Interviews were conducted with 40 young African American men at risk of HIV/STIs and unintended pregnancy to explore cultural beliefs regarding 1) what makes men feel powerful in their relationships and 2) men's influencing strategies for condom use. Cultural consensus analyses were performed. Results indicated that the participants comprise a cultural group with shared beliefs about men's feelings of power and influencing strategies for condom use. Participants identified several factors that make men feel powerful (e.g., when they are able to provide for their families, are in control and make final decisions in their relationships). Regarding what men do to get their partners to use condoms, participants believed that men 1) use interactive strategies such as offering reasons for condom use; 2) use a variety of strategies involving condoms themselves; and 3) just ask their partners to use condoms. These cultural beliefs have important implications for HIV/STI and pregnancy prevention.
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References
1.
Centers for Disease Control and Prevention, Sexually Transmitted Disease Surveillance, 2000, Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, Georgia, 2001.
2.
Centers for Disease Control and Prevention, HIV/AIDS Surveillance Report, 12: 2, pp. 1–48, 2000.
RajA. and AmaroH., Culturally Tailoring HIV/AIDS Prevention Programs: Why, When, and How, in Handbook of Cultural Health Psychology, KazarianS. S. and EvansD. R. (eds.), Academic Press, San Diego, California, pp. 195–239, 2001.
5.
EngT. R. and ButlerW. T., The Hidden Epidemic: Confronting Sexually Transmitted Diseases, National Academy Press, Washington, D.C., 1997.
6.
AmaroH., Love, Sex and Power: Considering Women's Realities in HIV Prevention, American Psychologist, 50: 6, pp. 437–447, 1995.
7.
FulliloveM. T.FulliloveR. E.HaynesK., and GrossS., Black Women and AIDS Prevention: A View towards Understanding the Gender Rules, The Journal of Sex Research, 27, pp. 47–64, 1990.
8.
GómezC. A. and MarínB. V., Gender, Culture, and Power: Barriers to HIV-Prevention Strategies for Women, The Journal of Sex Research, 33, pp. 355–362, 1996.
9.
PulerwitzJ.GortmakerS. L., and DeJongW., Measuring Sexual Relationship Power in HIV/STD Research, Sex Roles, 42, pp. 637–660, 2000.
10.
WingoodG. M. and DiClementeR. J., Partner Influences and Gender-Related Factors Associated with Noncondom Use among Young Adult African American Women, American Journal of Community Psychology, 26, pp. 29–51, 1998.
11.
WingoodG. M. and DeClementeR. J., Application of the Theory of Gender and Power to Examine HIV-Related Exposures, Risk Factors, and Effective Interventions for Women, Health Education and Behavior, 27, pp. 539–565, 2000.
12.
WingoodG. M.Hunter-GambleD., and DiClementeR. J., A Pilot Study of Sexual Communication and Negotiation among Young African American Women: Implications for HIV Prevention, Journal of Black Psychology, 19, pp. 190–203, 1993.
13.
SoetJ. E.DiIorioC., and DudleyW. N., Women's Self-Reported Condom Use: Intra and Interpersonal Factors, Women & Health, 27: 4, pp. 19–33, 1998.
14.
AgnewC. R., Power Over Interdependent Behavior Within the Dyad: Who Decides What a Couple Does?, in Advances in Population: Psychosocial Perspectives, Vol. 3, SeveryL. J. and MillerW. (eds.), Jessica Kingsley Publishers, London, pp. 163–188, 1999.
15.
BlancA. K., The Effect of Power in Sexual Relationship on Sexual and Reproductive Health: An Examination of the Evidence, Studies in Family Planning, 32: 3, pp. 189–213, 2001.
16.
WhiteheadT., Urban Low-Income African American Men, HIV/AIDS, and Gender Identity, Medical Anthropology Quarterly, 11: 4, pp. 411–447, 1997.
17.
GilmoreS.DeLamaterJ., and WagstaffD., Sexual Decision-Making by Inner City Black Adolescent Males: A Focus Group Study, The Journal of Sex Research, 33, pp. 363–371, 1996.
18.
AmaroH. and RajA., On the Margin: Power and Women's HIV Risk Reduction Strategies, Sex Roles, 42: 7/8, pp. 723–749, 2000.
19.
FrenchJ. R. P. and RavenB., The Bases of Social Power, in Studies in Social Power, CartwrightD. (ed.), Institute for Social Research, University of Michigan, Ann Arbor, Michigan, pp. 150–167, 1959.
20.
HenleyN., Body Politics: Power, Sex and Nonverbal Communication, Prentice Hall, Englewood Cliffs, New Jersey, 1977.
21.
CromwellR. E. and OlsonD. H., Power in Families, Halstead Press, New York, 1975.
22.
BalswickJ. O. and BalswickJ. K., Gender Relations and Marital Power, in Families in Multicultural Perspectives, IngoldsbyB. B. and SmithS. (eds.), Guilford, New York, pp. 297–313, 1995.
23.
HustonT. L., Power, in Close Relationships, KelleyM. M.BerschiedE., and ChristensonA. (eds.), Freeman Press, New York, pp. 169–219, 1983.
24.
CarliL. L., Gender, Interpersonal Power, and Social Influence, Journal of Social Issues, 55: 1, pp. 81–99, 1999.
25.
CowanG.BommersbachM., and CurtisS. R., Codependency, Loss of Self, and Power, Psychology of Women Quarterly, 19: 2, pp. 221–236, 1995.
26.
FalboT. and PeplauL. A., Power Strategies in Intimate Relationships, Journal of Personality and Social Psychology, 38, pp. 618–628, 1980.
27.
FriezeI. H. and McHughM. C., Power and Influence Strategies in Violent and Nonviolent Marriages, Psychology of Women Quarterly, 16: 4, pp. 449–465, 1992.
28.
HowardJ. A.BlumsteinP., and SchwartzP., Sex, Power, and Influence Tactics in Intimate Relationships, Journal of Personality and Social Psychology, 51, pp. 102–109, 1986.
29.
SteilJ. M. and WeltmanK., Influence Strategies at Home and at Work: A Study of Sixty Dual Career Couples, Journal of Social and Personal Relationships, 9: 1, pp. 65–88, 1992.
30.
ChristopherF. S. and FrandsenM., Strategies of Influence in Sex and Dating, Journal of Social and Personal Relationships, 7, pp. 89–105, 1990.
31.
GreerA. E. and BussD. M., Tactics for Promoting Sexual Encounters, The Journal of Sex Research, 31, pp. 151–201, 1994.
32.
La PlanteM. N.McCormickN., and BranniganG. G., Living the Sexual Script: College Students' Views of Influence in Sexual Encounters, The Journal of Sex Research, 16, pp. 338–355, 1980.
33.
McCormickN. B., Come-Ons and Put-Offs: Unmarried Students' Strategies for Having and Avoiding Sexual Intercourse, Psychology of Women Quarterly, 4, pp. 194–211, 1979.
34.
PoppenP. J. and SegalN. J., The Influence of Sex and Sex Role Orientation on Sexual Coercion, Sex Roles, 19, pp. 689–701, 1988.
35.
CataniaJ. A.CoatesT. J.KegelsS.FulliloveM. T.PetersonJ.MarinB.SiegelD., and HullyS., Condom Use in Multi-Ethnic Neighborhoods of San Francisco: The Population-Based AMEN (AIDS in Multi-Ethnic Neighborhoods) Study, American Journal of Public Health, 82: 2, pp. 284–287, 1992.
36.
PetersonJ. L.GrinsteadO. A.GoldenE.CataniaJ. A.KegelesS., and CoatesT. J., Correlates of HIV Risk Behaviors in Black and White San Francisco Heterosexuals: The Population-Based AIDS in Multiethnic Neighborhoods (AMEN) Study, Ethnicity and Disease, 2: 4, pp. 361–370, 1992.
37.
BirdS. T. and HarveyS. M., “No Glove, No Love”: Cultural Beliefs of African American Women Regarding Influencing Strategies for Condom Use, International Quarterly of Community Health Education, 20: 3, pp. 237–251, 2000–2001.
38.
BirdS. T.HarveyS. M.BeckmanL. J., and JohnsonC., Getting Your Partner to Use Condoms: Interviews with Men and Women at Risk of HIV/STDs, The Journal of Sex Research, 38: 3, pp. 233–240, 2001.
39.
DeBroS. C.CampbellS. M., and PeplauL. A., Influencing a Partner to Use a Condom: A College Student Perspective, Psychology of Women Quarterly, 18, pp. 165–182, 1994.
40.
EdgarT.FreimuthV. S.HammondS. L.McDonaldD. A., and FinkE. L., Strategic Sexual Communication: Condom Use Resistance and Response, Health Communication, 4, pp. 83–104, 1992.
41.
KlineA.KlineE., and OkenE., Minority Women and Sexual Choice in the Age of AIDS, Social Science and Medicine, 34, pp. 447–457, 1992.
42.
McCormickN. B. and GaeddertW., Power in College Students' Contraceptive Decisions, Archives of Sexual Behavior, 18: 1, pp. 35–48, 1989.
43.
[Author ID removed for blind review], Prevention of Unintended Pregnancy, HIV and Other Sexually Transmitted Diseases among Young African American Women, final report to the Centers for Disease Control and Prevention for a Component of Cooperative Agreement #U30/CCU915062, 2000.
44.
RomneyA. K.WellerS. C., and BatchelderW. H., Culture as Consensus: A Theory of Culture and Informant Accuracy, American Anthropologist, 88: 2, pp. 313–338, 1986.
45.
RomneyA. K.BatchelderW. H., and WellerS. C., Recent Applications of Cultural Consensus Theory, American Behavioral Scientist, 31: 2, pp. 163–177, 1987.
WellerS. C.BaerR. D.PachterL. M.TrotterR. T.GlazerM.de Alba GarciaGarcia J. E., and KleinR. E., Latino Beliefs about Diabetes, Diabetes Care, 22: 5, pp. 722–728, 1999.
