African American women are bearing an excess burden of HIV/AIDS, becoming infected at a rate 25 times that of White American women. This places African American girls at the highest risk for becoming infected with HIV/AIDS. Culturally appropriate prevention strategies are indicated to suppress this trend. Two qualitative research methods were used to evaluate a culture- and gender-based HIV prevention intervention: My Sister, Myself. Community action participatory research was used to engage the community in the development of the intervention for early-adolescent girls. Eight girls participated in the 8-week intervention. Data were collected about culture and gender identification, sexual health knowledge, and future intentions throughout the intervention. Focus groups and observation participation data revealed three major themes: “high aspirations,” “needing to know the truth,” and “internal, external, and eternal resources.” Findings indicate promise for intervention strategies that utilize culture- and gender-based strategies for HIV/AIDS prevention with young girls.
Belgrave, F.Z., & Allison, K.W. (2006). African American Psychology: From Africa to America . Thousand Oaks, CA: Sage Publications .
2.
Burstein, G.R., & Murray, P.J. (2003). Diagnosis and management of sexually transmitted diseases among adolescents. Pediatrics in Review, 24, 119-127.
3.
Centers for Disease Control and Prevention. ( 2005). HIV/AIDS surveillance report, 2004. Washington, DC: U.S. Department of Health and Human Services.
4.
Centers for Disease Control and Prevention. ( 2006). Fact sheet: HIV/AIDS among African Americans. Retrieved July 25, 2006, http://www.cdc.gov/hiv/topics/aa/resources/factsheets/aa.htm
5.
Christian, M.D., & Barbarin, O.A. (2001). Cultural resources and psychological adjustment of African American children: Effects of spirituality and racial attribution. Journal of Black Psychology, 27(1), 43-63.
6.
Collins, P.H. (2000). Black feminist thought: Knowledge, consciousness, and the politics of empowerment (2nd ed.). New York: Routledge.
7.
Dancy, B.L., Crittenden, K.S., & Talashek, M. (2006). Mother's effectiveness as HIV risk reduction educators for adolescent daughters. Journal of Health Care for the Poor and Underserved, 17, 218-239.
8.
DiClemente, R.J., Wingood, G.M., Harrington, K.F., Lang, D.L., Davies, S.L., Hook, E.W., et al. (2004). Efficacy of an HIV prevention intervention for African American adolescent girls: A randomized control trial. Journal of the American Medical Association, 292, 171-179.
9.
Dilorio, C., Resnicow, K., McCarty, F., De, A.K., Dudley, W.N., Wang, D.T., et al. (2006). Keepin' it R.E.A.L.! Results of a mother-adolescent HIV prevention program. Nursing Research, 55(1), 43-51.
10.
Gilbert, D. J., & Wright, E. M. (Eds.). (2003). African American women and HIV/AIDS: Critical responses. Westport, CT: Praeger.
11.
Grunbaum, J.A., Kann, L., Kinchen, S., Williams, B., Ross, L., Lowry, R., et al. (2002). Youth risk behavior surveillance United States. Morbidity and Mortality Weekly Report2001, 51(SS04), 1-64.
12.
Herman-Giddens, M.E., Slora, E.J., Wasserman, R.C., Bourdony, C.J., Bhapkar, M.V., Koch, G.G., et al. (1997). Secondary sexual characteristics and menses in young girls seen in office practice: A study from the pediatric research in office settings network. Pediatrics, 99, 505-512.
13.
Hudson-Weems, C. (1998). Africana womanism: Reclaiming ourselves. Troy, MI: Bedford.
14.
Jemmott, J.B., III, Jemmott, L.S., & Fong, G.T. (1998). Abstinence and safer sex HIV risk-reduction intervention for African American adolescents: A randomized controlled trial. Journal of the American Medical Association, 279, 1529-1536.
15.
Karenga, M. (1988). Introduction to Black studies. Los Angeles: University of Sankore Press.
16.
Kelly, E.M. (2003). African American adolescent girls: Neglected and disrespected. In D. J. Gilbert & E. M. Wright (Eds.), African American women and HIV/AIDS: Critical responses (pp. 164-181). Westport, CT: Praeger.
17.
Marks, L., Nesteruk, O., Swanson, M., Garrison, B., & Davis, T. (2005). Religion and health among African Americans. Research on Aging, 27(4), 447-474.
18.
McKee, M.D., Karasz, A., & Weber, C.M. (2004). Health care seeking among urban minority adolescent girls: The crisis at sexual debut. Annals of Family Medicine , 2(6), 549-554.
19.
McNair, L.D., & Prather, C.M. (2004). African American women and AIDS: Factors influencing risk and reaction to HIV disease. Journal of Black Psychology , 30(1), 106-123.
20.
Miller, K.S., Clark, L.F., & Moore, J.F. (1997). Sexual initiation with older male partners and subsequent HIV risk behavior among female adolescents. Family Planning Perspectives, 29(5), 212-214.
21.
Phinney, J.S. (1992). The Multigroup Ethnic Identity Measure. Journal of Adolescent Research, 7(2), 156-176.
22.
Seidel, J. (1998). The ethnograph (version 5.07). Salt Lake CityQualis Research Associates. Thousand Oaks, CA: Scolari (Sage Publications, distributor) .
23.
Shambley-Ebron, D.Z., & Boyle, J.S. (2006a). In our grandmother's footsteps: Perceptions of being strong in African American women with HIV/AIDS. Advances in Nursing Science, 29(3), 195-206.
24.
Shambley-Ebron, D.Z., & Boyle, J.S. (2006b). Self-care and mothering in African American women with HIV/AIDS. Western Journal of Nursing Research, 28(1), 42-60.
25.
Shorter-Gooden, K. (2004). Multiple resistance strategies: How African American women cope with racism and sexism. Journal of Black Psychology , 30(3), 406-425.
26.
Speziale, H.J.S., & Carpenter, D.R. (2003). Qualitative research in nursing: Advancing the humanistic perspective (3rd ed.). Philadelphia: Lippincott .
27.
Taylor, R.J., Mattis, J., & Chatters, L.M. (1999). Subjective religiosity among African Americans: A synthesis of findings from national samples. Journal of Black Psychology, 25(4), 524-543.
28.
Vanzant, I. (1999). Don't give it away: A workbook of self-awareness and self-affirmations for young women. New York: Fireside.
29.
Zuckerman, D. (2001). When little girls become women: Early onset of puberty in girls. Retrieved January 1, 2005, from http://www.center4research.org/children11.html
