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. 2002;117(Suppl 1):S151–S156.

Factors influencing HIV/AIDS in women of color.

Kathy Sanders-Phillips 1
PMCID: PMC1913693  PMID: 12435839

Abstract

OBJECTIVE: The author reviews selected findings on the behavioral risk factors for exposure to HIV among women of color and the social, psychological, and cultural factors that may be related to these risks and to the use of condoms. The potential value of empowerment models of AIDS intervention for women of color is examined. OBSERVATIONS: The most common routes of exposure to HIV for women of color are intravenously injected drug use and prostitution related to drug use. A woman's risk for exposure to HIV is related to her ability to protect herself by negotiating a safe sexual relationship with a partner. Women who feel powerless in their relationships are less likely to protect themselves against HIV exposure. These perceptions of powerlessness are the result of a broad array of experiences that may include secondary status, exposure to violence, restricted economic opportunities, and experiences of racism and oppression. CONCLUSIONS: Research on primary and secondary prevention of HIV infection in women of color must acknowledge and address the multiple determinants of health and risk behaviors in research paradigms and methodologies that assess women's risk in relationship to race, ethnicity, and socioeconomic factors.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barnard M. A. Needle sharing in context: patterns of sharing among men and women injectors and HIV risks. Addiction. 1993 Jun;88(6):805–812. doi: 10.1111/j.1360-0443.1993.tb02094.x. [DOI] [PubMed] [Google Scholar]
  2. Beckwith J. B. Eating, drinking, and smoking and their relationship in adult women. Psychol Rep. 1986 Dec;59(3):1075–1089. doi: 10.2466/pr0.1986.59.3.1075. [DOI] [PubMed] [Google Scholar]
  3. Cohen E., Navaline H., Metzger D. High-risk behaviors for HIV: a comparison between crack-abusing and opioid-abusing African-American women. J Psychoactive Drugs. 1994 Jul-Sep;26(3):233–241. doi: 10.1080/02791072.1994.10472436. [DOI] [PubMed] [Google Scholar]
  4. DiClemente R. J., Wingood G. M. A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA. 1995 Oct 25;274(16):1271–1276. [PubMed] [Google Scholar]
  5. Edlin B. R., Irwin K. L., Ludwig D. D., McCoy H. V., Serrano Y., Word C., Bowser B. P., Faruque S., McCoy C. B., Schilling R. F. High-risk sex behavior among young street-recruited crack cocaine smokers in three American cities: an interim report. The Multicenter Crack Cocaine and HIV Infection Study Team. J Psychoactive Drugs. 1992 Oct-Dec;24(4):363–371. doi: 10.1080/02791072.1992.10471660. [DOI] [PubMed] [Google Scholar]
  6. Hankins C. A. Issues involving women, children, and AIDS primarily in the developed world. J Acquir Immune Defic Syndr. 1990;3(4):443–448. [PubMed] [Google Scholar]
  7. Harlow L. L., Rose J. S., Morokoff P. J., Quina K., Mayer K., Mitchell K., Schnoll R. Women HIV sexual risk takers: related behaviors, interpersonal issues, and attitudes. Womens Health. 1998 Winter;4(4):407–439. [PubMed] [Google Scholar]
  8. Jemmott L. S., Jemmott J. B., 3rd Increasing condom-use intentions among sexually active black adolescent women. Nurs Res. 1992 Sep-Oct;41(5):273–279. [PubMed] [Google Scholar]
  9. Lex B. W. Some gender differences in alcohol and polysubstance users. Health Psychol. 1991;10(2):121–132. doi: 10.1037//0278-6133.10.2.121. [DOI] [PubMed] [Google Scholar]
  10. Quinn S. C. AIDS and the African American woman: the triple burden of race, class, and gender. Health Educ Q. 1993 Fall;20(3):305–326. doi: 10.1177/109019819302000303. [DOI] [PubMed] [Google Scholar]
  11. Sanders-Phillips K. Correlates of health promotion behaviors in low-income Black women and Latinas. Am J Prev Med. 1996 Nov-Dec;12(6):450–458. [PubMed] [Google Scholar]
  12. Siegal H. A., Carlson R. G., Falck R., Forney M. A., Wang J., Li L. High-risk behaviors for transmission of syphilis and human immunodeficiency virus among crack cocaine-using women. A case study from the Midwest. Sex Transm Dis. 1992 Sep-Oct;19(5):266–271. doi: 10.1097/00007435-199209000-00005. [DOI] [PubMed] [Google Scholar]
  13. Stein Z. A. HIV prevention: the need for methods women can use. Am J Public Health. 1990 Apr;80(4):460–462. doi: 10.2105/ajph.80.4.460. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Stokols D. Establishing and maintaining healthy environments. Toward a social ecology of health promotion. Am Psychol. 1992 Jan;47(1):6–22. doi: 10.1037//0003-066x.47.1.6. [DOI] [PubMed] [Google Scholar]
  15. Sussman S., Dent C. W., Stacy A. W., Burton D., Flay B. R. Psychosocial predictors of health risk factors in adolescents. J Pediatr Psychol. 1995 Feb;20(1):91–108. doi: 10.1093/jpepsy/20.1.91. [DOI] [PubMed] [Google Scholar]
  16. Weeks M. R., Schensul J. J., Williams S. S., Singer M., Grier M. AIDS prevention for African-American and Latina women: building culturally and gender-appropriate intervention. AIDS Educ Prev. 1995 Jun;7(3):251–264. [PubMed] [Google Scholar]
  17. Worth D. Sexual decision-making and AIDS: why condom promotion among vulnerable women is likely to fail. Stud Fam Plann. 1989 Nov-Dec;20(6 Pt 1):297–307. [PubMed] [Google Scholar]

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