Document Detail

In their own words: romantic relationships and the sexual health of young African American women.
MedLine Citation:
PMID:  23450883     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We assessed young African American women's understanding of "dual protection" (DP) (i.e., strategies that simultaneously protect against unintended pregnancies and sexually transmitted diseases [STDs]) and how relationship factors influence their use of DP methods.
METHODS: We conducted 10 focus groups with African American women (n=51) aged 15-24 years in Atlanta, Georgia, to identify barriers to and facilitators of their DP use. Focus group participants also completed a brief self-administered questionnaire that assessed demographics and sexual behaviors. We analyzed focus group data by theme: relationships, planning for sex, pregnancy intentions, STD worries, the trade-off between pregnancy and STDs, attitudes toward condoms and contraceptives, and understanding of DP.
RESULTS: From the questionnaire, 51% of participants reported that an STD would be the "worst thing that could happen," and 26% reported that being pregnant would be "terrible." Focus group data suggested that most participants understood what DP was but thought it was not always feasible. Relationship factors (e.g., trust, intimacy, length of relationship, and centrality) affected pregnancy intentions, STD concerns, and use of DP. Social influences (e.g., parents) and pregnancy and STD history also affected attitudes about pregnancy, STDs, and relationships.
CONCLUSIONS: Although participants identified risks associated with sex, a complex web of social and relationship factors influenced the extent to which they engaged in protective behavior. The extent to which relationship factors influence DP may reflect developmental tasks of adolescence and should be considered in any program promoting sexual health among young African American women.
Colleen Crittenden Murray; Kendra Hatfield-Timajchy; Joan Marie Kraft; Anna R Bergdall; Melissa A Habel; Melissa Kottke; Ralph J Diclemente
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Public health reports (Washington, D.C. : 1974)     Volume:  128 Suppl 1     ISSN:  1468-2877     ISO Abbreviation:  Public Health Rep     Publication Date:    2013 Mar-Apr
Date Detail:
Created Date:  2013-03-01     Completed Date:  2013-04-17     Revised Date:  2014-03-06    
Medline Journal Info:
Nlm Unique ID:  9716844     Medline TA:  Public Health Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-42     Citation Subset:  AIM; IM    
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MeSH Terms
African Americans / psychology*
Contraception Behavior / ethnology,  psychology
Focus Groups
Georgia / epidemiology
Health Knowledge, Attitudes, Practice / ethnology
Interpersonal Relations
Interviews as Topic
Pregnancy, Unplanned / ethnology,  psychology*
Sexual Behavior / ethnology,  psychology*,  statistics & numerical data
Sexual Partners / psychology*
Sexually Transmitted Diseases / ethnology,  prevention & control*,  psychology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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