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Psychosocial Profiles of Women with Risky Sexual Partners: The National AIDS Behavioral Surveys (NABS)

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Abstract

Women represent one of the fastest growing groups of U.S. AIDS cases. This study examined women with risky male sexual partners drawn from a national/urban probability telephone sample. Our analyses use a matched control design to profile women with risky sexual partners and their male partners. We used the multifaceted model of HIV risk (MMOHR) as a framework for examining how women with risky partners differed from matched controls. Compared to matched controls, women with risky partners (n = 209) were young, poor, sexually unassertive, in troubled relationships, and were cognizant of their health risks. We found two distinct groups of women: women whose only risk was through their partner (single risk) and women who had additional risks of their own (multiple risk). Single-risk women were more conservative, more guilty about sex, and in traditional relationships. Interventions should build on women's recognition of their risk and focus on the relationships that support risky behavior.

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References

  • Amaro, H. (1993). Reproductive choice in the age of AIDS: Policy and counselling issues. In C. Squire (Ed.), Women and AIDS: Psychological perspectives (pp. 20–41). London: Sage.

    Google Scholar 

  • Amaro, H. (1995). Love, sex, and power: Considering women's realities in HIV prevention. American Psychologist, 50, 437–447.

    Google Scholar 

  • Blumstein, P., and Schwartz, P. (1983). American couples: Money, work, sex. New York: William Morrow.

    Google Scholar 

  • Canin, L., Dolcini, M. M., and Adler, N. E. (1999). Barriers and facilitators to HIV/STD behavior change: Intrapersonal and relationship-based factors. Review of General Psychology, 3, 338–371.

    Google Scholar 

  • Carey, M. P., Maisto, S. A., Kalichman, S. C., Forsyth, W. E., and Johnson, B. T. (1997). Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women. Journal of Consulting and Clinical Psychology, 65, 531–541.

    Google Scholar 

  • Catania, J., Binson, D., Dolcini, M., Moskowitz, J., and van der Straten, A. (in press). Frontiers in the behavioral epidemiology of HIV/STDs. In A. Baum, T. Revenson, and J. E. Singer (Eds.), Handbook of Health Psychology. Hillsdale, NJ: Erlbaum.

  • Catania, J. A., Binson, D., Dolcini, M. M., Stall, R., Choi, K. H., Pollack, L. M., Hudes, E. S., Canchola, J., Phillips, K., Moskowitz, J. T., and Coates, T. J. (1995). Risk factors for HIV and other sexually transmitted diseases and prevention practices among US heterosexual adults: Changes from 1990- 1992. American Journal of Public Health, 85, 1492–1499.

    Google Scholar 

  • Catania, J. A., Coates, T. J., Stall, R., Turner, H., Peterson, J., Hearst, N., Dolcini, M., Hudes, E., Gagnon, J., Wiley, J., and Groves, R. (1992). Prevalence of AIDS-related risk factors and condom use in the United States. Science, 258, 1101–1106.

    Google Scholar 

  • Catania, J. A., McDermott, L., and Wood, J. (1984). Assessment of locus of control: Situational specificity in the sexual context. Journal of Sex Research, 20, 310–324.

    Google Scholar 

  • Catania, J. A., Pollack, L., McDermott, L., Qualls, S., and Cole, L. (1990). Help-seeking behaviors of people with sexual problems. Archives of Sexual Behavior, 19, 235–250.

    Google Scholar 

  • Centers for Disease Control and Prevention (1998). HIV/AIDS surveillance report, No. 10 (2). Atlanta, GA: Author.

    Google Scholar 

  • Cochran, S. D., and Mays, V. M. (1989). Women and AIDS-related concerns: Roles for psychologists in helping the worried well. American Psychologist, 44, 529–535.

    Google Scholar 

  • Collins, B., and Aspinwall, L. (1989, May). Impression management in negotiations for safer sex. Poster session presented at the Second Iowa Conference on Interpersonal Relationships, Iowa City, Iowa.

  • Corby, N. H., Wolitski, R. J., Thornton-Johnson, S., and Tanner, W. M. (1991). AIDSknowledge, perception of risk, and behaviors among female sex partners of injection drug users. AIDS Education and Prevention, 3, 353–366.

    Google Scholar 

  • Current Population Reports (1988). The Black population in the U.S. Washington, DC: Government Printing Office.

    Google Scholar 

  • Davis, C., Yarber, W., and Davis, S. (1988). Sexuality-related measures: A compendium. Lake Mills, IA: Graphic Publishing Co.

    Google Scholar 

  • Diaz, T., Chu, S. Y., Conti, L., Sorvillo, F., Checko, P. J., Hermann, P., Fann, S. A., Frederick, M., Boyd, D., Mokotoff, E., Rietmeijer, C. A., Herr, M., and Samuel, M. C. (1994). Risk behaviors of persons with heterosexually acquired HIV infection in the United States: Results of a multistate surveillance project. Journal of Acquired Immune Deficiency Syndromes, 7, 958–963.

    Google Scholar 

  • Fisher, W., Byrne, D., and White, L. (1983). Emotional barriers to contraception. In D. Byrne and W. Fisher (Eds.), Adolescents, sex, and contraception (pp. 207–241). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Gerrard, M. (1982). Sex, sex guilt, and contraceptive use. Journal of Personality and Social Psychology, 42, 153–158.

    Google Scholar 

  • Grinstead, O. A., Faigeles, B., Binson, D., and Eversley, R. (1993). Sexual risk for human immunodeficiency virus infection among women in high-risk cities. Family Planning Perspectives, 25, 252–256, 277.

    Google Scholar 

  • Harlow, L. L., Quina, K., Morokoff, P. J., Rose, J. S., and Grimley, D. M. (1993). HIV risk in women: A multifaceted model. Journal of Applied Biobehavioral Research, 1, 3–38.

    Google Scholar 

  • He, H., McCoy, H. V., Stevens, S. J., and Stark, M. J. (1998). Violence and HIV sexual risk behaviors among female sex partners of male drug users. Women and Health, 27, 161–175.

    Google Scholar 

  • Holland, J., Ramazanoglu, S. S., Scott, S., Sharpe, S., and Thompson, R. (1990). Sex, gender, and power: Young women's sexuality in the shadow of AIDS. Sociology of Health and Illness, 12, 337–350.

    Google Scholar 

  • Ickovics, J. R., Druley, J. A., Grigorenko, E. L., Morrill, A. C., Beren, S. E., and Rodin, J. (1998). Long-term effects of HIV counseling and testing for women: Behavioral and psychological consequences are limited at 18 months posttest. Health Psychology, 17, 395–402.

    Google Scholar 

  • Kalichman, S., Rompa, D., and Coley, B. (1996). Experimental component analysis of a behavioral HIV-AIDS prevention intervention for inner-city women. Journal of Consulting and Clinical Psychology, 64, 687.

    Google Scholar 

  • Kelly, J. A., Murphy, D. A., Washington, C. D., Wilson, T. S., Koob, J., Davis, D. R., Ledzmea, G., and Davantes, B. (1994). The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. American Journal of Public Health, 84, 1918–1922.

    Google Scholar 

  • Kirby, D. (1998). Mathtech questionnaires: Sexuality questionnaires for adolescents. In C. Davis, W. Yarber, R. Bauserman, G. Schreer, and S. Davis (Eds.), Sexuality-related measures: A compendium (pp. 201–212). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Kost, K., and Forrest, J. (1992). American women's sexual behavior and exposure to risk of sexually transmitted diseases. Family Planning Perspectives, 24, 244–254.

    Google Scholar 

  • McCoy, H. V., and Inciardi, J. A. (1993). Women and AIDS: Social determinants of sex-related activities. Women and Health, 20, 69–86.

    Google Scholar 

  • Misovich, S. J., Fisher, J. D., and Fisher, W. A. (1997). Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology, 1, 72–107.

    Google Scholar 

  • Morrill, A. C., Ickovics, J. R., Golubchikov, V. V., Beren, S. E., and Rodin, J. (1996). Safer sex: Social and psychological predictors of behavioral maintenance and change among heterosexual women. Journal of Consulting and Clinical Psychology, 64, 819–828.

    Google Scholar 

  • Mosher, W. D., and Pratt, W. F. (1993). AIDS-related behavior among women 14-44 years of age: United States, 1988 and 1990. Advance Data, 239, 1–15.

    Google Scholar 

  • National Institute of Mental Health (1998). The NIMH multisite HIV prevention trial: Reducing HIV sexual risk behavior. Science, 280, 1889–1894.

    Google Scholar 

  • Pivnick, A. (1993). HIV infection and the meaning of condoms. Culture, Medicine, and Psychiatry, 17, 431–453.

    Google Scholar 

  • Raj, A., and Pollack, R. H. (1995). Factors predicting high-risk sexual behavior in heterosexual college females. Journal of Sex and Marital Therapy, 21, 213–224.

    Google Scholar 

  • Rosen, R. C., Taylor, J. F., Leiblum, S. R., and Bachmann, G. A. (1993). Prevalence of sexual dysfunction in women: Results of a survey study of 329 women in an outpatient gynecological clinic. Journal of Sex and Marital Therapy, 19, 171–188.

    Google Scholar 

  • Sikkema, K., Heckman, T., Kelly, J., Anderson, E., Winett, R., Solomon, L., Wagstaff, D., Roffman, R., Perry, M., Cargill, V., Crumble, D., Fuqua, R., Norman, A., and Mercer, M. (1996). HIV risk behaviors among women living in low-income, inner-city housing developments. American Journal of Public Health, 86, 1123–1128.

    Google Scholar 

  • Sweat, M. D., and Denison, J. A. (1995). Reducing HIV incidence in developing countries with structural and environmental interventions. AIDS, 9, S251–S257.

    Google Scholar 

  • Tortu, S., Beardsley, M., Deren, S., and Davis, W. R. (1994). The risk of HIV infection in a national sample of women with injection drug-using partners. American Journal of Public Health, 84, 1243–1249.

    Google Scholar 

  • Valleroy, L. A., MacKellar, D. A., Karon, J. M., Janssen, R. S., and Hayman, C. R. (1998). HIV infection in disadvantaged out-of-school youth: Prevalence for U.S. Job Corps entrants, 1990 through 1996. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 19, 67–73.

    Google Scholar 

  • Whitmire, L. E., Harlow, L. L., Quina, K., and Morokoff, P. J. (Eds.). (1999). Childhood trauma and HIV: Women at risk. Philadelphia, PA: Brunner/Mazel.

    Google Scholar 

  • Wight, D. (1992). Impediments to safer heterosexual sex: A review of research with young people. AIDS Care, 4, 11–23.

    Google Scholar 

  • Wingood, G. M., and DiClemente, R. J. (1996). HIV sexual risk reduction interventions for women: A review. American Journal of Preventive Medicine, 12, 209–217.

    Google Scholar 

  • Worth, D. (1989). Sexual decision-making and AIDS: Why condom promotion among vulnerable women is likely to fail. Studies in Family Planning, 20, 297–307.

    Google Scholar 

  • Wortley, P. M., and Fleming, P. L. (1997). AIDS in women in the United States. Journal of the American Medical Association, 278, 911–916.

    Google Scholar 

  • Yzer, M. C., Fisher, J. D., Bakker, A. B., Siero, F. W., and Misovich, S. J. (1998). The effects of information about AIDS risk and self-efficacy on women's intentions to engage in AIDS preventive behavior. Journal of Applied Social Psychology, 28, 1837–1852.

    Google Scholar 

  • Zierler, S., Witbeck, B., and Mayer, K. (1996). Sexual violence against women living with or at risk for HIV infection. American Journal of Preventive Medicine, 12, 304–310.

    Google Scholar 

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Authors and Affiliations

  1. Department of Medicine and Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, California

    M. Margaret Dolcini

  2. Department of Medicine and Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, California

    Joseph A. Catania

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  1. M. Margaret Dolcini
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  2. Joseph A. Catania
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Dolcini, M.M., Catania, J.A. Psychosocial Profiles of Women with Risky Sexual Partners: The National AIDS Behavioral Surveys (NABS). AIDS Behav 4, 297–308 (2000). https://doi.org/10.1023/A:1009577020621

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