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Social and Environmental Influences on Sexual Behaviors of College Black Women: Within Group Diversity Between HBCU vs. PWI Experiences

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Abstract

Black women carry a disproportionate number of new HIV infections in the USA. Studies that have assessed HIV risk perception along with HIV prevention interventions for Black women have primarily focused on Black women of low socioeconomic status. Few studies have assessed HIV risk perceptions and sexual behavior among college-educated Black women of higher socioeconomic status despite their high risk of HIV. College-educated Black women are most likely to acquire HIV while in college, and there has been a marked absence of research assessing the environmental and cultural influences present throughout college-campuses, coupled with evaluating how these factors shape sexual behaviors. We conducted surveys with Black female students attending a historically Black college and Black female students attending a predominately White university, and compared baseline differences in sexual behaviors among both populations. Results showed that for participants attending the historically Black college certain sociocultural elements, such as music and media, had a significantly stronger influence on sexuality and sexual behaviors compared with students attending predominately White universities. The development of future HIV prevention interventions for Black women necessitates an understanding of the diverse microcultures that Black women come from. This research is high priority for college-educated Black women given this population’s lack of inclusion in HIV prevention research.

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Data Availability

The data that support the findings of this study are available within the article. Further inquiries regarding data can be made to the corresponding author.

References

  1. Kaiser Family Foundation. Black Americans and HIV/AIDS: the basics [Internet]. 2019. Available from: https://www.kff.org/hivaids/fact-sheet/black-americans-and-hivaids-the-basics/. Accessed 21 Feb 2020

  2. Oser CB, Pullen E, Stevens-Watkins D, Perry BL, Havens JR, Staton-Tindall M, et al. African American women and sexually transmitted infections: the contextual influence of unbalanced sex ratios and individual risk behaviors. J Drug Issues. 2017;47:543–61.

    Article  Google Scholar 

  3. CDC. STDs in racial and ethnic minorities - 2017 Sexually Transmitted Diseases Surveillance [Internet] 2017. Available from: https://www.cdc.gov/std/stats17/minorities.htm. Accessed 21 Feb 2020.

  4. CDC. HIV and African Americans | Race/Ethnicity | HIV by Group | HIV/AIDS | CDC [Internet]. 2020 [cited 2020 Mar 11]. Available from: https://www.cdc.gov/hiv/group/racialethnic/africanamericans/index.html. Accessed 21 Feb 2020.

  5. CDC. HIV Among Women [Internet]. 2019 [cited 2020 Jan 13]. Available from: https://www.cdc.gov/hiv/group/gender/women/index.html. Accessed 21 Feb 2020.

  6. Hahn RA, Truman BI. Education improves public health and promotes health equity. Int J Heal Serv. SAGE Publications Inc.; 2015;45:657–78.

  7. Kawachi I, Adler NE, Dow WH. Money, schooling, and health: mechanisms and causal evidence. Ann N Y Acad Sci [Internet]. Blackwell Publishing Inc.; 2010 [cited 2020 Apr 12];1186:56–68. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20201868. Accessed 21 Feb 2020.

  8. Vable AM, Cohen AK, Leonard SA, Maria Glymour M, Duarte C, Yen IH. Do the health benefits of education vary by sociodemographic subgroup? Differential returns to education and implications for health inequities. Ann Epidemiol. 2018;28:759–66.

    Article  Google Scholar 

  9. Painter JE, Wingood GM, DiClemente RJ, et al. College graduation reduces vulnerability to STIs/HIV among African-American young adult women. Womens Health Issues. 2012;22:303–10.

    Article  Google Scholar 

  10. El-Bassel N, Caldeira NA, Ruglass LM, Gilbert L. Addressing the unique needs of African American women in HIV prevention. Am. J. Public Health. 2009. p. 996–1001.

  11. Reilly KH, Neaigus A, Jenness SM, Hagan H, Wendel T, Gelpí-Acosta C. High HIV prevalence among low-income, black women in New York City with self-reported HIV negative and unknown status. J Women's Health. 2013;22:745–54.

    Article  Google Scholar 

  12. Wade II, Miles I, Le B, Paz-Bailey G. Correlates of HIV infection among African American women from 20 cities in the United States. AIDS Behav. 2014;18:266–75.

    Article  Google Scholar 

  13. Davis SK, Tucker-Brown A. The effects of social determinants on black women’s HIV risk. J Black Stud. 2013;44:273–89. https://doi.org/10.1177/0021934713481805.

    Article  Google Scholar 

  14. Fray NA, Caldwell KL. Communication between middle SES black women and healthcare providers about HIV testing HHS public access. J Natl Med Assoc. 2017;109:115–25.

    Article  Google Scholar 

  15. CDC. National HIV/AIDS Strategy for the United States: updated to 2020 | National Prevention Information Network [Internet]. Cent. Dis. Control. 2020 [cited 2020 Apr 23]. Available from: https://npin.cdc.gov/publication/national-hivaids-strategy-united-states-updated-2020. Accessed 21 Feb 2020.

  16. CDC. FACT SHEET: HIV among African American Youth [Internet]. 2014. Available from: www.cdc.gov/nchhstp/Newsroom. Accessed 21 Feb 2020.

  17. Ferguson YO, Quinn SC, Eng E, Sandelowski M. The gender ratio imbalance and its relationship to risk of HIV/AIDS among African American women at historically black colleges and universities. AIDS Care. 2006;18:323–31. https://doi.org/10.1080/09540120500162122.

    Article  PubMed  Google Scholar 

  18. CDC. HIV and African Americans | Race/Ethnicity | HIV by Group | HIV/AIDS | CDC [Internet]. [cited 2020 Jan 30]. Available from: https://www.cdc.gov/hiv/group/racialethnic/africanamericans/index.html. Accessed 21 Feb 2020.

  19. Younge SN, Corneille MA, Lyde M, Cannady J. The paradox of risk: historically black college/ university students and sexual health. J Am Coll Heal. 2013;61:254–62.

    Article  Google Scholar 

  20. Birdthistle I, Floyd S, Nyagadza A, Mudziwapasi N, Gregson S, Glynn JR. Is education the link between orphanhood and HIV/HSV-2 risk among female adolescents in urban Zimbabwe? Soc Sci Med. 2009;68:1810–8.

    Article  Google Scholar 

  21. Pettifor AE, Levandowski BA, Macphail C, Padian NS, Cohen MS, Rees HV. Keep them in school: the importance of education as a protective factor against HIV infection among young South African women. Int J Epidemiol. 2008;37:1266–73.

    Article  Google Scholar 

  22. Andrew PO, Bhuiyan A, Mawson A, Buxbaum SG, Sung JH, Shahbazi M. HIV/AIDS Knowledge of Undergraduate Students at a Historically Black College and University. Diseases [Internet]. 2018;6. Available from: www.mdpi.com/journal/diseases. Accessed 21 Feb 2020.

  23. Onyeabor OS, Iriemenam N, Adekeye OA, Rachel SA. The effect of educational attainment on HIV testing among African Americans. J Health Care Poor Underserved. 2013;24:1247–1256. Available from: https://doi.org/10.1353/hpu.2013.0113.

  24. Hargreaves JR, Morison LA, Kim JC, Bonell CP, Porter JDH, Watts C, et al. The association between school attendance, HIV infection and sexual behaviour among young people in rural South Africa. J Epidemiol Community Health [Internet]. J Epidemiol Community Health. 2008;62:113–9 Available from: https://pubmed.ncbi.nlm.nih.gov/18192598/. Accessed 21 Feb 2020.

  25. Alleyne B, Wodarski J. Psychosocial factors that contribute to HIV/AIDS risk behaviors among young black college women. J Hum Behav Soc Environ Taylor & Francis Group ; 2009;19:142–58.

  26. Lewis LM, Melton RS, Succop PA, Rosenthal SL. Factors influencing condom use and std acquisition among African American college women. J Am Coll Health Assoc Taylor & Francis Group. 2000; 49:19–23.

  27. Newsome VR, Airhihenbuwa CO, Snipes SA. Educated and at-risk: how the shortage of available partners influences HIV risk for college-educated African-American women. J Natl Med Assoc. 2018;110:219–30 Available from: http://www.ncbi.nlm.nih.gov/pubmed/29778123. Accessed 21 Feb 2020.

  28. Heath CD. Voices from the unheard: perceptions of HIV among middle class black women in Atlanta. Transform Anthropol. 2016;24:97–115. Available from:. https://doi.org/10.1111/traa.12072.

    Article  Google Scholar 

  29. Jenkins Hall W, Tanner Jenkins Hall AE. US Black college women’s sexual health in hookup culture: intersections of race and gender. Cult Health Sex [Internet]. 2016 [cited 2020 Jul 3];18:1265–78. Available from: http://www.tandfonline.com/. Accessed 21 Feb 2020.

  30. Alleyne B, Gaston G. Gender disparity and HIV risk among young black women in college: a literature review. Affilia. 2010;25:135–45. https://doi.org/10.1177/0886109910364348.

    Article  Google Scholar 

  31. Hightow LB, MacDonald PDM, Pilcher CD, Kaplan AH, Foust E, Nguyen TQ, et al. The unexpected movement of the HIV epidemic in the southeastern United States: transmission among college students. J Acquir Immune Defic Syndr. 2005;38:531–7 Available from: http://www.ncbi.nlm.nih.gov/pubmed/15793362.

    Article  Google Scholar 

  32. Sutton MY, Hardnett FP, Wright P, Wahi S, Pathak S, Warren-Jeanpiere L, et al. HIV/AIDS knowledge scores and perceptions of risk among African American students attending historically black colleges and universities. Public Health Rep. 2011;126:653–63 Available from: /pmc/articles/PMC3151182/?report=abstract.

    Article  Google Scholar 

  33. Hou S-I. HIV-related behaviors among black students attending Historically Black Colleges and Universities (HBCUs) versus white students attending a traditionally white institution (TWI). AIDS Care. 2009;21:1050–7. https://doi.org/10.1080/09540120802626196.

    Article  PubMed  Google Scholar 

  34. Chandler R, Ross H, Paul S, Shittu A, Lescano C, Hernandez N, et al. The HIP LADIES: a pilot health improvement project for HIV prevention in black college women. J Assoc Nurses AIDS Care. 2019;30:474–87.

    Article  Google Scholar 

  35. El Bcheraoui C, Sutton MY, Hardnett FP, Jones SB. Patterns of condom use among students at historically Black colleges and universities: implications for HIV prevention efforts among college-age young adults. AIDS Care. 2013;25:186–93. https://doi.org/10.1080/09540121.2012.687864.

    Article  PubMed  Google Scholar 

  36. Collins RL, Martino SC, Shaw R. Influence of new media on adolescent sexual health: evidence and opportunities preface [internet]. 2011. Available from: www.rand.org/health. Accessed 21 Feb 2020.

  37. Turner JS. Sex and the spectacle of music videos: an examination of the portrayal of race and sexuality in music videos. Sex Roles 2011;64:173–191. Available from: https://doi.org/10.1007/s11199-010-9766-6

  38. Zhang Y, Miller LE, Harrison K. The relationship between exposure to sexual music videos and young adults’ sexual attitudes. J Broadcast Electron Media. 2008;52:368–86 Available from: /record/2008–12896-003.

    Article  Google Scholar 

  39. Agbo-Quaye S, Robertson T. The motorway to adulthood: music preference as the sex and relationships roadmap. Sex Educ. 2010;10:359–71. https://doi.org/10.1080/14681811.2010.515094.

    Article  Google Scholar 

  40. Travis R, Bowman SW. Ethnic identity, self-esteem and variability in perceptions of rap music’s empowering and risky influences. J Youth Stud. 2012;15:455–78. https://doi.org/10.1080/13676261.2012.663898.

    Article  Google Scholar 

  41. Wright CL, Craske M. Music’s influence on risky sexual behaviors: examining the cultivation theory—media psychology review. Media Psychol Rev. 2015;9 Available from: https://mprcenter.org/review/musics-influence-on-risky-sexual-behaviors-examining-the-cultivation-theory/.

  42. Stewart P. Who’s playin’ whom? Overwhelming influence of hip-hop culture, rap music on historically black college and university (HBCU) campuses concerns students; Faculty [Internet]. Black Issues High. Educ. 2004 [cited 2020 Apr 11]. Available from: https://eric.ed.gov/?id=EJ703265. Accessed 21 Feb 2020.

  43. Johnson-Baker KA, Markham C, Baumler E, Swain H, Emery S. Rap music use, perceived peer behavior, and sexual initiation among ethnic minority youth. J Adolesc Heal Elsevier USA; 2016;58:317–22.

  44. Peterson SH, Wingood GM, DiClemente RJ, Harrington K, Davies S. Images of sexual stereotypes in rap videos and the health of African American female adolescents. J WOMEN’S Heal. 2007;16 Available from: www.liebertpub.com. Accessed 21 Feb 2020.

  45. Bronfenbrenner U. Toward an experimental ecology of human development. Am Psychol [Internet]. American Psychological Association (APA); 1977 [cited 2020 Jul 4];32:513–31. Available from: /record/1978–06857-001.

  46. CDC. The social-ecological model: a framework for prevention [Internet]. 2020 [cited 2020 Jul 4]. Available from: https://www.cdc.gov/violenceprevention/publichealthissue/social-ecologicalmodel.html. Accessed 21 Feb 2020.

  47. Office of Behavioral & Social Sciences Research NI of H. Important theories and their key constructs - social and behavioral theories—e-source book—OBSSR e-Source [Internet]. 2020. Available from: http://www.esourceresearch.org/Default.aspx?TabId=736. Accessed 21 Feb 2020.

  48. Carey MP, Braaten LS, Maisto SA, Gleason JR, Forsyth AD, Durant LE, et al. Using information, motivational enhancement, and skills training to reduce the risk of HIV infection for low-income urban women: a second randomized clinical trial. Health Psychol. 2000;19:3–11 Available from: http://www.ncbi.nlm.nih.gov/pubmed/10711582.

    Article  CAS  Google Scholar 

  49. Kalichman SC, Rompa D, Coley B. Experimental component analysis of a behavioral HIV-AIDS prevention intervention for inner-city women. J Consult Clin Psychol. 1996;64:687–93 Available from: http://www.ncbi.nlm.nih.gov/pubmed/8803358.

    Article  CAS  Google Scholar 

  50. Schroder KEE, Carey MP, Vanable PA. Methodological challenges in research on sexual risk behavior: I. item content, scaling, and data analytical options. Ann Behav Med. 2003:76–103 Available from: http://www.ncbi.nlm.nih.gov/pubmed/14534027. Accessed 21 Feb 2020.

  51. Kalichman SC, Picciano JP, Roffman RA. Motivation to reduce HIV risk behaviors in the context of the information, motivation and behavioral skills (IMB) model of HIV prevention. J Health Psychol. 2008;13:680–9 Available from: http://www.ncbi.nlm.nih.gov/pubmed/18519441. Accessed 21 Feb 2020.

  52. Carey MP, Schroder KEE. Development and psychometric evaluation of the brief HIV knowledge questionnaire. AIDS Educ Prev NIH Public Access. 2002;14:172–82.

    Article  Google Scholar 

  53. Arnett JJ. Conceptions of the transition to adulthood among emerging adults in American ethnic groups. New Dir Child Adolesc Dev. Wiley; 2003;2003:63–76. https://doi.org/10.1002/cd.75

  54. Steinberg L. A social neuroscience perspective on adolescent risk-taking. Dev Rev Academic Press; 2008;28:78–106.

  55. O’Leary A, Goodhart F, Jemmott LS, Boccher-Lattimore D. Predictors of safer sex on the college campus: a social cognitive theory analysis. J Am Coll Heal. 1992;40:254–63.

    Article  Google Scholar 

  56. Galavotti C, Cabral RJ, Lansky A, Grimley DM, Riley GE, Prochaska JO. Validation of measures of condom and other contraceptive use among women at high risk for HIV infection and unintended pregnancy. Health Psychol. 1995;14:570–8.

    Article  CAS  Google Scholar 

  57. Zimbardo PG, Boyd JN. Putting time in perspective: a valid, reliable individual-differences metric. J Pers Soc Psychol. 1999;77:1271–88.

    Article  Google Scholar 

  58. Morokoff PJ, Quina K, Harlow LL, Whitmire L, Grimley DM, Gibson PR, et al. Sexual Assertiveness Scale (SAS) for women: development and validation. J Pers Soc Psychol. American Psychological Association (APA); 1997;73:790–804.

  59. Morrison-Beedy D, Carey MP, Crean HF, Jones SH. Risk behaviors among adolescent girls in an HIV prevention trial. West J Nurs Res. 2011;33:690–711.

    Article  Google Scholar 

  60. Chandler R, Ross H, Kolar S, Kip K, Simmons D. Considering music lyrics and imagery in the sexual health of black college students: a pilot study. Source J Black Stud. 2015;46:564–86.

    Article  Google Scholar 

  61. Wade BH. The Disabling Nature of the HIV / AIDS discourse among HBCU students: how postcolonial racial identities and gender expectations influence HIV prevention attitudes and sexual risk-taking. A J Transnatl Women’s Gend Stud [Internet]. 2007;4:125–41. Available from: http://colfax.cortland.edu/wagadu/Volume4/Vol4pdfs/Chapter 9.pdf. Accessed 21 Feb 2020.

  62. Johnson JM. Social norms, gender ratio imbalance, perceptions of risk, and the sexual behaviors of African American women at historically black colleges and universities. J African Am Stud. 2017;21:203–15. https://doi.org/10.1007/s12111-017-9354-8.

    Article  Google Scholar 

  63. Guiffrida D, Douthit K. The black student experience at predominantly white colleges: implications for school and college counselors. J Couns Dev. 2011;88:311–8.

    Article  Google Scholar 

  64. Heads AM, Dickson JW, Asby AT. Correlates of HIV risk-taking behaviors among African-American college students: HIV knowledge and ethnic identity. J Health Care Poor Underserved. 2017;28:155–70.

    Article  Google Scholar 

  65. Davis C, Sloan M, MacMaster S, Kilbourne B. HIV/AIDS knowledge and sexual activity: an examination of racial differences in a college sample. Health Soc Work. 2007;32:211–8 http://www.ncbi.nlm.nih.gov/pubmed/17896678. Accessed 21 Feb 2020.

  66. Walsh JL, Fielder RL, Carey KB, Carey MP. Changes in women’s condom use over the first year of College. J Sex Res. 2013;50:128–38 Available from: /pmc/articles/PMC3865869/?report=abstract.

    Article  Google Scholar 

  67. Norwood CR, Zhang Y. Condom attitudes and use among African American college women students. J Black Sex Relations. 2015;2:83–99 Available from: https://muse-jhu-edu.proxy.library.emory.edu/article/597294. Accessed 21 Feb 2020.

  68. Fehr SK, Vidourek RA, King KA, Nabors LA. Relationship factors’ impact on condom use among college students. Sex Cult. 2018;22:724–39. https://doi.org/10.1007/s12119-018-9503-9.

    Article  Google Scholar 

  69. Patel VL, Gutnik LA, Yoskowitz NA, O’Sullivan LF, Kaufman DR. Patterns of reasoning and decision making about condom use by urban college students. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2006;18:918–30 Available from: https://pubmed.ncbi.nlm.nih.gov/17012081/. Accessed 21 Feb 2020.

  70. Sanders S, Graham C, Yarber W, Crosby R, Dodge B, Milhausen R, et al. Am J Health Behav. 2006:30 Available from: https://pubmed.ncbi.nlm.nih.gov/16893308/. Accessed 21 Feb 2020.

  71. Chandler R, Anstey EH, Ross H, Dianne M-BB. Perceptions of Black college women on barriers to HIV-risk reduction and their HIV prevention intervention needs. J Assoc Nurses AIDS Care. 2016:1–12.

  72. Downing-Matibag TM, Geisinger B. Hooking up and sexual risk taking among college students: a health belief model perspective. Qual Health Res. 2009;19:1196–209 Available from: https://pubmed.ncbi.nlm.nih.gov/19690202/. Accessed 21 Feb 2020.

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Authors and Affiliations

  1. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA

    Rasheeta Chandler, Dominique Guillaume, Naomi Tesema & Sudeshna Paul

  2. Center for Community Practice, University of Rochester Medical Center, Rochester, NY, USA

    Henry Ross

  3. Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA

    Natalie D. Hernandez

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  1. Rasheeta Chandler
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  2. Dominique Guillaume
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Chandler, R., Guillaume, D., Tesema, N. et al. Social and Environmental Influences on Sexual Behaviors of College Black Women: Within Group Diversity Between HBCU vs. PWI Experiences. J. Racial and Ethnic Health Disparities 8, 852–862 (2021). https://doi.org/10.1007/s40615-020-00843-2

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