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.     

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.     

The paradox of trust for male couples: When risking is a part of loving

Among gay men, there is evidence to suggest that serious, committed male couples practice especially risky sex. To understand the reasons why male couples might take such risks, 92 participants (46 long-term couples) were asked to complete a survey in which they independently indicated their sexual practices, why they engaged in them, and their attitudes toward relationships. Three sets of findings suggest a paradoxical relationship between emotional intimacy and sexual risk: (1) love, trust, and commitment were used more often to explain riskier than safer sex; (2) those more dependent upon their relationships and who desired a stable and lasting relationship practiced riskier sex; and (3) requesting safer sex had negative connotations (e.g., suspicion of extrarelationship sexual contacts). Of those who practiced safer sex (i.e., protected anal sex), 94% indicated that they did so because of their “fear of AIDS.” Implications of these findings for developing HIV interventions for male couples are discussed.     

The role of sexual arousal and sexual partner characteristics in HIV+ MSM's intentions to engage in unprotected sexual intercourse

OBJECTIVE: This study investigated the effects of sexual arousal and sexual partner characteristics as determinants of HIV+ men who have sex with men's (MSM) intentions to engage in unprotected sex. DESIGN: In a computer-based controlled experiment, 67 HIV+ MSM underwent a sexual arousal manipulation and indicated their intentions to engage in unprotected sex with hypothetical partners who differed in terms of HIV serostatus, physical attractiveness, relationship type, and preference for condom use. MAIN OUTCOME MEASURES: Computer-delivered questions assessed HIV+ MSM's intentions to engage in various sexual acts with each hypothetical partner. RESULTS: As predicted, sexually aroused HIV+ MSM indicated stronger intentions to engage in unprotected sex than nonaroused HIV+ MSM; and having a partner who was attractive, HIV+, long term, or who preferred not to use condoms, also led to riskier intentions. Several significant interactions among these factors were found, which were generally consistent with predictions and with theory and research on cognitive processing and decision making. CONCLUSIONS: These findings have implications for understanding risky sexual behavior among HIV+ individuals and for the development of interventions to reduce this risk.     

Why Some Women Consent to Unwanted Sex With a Dating Partner: Insights from Attachment Theory

Several studies have shown that many college women engage in unwanted sexual activity with a dating partner. However, little research has examined the differences between women who comply with requests for unwanted sexual activity and women who do not. This study utilized an attachment theory framework to investigate individual differences in women's compliant sexual behavior. An ethnically diverse sample of 125 college women who had consented to unwanted sex with a current dating partner completed measures of their attachment style, commitment to their current relationship, perceptions of their partner's commitment, and willingness to consent to unwanted sex in a hypothetical scenario. Results showed that attachment style and commitment perceptions were associated with women's willingness to consent to unwanted sex with a dating partner in the hypothetical scenario and their reasons for this decision. As predicted, anxiously attached women were the most willing to consent to unwanted sex, and they often cited fears that their partner would lose interest in them as reasons for their compliance. Contrary to hypotheses, avoidantly attached women were not the least willing to consent to unwanted sex. They often reported passively complying with a partner's sexual request in order to fulfill relationship obligations. The importance of sexuality to attachment formation in dating relationships and the potential consequences of consenting to unwanted sex are discussed.     

Achieving Safety: Safer Sex, Communication, and Desire among Young Gay Men

Conceptualizations of safer sex practices among young gay men (YGM) are frequently structured around communication between partners and the subsequent utilization or absence of condoms in a sexual encounter. Drawing on a sample of 34 in-depth interviews with YGM, ages 18 to 24, we explore the ways in which conceptualizations and definitions of safer sex are discussed and enacted. Placing attention on their safer sex practices, we analyze the conversations that do and do not occur among YGM and their partners, including the strategies (e.g., negotiated safety, condom communication and negotiation) that are commonly perceived as most useful by YGM. We provide recommendations regarding how to craft safer sex messages for YGM by considering their competing demands.     

Predicting Condom Use in African American STD Patients: The Role of Two Types of Outcome Expectancies1

This study examined the association of two types of condom use outcome expectancies (self-approval and partner reaction) with patterns of safer sexual behavior among predominantly African American patients at a sexually transmitted diseases (STD) clinic. As expected, both individuals' own self-approval outcome expectancies and their partner reaction outcome expectancies predicted consistency of condom use, although partner reaction expectancies predicted condom use above and beyond the effects of self-approval expectancies. Furthermore, individuals who believed that they and their partner shared positive condom use outcome expectancies reported the greatest use of condoms. These findings suggest that HIV prevention programs should address both types of condom use outcome expectancies in order to maximize behavior change.     

Identifying Precursors of Safer‐Sex Practices in Mexican Adolescents With and Without Sexual Experience: An Exploratory Model1

Theoretical variables were examined for their empirical relevance as precursors of safer‐sex behavior in 2,011 Mexican adolescents, most of whom were not sexually experienced. Using structural equation modeling, a good fit was found for a path model with (a) partner communication and intention to use condoms as outcome variables; (b) self‐esteem, self‐efficacy, and decision making as antecedent variables; and (c) perceived norms about sexual practices, attitudes toward condom use, and knowledge of HIV as mediating variables. A good fit also was found for a slightly elaborated model involving condom use as outcome variable that was fitted in a subsample with 319 adolescents who reported sexual experience. Gender differences are discussed, as well as implications for intervention programs promoting safer‐sex behaviors.     

Perceived Physical Attractiveness, Sexual History, and Sexual Intentions: An Internet Study

This study was designed to examine the influence a potential date’s physical attractiveness and sexual history has on an individual’s intentions to engage in safer sex. Over 1,200 participants completed an Internet survey. The questionnaire presented a randomized biography and photograph and asked participants to rate their interest in dating and having a sexual relationship with the target. Participants were randomly assigned to one of six conditions based on the target’s physical attractiveness (low vs. high) and sexual experience (low, medium, or high). Results indicated that men reported greater intentions to have sex than women did, and all participants reported greater likelihood of having sex when the potential partner was highly attractive. Participants rated men and more experienced targets as more risky sexual partners, and the level of a target’s sexual experience was directly related to participants’ willingness to discuss sexual risks. Results indicate a continuing need to include discussion of cognitive factors in all HIV prevention efforts.     

Book review of The psychology of eating. J. Ogden. Oxford: Blackwell publishing, 2003. i–xii + 302 pages ISBN 0-631-23373-3 (hbk) 0-631-23374-1 (pbk)

Abstract

This study examined the importance of the nature of the relationship between sexual partners in predicting types of sexual practices for 293 gay and bisexual men. Demographics, personal beliefs, substance use, and variables from the health belief model, theory of self-efficacy, and theory of reasoned action were used to predict sexual behaviors. Sexual practices varied by type of partner relationship and duration, with a higher probability of risky behaviors occurring with primary partners than with non-primary partners; relationship status also moderated the effects of safer sex partner norms and denial on sexual risk-taking. In addition, men who were younger, had less education, and used alcohol or drugs prior to sex engaged in higher risk behaviors. This study indicates that a more comprehensive assessment of dimensions of partner relationship will lead to greater understanding of sexual risk-taking.     

Attachment Style,Assertive Communication,and Safer-Sex Behavior1

This research tested the proposition that the effect of attachment security on safer-sex practice may be mediated by communication patterns. One hundred eighty-five undergraduate students completed questionnaire measures of attachment, assertiveness, and attitudes to communication about AIDS. Eight weeks later, they reported on their practice of safer sex in the period since the first testing session. Hierarchical regressions showed that at Step I, anxiety about relationships (a measure of insecure attachment) was associated with less safer-sex practice, for all outcome measures. Attitudes to communication about AIDS added to the prediction of general reports of safer-sex practice: in line with the mediational model, anxiety about relationships became unimportant as a predictor when communication variables were included. Communication variables failed to add to the prediction of safer sex on the most recent encounter, and both anxiety about relationships and attitudes to communication about AIDS predicted condom use. Some gender differences in patterns of prediction were noted. The results are discussed in terms of attachment style and its links with the negotiation of sexual practice and relationship issues.     

Do women perform fellatio as a mate retention behavior?

Men who report performing more mate retention behaviors, in general, and more benefit-provisioning mate retention behaviors, in particular, also report greater interest in, and spend more time, performing oral sex on their female partner. We extended these findings to a female sample to investigate whether women’s oral sex behaviors are related to their mate retention behaviors. We secured self-report data from 410 women residing in the United States or in Germany in a committed, sexual, heterosexual relationship. The results indicate that women who report performing more benefit-provisioning mate retention behaviors also report greater interest in, and spend more time, performing oral sex on their partner. Further, there are no sex differences in the magnitudes or directions of these relationships. The results suggest that both men and women are more interested in, and spend more time, performing oral sex on their partner as part of a benefit-provisioning strategy to increase their partner’s relationship satisfaction. We address limitations of this research, and discuss explanations for the results.     

An AIDS Hotline: Analysis of Callers,Presenting Problems,and Social Factors1

This research is an analysis of all calls received by an AIDS hotline over an 8-month period. Caller demographics and types of presenting problems of callers are reported. Overall, callers were most concerned about how the virus was transmitted and requested information about HIV testing for themselves, a partner, a friend, or a relative. Despite the fact that adolescents are at high risk for contracting HIV, few adolescents called the hotline, but those who did were more likely to request safer sex information than HIV testing information. In contrast, all other age groups requested HIV testing more than safer sex information, often by a 2:1 or 3:1 margin. Men called most frequently because of concerns about self, whereas women called most frequently with concerns about others. These results are discussed in the context of the AIDS epidemic and in terms of social factors.     

The fallacy of intimacy: sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa

The objective of this study is to assess (1) whether beliefs about trust and condom use affect sexual risk behaviour, and (2) if beliefs about trust and condom use impact sexual risk behaviour directly or if this relationship is mediated by other determinants. The Information-Motivation-Behavioural Skills model was used as a framework for the mediation analysis. A diverse cohort of three hundred 18-40 year old men who have sex with men (MSM) residing in Pretoria, South Africa, were recruited and surveyed for this project. Findings indicate that men who report a high frequency of past unprotected anal intercourse are more likely to believe that it is not necessary to use condoms with a trusted or steady partner regardless of their current partnership status. This fallacy of intimacy appears to affect sexual risk behaviour through intentions and attitudes regarding safer sex practices. Based on these findings, we recommend that more attention be given in gaining a better understanding of how beliefs about trust and condom use are formed and how they can be changed among MSM in South Africa.     

The AIDS Risk Reduction Model: Examining Intentions to Use Condoms Among Injection Drug Users1

This paper uses the AIDS Risk Reduction Model (ARRM) to examine psychosocial factors involved in adopting safer sex practices in a sample of Los Angeles injection drug users (IDUs; n= 161) who reported having more than one sex partner in the year preceding the interview. The ARRM hypothesizes that behavior change is a process occurring in three stages: (a) labeling one's behavior as problematic, (b) making a commitment to behavior change, and (c) taking action to accomplish that change. We test the first two stages of the model using a measure of perceived risk of HIV infection (Stage I), and intentions to use condoms always during vaginal or anal sex in the next year (Stage 2). We examine differences in the predictive value of the ARM between IDUs who reported using condoms in the year prior to the interview and those who reported not using them. We identify leverage points in the model-factors which appear to have a major influence on intentions to use condoms and which may be amenable to change through educational or other types of intervention. For both condom users and non-users, susceptibility to AIDS predicted perceived infection risk (Stage I). For condom users, knowledge about AIDS also predicted perceived risk. For both groups, self efficacy, peer norms concerning condom use, and the perceived pleasure of using condoms predicted intentions to use condoms (Stage 2). Our findings do not support either direct or indirect relationships between the Stage 1 and Stage 2 outcome variables for either group.     

Barriers to Condom Use and Safer Sex Talk among College Dating Couples

Using an open-ended questionnaire response format, this study examined self-generated barriers to condom use and safer sex talk among 119 heterosexual college dating couples at the University of New Mexico (total N=238). Data were collected from both members of these dyads. Reasons for abstaining from intercourse were also elicited. Several general response categories emerged including no perceived risk; spontaneity; deliberate choice; negative attitudes; and a lack of perceived self-efficacy for enacting condom use and safer sex discussion. Explanations for abstinence included religious/moral prohibitions; lack of readiness for intercourse; and a fear of being emotionally hurt. Few differences emerged across gender, ethnicity (Caucasian vs Hispanic), and prior sexual experience (participant had intercourse prior to current relationship vs did not). Selected reasons for not using a condom and/or discussing safer sex (e.g. partner is monogamous) were cross-validated with the self-reported behavior of the respondent's dating partner. In general, participants reasons for perceived non-risk were not supported by their partner's reported behavior. Implications of these findings for sexual risk reduction programs include: establishing realistic goals for safer sex behavior and talk within committed relationships, acknowledging the impact of passion on safer sex, and addressing knowledge gaps in risk perception.     

Sexual similarity,complementarity, accuracy,and overperception in same‐sex couples

We examined whether similarity, complementarity, accuracy, and positive illusions exist within the sex lives of same‐sex romantic couples. Partners had similar and complementary sexual desires and they perceived each other's desires with considerable accuracy; these effects were greater than in randomly matched pseudocouples. As evidence of positive sexual illusions, people overperceived sexual similarity and complementarity, and they overperceived the accuracy with which their partner knew their desires. Using actor–partner interdependence models (D. A. Kenny, D. A. Kashy, & W. L. Cook, 2006), similarity, complementarity, and positive illusions predicted sexual satisfaction, but a partner's actual accuracy did not. In parallel with earlier findings from heterosexual couples, this work indicates that positive sexual illusions are motivated cognitive processes that benefit sexual satisfaction, as theories of relationship maintenance suggest.     

College students' perceptions of advances in HIV treatment and the need for safer sex practices

Advances in the treatment of HIV disease may result in reduced concern about the severity of HIV and the need to practice safer sex. A pilot study was conducted among 258 college students to assess effects of the new treatments on perceptions of HIV and the need for safer sex practices. In a sample of minority heterosexual students 155 (60%) had heard about the new HIV treatments, and perceptions of the new treatments were analyzed for only these students. A small proportion of the 155 students (17.5%) believed that the threat of AIDS is less serious than in the past, and 21% indicated that they practiced safer sex less often since new treatments were introduced. Students with high knowledge of AIDS risk were more likely to report reduced concern about HIV and indicated that there was less need to practice safer sex. Prevention programs should emphasize that the threat of HIV remains serious, and continuing to practice safer sex is important. Further research should focus on factors influencing reduced concern.     

Topic-relevant cognition and empathic accuracy in laboratory discussions of safer sex

Abstract

The present study sought to identify some of the mechanisms that make safer sex such a difficult topic to talk about. Fifty six dating couples participated in a laboratory study in which the opposite-sex members of two pairs of couples engaged in two discussions of safer sex (or a control topic), each time with a different opposite-sex partner (their own dating partner or an opposite-sex stranger). The results indicated that discussions of safer sex evoke in dating partners a high level of perceived goal-incompatibility, difficulty maintaining one's focus on the topic, and difficulty in reading the other partner's thoughts and feelings. These reactions did not occur in response to the control topic. This initial demonstration study is important with respect to the processes it implicates, but further clarification is needed regarding the specific real-life conditions in which these processes do, and do not, occur.