and women who have sex with women and men-a finding which might reflect the impact of social stigma on sexual health and have implications for the design of future HIV/STI prevention efforts.     

Social context,sexual practices,and risks for HIV transmission among men who have sex with men: The south beach health survey

In a population-based sample of 193 men who had sex with men in South Beach, Miami-Dade County, Florida, two indicators of social context—choice of sexual relationships and perceived HIV-infection status—were used to analyze residents who engaged in certain sexual practices with their partners. The vast majority (88.6%) of respondents reported engagement in anal sex during the previous 12 months; 20.2% reported unprotected anal intercourse (UAI) with ejaculation with any partner and 12.4% reported UAI with ejaculation with one or more casual partners. Findings supported the hypothesis that primary partner relationships and perceived HIV status are important variables for understanding engagement in UAI with ejaculation. Men who engaged in such behaviors with casual partners were more likely to have negative attitudes towards condoms, report difficulty communicating desires for safer sex, disagree with the belief that AIDS is fatal, and be intoxicated during anal intercourse. Men who reported engaging in anal intercourse, but who never shared unprotected ejaculations, were most likely to be unknowingly infected with HIV, suggesting that many men may become infected while following what they believe to be “safer sex practices.” In designing effective interventions, public health authorities need to take into account socially embedded risk-negotiating practices.     

High risk behaviors in a sample of Mexican-American college students

This study explored different types of high risk behaviors of Mexican-American college students attending a small university in south Texas. High risk behaviors for contracting HIV/AIDS examined in this study included unprotected sex, drug use, and alcohol abuse. In 1995 in the United States, HIV/AIDS is the leading cause of death in people between the ages of 25 and 44. Because use of alcohol and certain recreational drugs lowers inhibitions, their use could increase the possibility of having unprotected and unplanned sex with multiple partners. Thus, it was expected that Mexican-American college students who use drugs and alcohol would be more likely to engage in unprotected sex. Data were from 105 men and 211 women between the ages of 18 and 30 years. Drug use and alcohol abuse were significantly associated with high risk sexual behavior. Individuals in monogamous relationships were more likely to not use condoms than those involved in casual relationships. Self-reported religiosity was not correlated with high risk behaviors, although there were implications that stronger religious affiliation did alter sexual beliefs and practices. Lastly, parental communication was not significantly associated with high risk behaviors, but family unity did seem related to some risky sexual practices.     

Virtual and physical venues as contexts for HIV risk among rural men who have sex with men.

Rural men who have sex with men (MSM) have few identifiable venues in which to congregate and meet potential sex partners. The Internet provides a venue for rural MSM to meet, and this is potentially troubling because studies of urban MSM suggest that HIV risk is higher for men who date online. The goals of this study were to identify venues where rural MSM meet their sexual partners and to examine their association with high-risk sexual practices. Six hundred sixty-three predominantly single, gay, Caucasian MSM completed an online survey of their sexual activities. Results showed that the Internet and bars were the most popular venues for meeting sex partners. Highest rates of risk behaviors were associated with Internet dating and venues in which immediate sexual encounters typically occur, suggesting that prevention in rural areas should target multiple-risk environments.     

Male and female body image and dieting in the context of intimate relationships.

The influence of family and peers on dieting and body image is well known, but, despite the centrality of romantic partnerships in the lives of adults, little research has investigated dieting and body image in the context of intimate relationships. This study investigated unhealthy dieting (e.g., skipping meals, vomiting), healthy dieting (e.g., reducing calories, reducing or eliminating snacks), and body satisfaction in intimate relationships in 57 predominantly unmarried couples, who were recruited in a college setting. The within-participant findings replicated prior research showing that women with higher self-esteem and lower depressive symptoms were more satisfied with their own bodies and dieted less. Controlling for body mass index and the relevant self-perceptions of each partner, the across-partner associations showed that men who had more depressive symptoms and were less satisfied with their relationships had female partners who dieted more and were less satisfied with their bodies. In contrast, men dieted more when their female partners had higher self-esteem and fewer depressive symptoms. These results suggest that psychological processes in intimate relationships are linked with dieting and body satisfaction but that these links are different for men and for women.     

The Power of Prestige: Why Young Men Report Having more Sex Partners than Young Women

In a survey of 48 men and 61 women from a southwestern US college, the gender difference in reported number of sex partners was mediated by the degree to which individuals felt that men and women who had many sexual partners were prestigious. In addition, men cared about the quantity and quality of their sex partners more than women did and these two factors were also related to reported number of sexual partners. The gender difference in reported sex partners is not veridical; it can be accounted for with attitudinal measures related to status and sex that are more common in men than women. Results are discussed in terms of understanding biased reporting in young American men and women.     

When we hurt the ones we love: Predicting violence against women from men's mate retention

Mate retention behaviors are designed to solve several adaptive problems such as deterring a partner's infidelity and preventing defection from the mating relationship. Although many mate retention behaviors appear to be innocuous romantic gestures (e.g., displaying resources, giving flowers), some may be harbingers of violence. We investigated the associations between male mate retention and violence against women in romantic relationships. In Study 1, 461 men reported their use of mate retention behaviors and separately completed instruments designed to assess violence in their relationships. Study 2 assessed 560 women's reports of their partners’ mate retention behaviors and the degree to which their partners used violence against them. As predicted, and across both studies, men's use of particular mate retention behaviors was related positively to female‐directed violence. Study 3 secured 2 separate data sources—husbands’ reports of their mate retention and wives’ reports of their husbands’ violence in a sample of 214 individuals forming 107 couples. The results corroborated those of Studies 1 and 2, with particular male mate retention behaviors predicting violence against romantic partners. The general discussion outlines future directions for research that are likely to result in a more comprehensive understanding of partner violence against women.     

Correlates of premarital relationships among unmarried youth in Pune district, Maharashtra, India

CONTEXT: Although premarital partnerships-whether or not they involve sex-are widely discouraged in India, some youth do form such partnerships. It is important to know more about the nature of and the factors associated with these relationships. METHODS: Data are drawn from a community-based study of 15-24-year-olds in urban slum and rural settings in Pune District, Maharashtra. Multivariate analyses were conducted to identify associations between youths' individual, peer and family factors and their experience of romantic relationships and physical intimacy, including intercourse. RESULTS: Among young men, 17-24% had had a romantic relationship, 20-26% had engaged in some form of physical intimacy and 16-18% had had sex; the proportions among young women were 5-8%, 4-6% and 1-2%, respectively. Exposure to alcohol, drugs or pornographic films and having more frequent interaction with peers were positively associated with romantic and sexual relationships for both young women and young men. Educational attainment was negatively associated with both types of relationships for young women, but only with sexual relationships for young men. Closeness to parents was negatively associated with relationships only for young women. Young women whose father beat their mother were more likely than other young women to form romantic partnerships, and those beaten by their family had an elevated risk of entering romantic and sexual partnerships. Youth who reported strict parental supervision were no less likely than others to enter relationships. CONCLUSIONS: Program interventions should ensure that youth are fully informed and equipped to make safe choices and negotiate wanted outcomes, while positively influencing their peer networks; encourage closer interaction between parents and children; and be tailored to the different circumstances and experiences of young women and men.     

The Influence of Early Experiences and Adult Attachment on the Exhibition of the Sexual Double Standard

The sexual double standard is the phenomenon whereby men and women are judged differently for the same sexual behavior. The purpose of the present study was to investigate the potential relationship between life history theory, attachment theory and the sexual double standard. Life history theory posits that one’s upbringing (e.g., quality of early relationship with one’s parents) may have implications for one’s future mating strategies, especially for women. Furthermore, adult attachment orientation often influences individuals’ feelings toward sexual behavior. To address the relationship between these variables, we had participants complete questionnaires regarding their early relationships with their parents and their current attachment regarding romantic partners. Participants then evaluated a target individual who reported having 1 or 12 sexual partners (N = 154). Results showed that female participants’ early relationships with their parents and their current attachment avoidance predicted their exhibition of the double standard. Results are discussed in the context of theoretical and empirical implications.