RESUMO
In this study, correlates of HIV sexual protective behavior, in the form of condom use, were examined within a population of urban women identified as at increased heterosexual risk for HIV infection. Hierarchical regression analyses were used to analyze data collected via structured interviews for 187 Puerto Rican women recruited from the waiting areas of a comprehensive health clinic in the Bronx, New York. Increased condom use with primary partners was associated with higher levels of mastery, more non-Hispanic acculturation, and greater adherence to traditional female gender roles. Increased condom use with nonprimary partners was associated with higher HIV/AIDS prevention self-efficacy. Thus, primary versus nonprimary relationships appeared to represent distinct contexts for HIV sexual risk behavior, with implications for different intervention strategies based upon relationship contexts for Latina women.
Assuntos
Atitude Frente a Saúde/etnologia , Infecções por HIV/prevenção & controle , Hispânico ou Latino/etnologia , Sexo Seguro/etnologia , Mulheres/psicologia , Aculturação , Adulto , Preservativos , Feminino , Identidade de Gênero , Conhecimentos, Atitudes e Prática em Saúde , Hispânico ou Latino/educação , Humanos , Controle Interno-Externo , Modelos Psicológicos , Motivação , Análise Multivariada , Cidade de Nova Iorque , Porto Rico/etnologia , Análise de Regressão , Assunção de Riscos , Autoeficácia , Inquéritos e Questionários , População Urbana , Mulheres/educaçãoRESUMO
We examined the association of primary or nonprimary sexual partner relationship status on sexual risk behaviors, including condom use, among Latina women who are at self-disclosed increased heterosexual risk for human immunodeficiency virus (HIV) infection. Data were collected via structured interviews of 187 Puerto Rican women, aged 18-35, who attended a health clinic in the Bronx, New York. Approximately 13% of participants reported sexual activities with both primary and nonprimary sexual partners during the 6 months prior to the interview. Primary or nonprimary sexual partner status was associated with significant differences in frequency of condom use during anal sex and oral-penile sex, with more frequent condom use reported during these sexual activities with nonprimary sexual partners. Thus, potential contextual differences associated with primary or nonprimary relationship status may represent important factors to consider when designing interventions to facilitate HIV-protective behaviors among populations of urban women identified at increased heterosexual risk for HIV infection.