A Qualitative Exploration of Religion,Gender Norms,and Sexual Decision-Making within African American Faith-Based Communities

Human immunodeficiency virus (HIV) continues to be a prominent health and social justice issue, especially for African American communities in the Southern United States. Gender role norms, specifically within faith-based communities in the South, pose challenges to empowering women to make safer sexual health decisions. To explore perceptions of gender norms and sexual health, 42 qualitative interviews were gathered from female members of 16 predominantly African American churches in Atlanta, GA. Constructs from the theory of gender and power and the social ecological model were used to guide coding and analysis. Participants discussed their experiences with gender norms and gender-based power differentials at the institutional (i.e., church), familial, and interpersonal (i.e., intimate relationship) levels. Because of the attitudes and beliefs held by their religious communities and families, many participants recalled struggling to assert themselves in sexual relationships and recalled engaging in risky and unwanted sexual behavior, especially during their young adult years. However, as the participants matured, they worked to overturn traditional gender norms, empowering both their children and women in their religious communities to make healthy, autonomous sexual decisions. Moving forward, participants want their churches and members of their faith communities to play an active role in the empowerment of African American women and provide them with the confidence and education necessary to negotiate sexual decisions with their partners.

     

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 effects of ethnicity and perceived power on women's sexual behavior

To aid development of programs to prevent HIV transmission in women, differences in sexual attitudes and behavior were examined among women who described themselves as dominant in their relationship with a male partner, sharing dominance equally with a male partner, or being dominated by a male partner. Ethnic differences were also examined among these three groups. Results indicated that perceived dominance was a significant predictor of women's personal empowerment (self-efficacy and outcome expectancies) with regard to sexual decision-making in their current relationship and safer sex behaviors. Ethnic differences were found between African American and White women in personal empowerment and safer sex behavior. Perceived dominance did not appear to affect African American and White women differently.     

“Bad Girls” Say No and “Good Girls” Say Yes: Sexual Subjectivity and Participation in Undesired Sex During Heterosexual College Hookups

Young people’s sexuality is often discursively constructed within the confines of a masculine/feminine binary that minimizes young women’s sexual subjectivity (i.e., desire, pleasure, and agency) while taking young men’s subjectivity for granted. Accordingly, young women who acknowledge themselves as sexual subjects are constructed as “bad girls” who incite males’ purportedly uncontrollable desire and, thus, invite undesired sexual attention. However, there is reason to hypothesize that young women who view themselves as sexual subjects may be less likely than other women to engage in undesired sexual activity (i.e., sex that their partners desire, but they do not desire for themselves). In this study, I used data from the Online College Social Life Survey (N = 7255) to explore relationships between two measures of sexual subjectivity (i.e., pleasure prioritization and sexual agency) and college women’s participation in undesired sexual activity during hookups (i.e., performance of undesired sexual acts to please a partner and succumbing to verbal pressure for intercourse). Logistic regression analyses suggest that pleasure prioritization and sexual agency are associated with lower odds of performing undesired sexual acts to please a partner—and sexual agency is associated with lower odds of succumbing to verbal pressure for intercourse. These findings point to the importance of sexuality education that includes discussions of women’s sexual subjectivity.     

Health-protective effects of attachment among African American girls in psychiatric care

African American girls in psychiatric care are at increased risk for HIV and sexually transmitted infection (STI) through sexual risk taking. Adolescent sexual behavior often reflects peer norms and behavior. Secure attachment patterns with mothers and peers might lessen the effects of negative peer influences and reduce sexual risk taking among African American girls. This study examined the relationships among mother-daughter and peer attachment, peer norms, and sexual-risk behaviors in African American girls seeking outpatient psychiatric care. A group of 12-16-year-old African American girls (N = 262; M age = 14.45 years) reported on their attachment to their mothers and peers, peer risk-taking and dating behaviors, peer pressure, and sexual-risk behaviors (e.g., number of partners, high-risk partners, and condom use). Structural equation modeling examined whether peer attachment and peer norms mediated the relationship between mother attachment and sexual risk. Findings supported peer norms, but not peer attachment, as a mediator of mother attachment and girls' sexual-risk behaviors. Findings revealed important family and peer factors for African American girls in psychiatric care. HIV prevention programs may be strengthened by improving mother-daughter relationships, addressing the importance of peer relationships, and emphasizing how secure mother-daughter relationships can temper the impact of peer norms.     

The Influence of Gender-related Factors on HIV Prevention among Chinese Women with Disrupted Marital Relationship

Two-hundred-and-thirty-one Chinese women were individually interviewed on their HIV-prevention behavior and gender-related psychosocial factors. Compared to women with intact marriages, women with marital disruption endorsed more inaccurate information about HIV/AIDS, had less worry about contracting HIV from their husbands, and were less likely to use condoms in current and future sexual activities. Among sexually active Chinese married women, rates of condom use in the past 6 months were 60% for the intact group and 38% for the disrupted group. Factors that discriminated between condom non-users and users among sexually active women in the disrupted group included: conservative gender attitudes toward sexuality and sexual decision-making, negative attitudes toward condom use, and lack of concern about contracting HIV from their husbands.     

Gender’s Role in Misperceptions of Peers’ Sexual Motives

The sexual double standard influences men’s and women’s sexual attitudes and behavior, leading men and women to consider distinct sexual motives, or reasons whether or not to engage in sexual intercourse. The goal of the present paper was to document how the sexual double standard shapes perceptions of peers’ sexual motives. We build on past research by using open-ended questions and measuring perceptions of both same-gender and other-gender peers. The sample included 154 heterosexual college students (50 % female, 49 % European American, 25 % Latino American, 26 % African American) recruited via probability sampling. When we compared perceptions of men’s and women’s sexual motives, we found that participants seemed to rely on the sexual double standard. Participants were more likely to attribute a female-stereotyped motive (e.g., romantic relationship characteristics, feeling “ready”, emotional investment) and less likely to attribute a male-stereotyped motive (“easy”, arousal, physical appearance) to female peers than to male peers. However, when we compared participants’ own motives to perceptions of their peers’ motives, participants overestimated male-stereotyped motives and underestimated female-stereotyped motives in peers, regardless of peer gender, possibly in congruence with stereotypes of hookup culture. These findings demonstrate that, although individuals sometimes rely on the sexual double standard to attribute sexual motives to others, misperceptions of peers’ sexual motives may also be influenced by stereotypes of hookup culture. These misperceptions contribute to pluralistic ignorance that may influence college students’ sexual behaviors.     

Differences in African American and White Women’s Attitudes Toward Lesbians and Gay Men

The aim of the present study was to examine racial differences in women’s attitudes toward lesbians and gay men and to offer an understanding of these differences. Participants were 224 18–30 year old heterosexual African American (64%) and White (36%) female undergraduates from a large urban university in the southeastern United States. Participants completed measures of social demographics, sexual orientation, and sexual prejudice. Results showed that African American, relative to White, women endorsed more negative attitudes toward lesbians and gay men. Also, unlike White women, African American women reported more negative attitudes toward gay men than lesbians. Implications are discussed regarding differences in cultural contexts that exist between African American and White women.     

“Getting to Know”: Exploring How Urban African American Women Conceptualize Safer and Risky Sexual Behaviors

The surge in the rate of the Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) cases continues to be most prevalent for African American women between the ages of 18 and 29, with heterosexual transmission remaining the primary cause of HIV spread for this population. The high rates of HIV/AIDS among African American women continue to emphasize the need for understanding how members of this population conceptualize sexual safety and risk. A qualitative research study using grounded theory methods was conducted to explore how African American women define safer and risky sexual behaviors. Interviews were conducted with 14 African American women between the ages of 18 and 29. The study findings suggest that African American women’s definitions of safer and risky sexual behaviors, while in a consensual sexual relationship, are consistently influenced by sex partner type. The information garnered from this study can help inform the development of HIV prevention strategies, health education, counseling and reproductive health services that support African American women’s wellness.     

Social Norms and Egalitarian Values Mitigate Authoritarian Intolerance Toward Sexual Minorities

In the United States, acceptance of sexual minorities (e.g., gay men and lesbians) has increased substantially since the early 1990s. This study examined whether authoritarians' attitudes have been influenced by the societal shift toward greater acceptance of sexual minorities. Using data from the American National Election Studies (ANES) collected between 1992 and 2012, we tested a model in which authoritarianism, endorsement of egalitarian values, and social norms shifting in the direction of tolerance predict individual attitudes toward sexual minorities and LGBT rights issues. Results indicated that (1) there was a subset of authoritarians who endorsed egalitarian values, (2) authoritarians in general became more tolerant (i.e., held less negative attitudes) toward sexual minorities between 1992 and 2012, and (3) “egalitarian authoritarians” held more positive attitudes toward sexual minorities than other authoritarians. The findings contribute to contemporary theory and research on authoritarianism, which is moving from a monolithic view of authoritarianism to one in which culture and core values activate and shape manifestations of authoritarian tendencies.     

Personality Pathways to Unsafe Sex: Personality,Condom Use,and HIV Risk Behaviors

Few studies have considered the importance of enduring personality characteristics in influencing health and HIV/AIDS risk behaviors. The current study examined relations between a comprehensive measure of personality, the Revised NEO Personality Inventory, and condom use and other HIV risk behaviors. The study sample consisted of 201 disadvantaged, primarily African American participants of an HIV risk reduction program in the Arkansas delta region. The sample was stratified into three risk groups. The low-risk group (n = 43) had 0% engaging in various risky sexual and substance use practices. Between 3% and 52% of the high-risk group (n = 62) engaged in these practices (e.g., shared needles, sex with partner who shoots drugs, received anal sex). The medium-risk group (n = 96) was intermediate. Results indicated that high Neuroticism, low Conscientiousness, and low Agreeableness are associated with HIV risk behaviors. Thus, high-risk behavior is associated with emotional distress, poor self-control, and hostile and antagonistic attitudes and behaviors. The high-risk group differed from the medium- and low-risk groups on the Neuroticism facet of Impulsiveness, indicating an inability to resist cravings and urges. The high-risk group also scored lower in Competence (i.e., feelings of self-efficacy), Self-Discipline (i.e., motivation to carry tasks through to completion), and Achievement Striving (i.e., aspiration levels). The current study, by identifying several personality traits that contribute to sexual risk behavior, raises important public health implications. Successful intervention in these AIDS-related behaviors may require interventions tailored to these basic tendencies. Such an approach may be a crucial element in attempts to lower HIV risk behavior.     

HIV/STD Risk Factors for Women with Violent Male Partners

This study compared 167 women, categorized as nonabused, emotionally abused, or physically abused in their primary relationships, on sexual risk factors. Physically abused women differed in several ways: greater STD risk, psychosocial distress, and substance use; more traditional gender role beliefs; lower self-esteem; more likely to have been raped and to engage in sex for pay; and less likely to attend the project's STD/HIV risk reduction groups. Within primary relationships, they differed in amount of decision-making power about safer sex, likelihood of nonmonogamy, use of substances before sex, and self-efficacy about initiating condom use. African American women reported higher rates of emotional abuse than White women, a finding related mainly to their lower socioeconomic status in this sample.     

Factors Influencing Condom Use Among African American Women: Implications for Risk Reduction Interventions

Examined factors associated with condom use in a community-based sample of 423 sexually active African American women. Measures were selected to reflect the components in prevailing models of health behavior. Condom users were higher on AIDS health priority, prevention attitudes, stage of change, behavioral intentions, reported more frequent and comfortable sexual communication with partners, perceived greater partner and peer approval for condom use, and reported that peers also used condoms. Women in exclusive relationships evidenced earlier stage of change, lower intentions to use condoms, fewer peers who engaged in preventive behaviors, perceived themselves to have lower risk, and had lower rates of condom use, higher education, and family income. Women in fluid relationships were at particularly high risk, with lower rates of condom use relative to women not in a relationship and greater sexual risk for HIV. Implications for HIV-risk reduction interventions with African American women are discussed.     

Predictors of multiple concurrent and multiple sexual partnerships among male and female youth aged 18–24 in South Africa

This study aimed to determine predictors of multiple concurrent and multiple sexual partnerships among South African male and female youth. Data were from a cross-sectional population-based household survey of 3 123 youths aged 18 to 24 years from four South African provinces (males = 53.6%, blacks = 97.8%). Results from a sub-sample of being sexually active in the past 12 months (n = 1787) indicate that 5.3% (7.1% in males and 3.1% in females) youth participants had multiple concurrent sexual partners, and 38.8% (50.1% in males and 25.8% in females) had had two or more sexual partners in the past 12 months. Among females, multiple concurrent partnerships were only predicted by lower social network resources. Predictors of multiple sexual partnerships (two or more sexual partners in the past 12 months) among males included high HIV risk perception, never been tested for HIV and hazardous or harmful alcohol use. By contrast, among females, high peer pressure, lower education and ever having taken drugs predicted involvement with multiple sexual partners. Multi-level health promotion interventions are indicated for sexual behaviour change among South African youth.     

A Tale of Two Standards: An Examination of Young Adults�� Endorsement of Gendered and Ageist Sexual Double Standards

Current North American sexual standards allow women to be sexual within committed relationships but may still restrict women??s sexuality to a greater extent than men??s. We investigated whether these gender double standards interact with an age double standard that describes the elderly as less sexual than the young, to create particularly limiting sexual standards for older women. 305 Canadian undergraduates completed a 2 (target age) × 2 (target gender) × 2 (participant gender) within-subjects study measuring perceptions of younger (own age) and older (over 65 years old) men??s and women??s interest in traditional sex (e.g., cuddling, intercourse with main partner) and experimental sex (e.g., extra-relationship sex, viewing erotic materials). ANCOVAs controlling for ageist and sexist beliefs revealed the ageist double standard; the elderly were perceived to be less interested in sex overall than the young. There was also a sexual double standard; women were perceived to be more interested in traditional sex than men, and men more interested in experimental sex than women. For traditional sex, women perceived younger targets as more interested than the older targets, and women targets as more interested than men. For experimental sex, a three-way interaction showed the interplay between the sexual and ageist double standards. Elderly female targets were perceived as least interested, and young male targets as most interested. Results reinforce that the current sexual standards distinguish between sex for intimacy and sex for other reasons (e.g., pleasure) and that the standards are particularly restrictive for older women.     

Partner Influences and Gender-Related Factors Associated with Noncondom Use Among Young Adult African American Women

We examined the partner influences and gender-related correlates of noncondom use among African American women. The prevalence of noncondom use was 45.3%. Women whose sexual partners were noncondom users were four times more likely to believe that asking their partner to use a condom implied he was unfaithful, three times as likely to have a partner who resisted using condoms, three times more likely to receive AFDC, twice as likely to be sexually nonassertive, three times more likely to believe that it was not difficult to find an eligible African American man, and three times as likely to have had one sexual partner. HIV prevention tailored towards African American women should address these partner influences and gender-related factors.