Religiosity, spirituality, and HIV risk behaviors among African American women from four rural counties in the southeastern U.S

Christina Ludema, Irene A. Doherty, Becky L. White, Cathy A. Simpson, Olga Villar-Loubet, Eleanor McLellan-Lemal, Christine M. O’Daniels, Adaora A. Adimora

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

In a cross-sectional survey of 1,013 African American women from rural Alabama and North Carolina, we examined the relationship of (1) organizational religiosity (i.e., religious service attendance), (2) non-organizational religiosity (e.g., reading religious materials), and (3) spirituality with these outcomes: women’s reports of their sexual behaviors and perceptions of their partners’ risk characteristics. Women with high nonorganizational religiosity, compared with low, had fewer sex partners in the past 12 months (adjusted prevalence ratio (aPR): 0.58, 95% confidence interval (CI): 0.42, 0.80) and were less likely to have concurrent partnerships (aPR: 0.47, 95% CI: 0.30, 0.73). Similar results were observed for spirituality, and protective but weaker associations were observed for organizational religiosity. Weak associations were observed between organizational religiosity, non-organizational religiosity, and spirituality with partners’ risk characteristics. Further exploration of how religiosity and spirituality are associated with protective sexual behaviors is needed to promote safe sex for African American women.

Original languageEnglish (US)
Pages (from-to)168-181
Number of pages14
JournalJournal of Health Care for the Poor and Underserved
Volume26
Issue number1
DOIs
StatePublished - 2015

Fingerprint

Spirituality
Risk-Taking
African Americans
HIV
Sexual Behavior
Confidence Intervals
Safe Sex
Reading
Cross-Sectional Studies

Keywords

  • African American
  • And sex partner
  • HIV risk
  • Religion
  • Sexual behavior
  • Spirituality
  • Women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Religiosity, spirituality, and HIV risk behaviors among African American women from four rural counties in the southeastern U.S. / Ludema, Christina; Doherty, Irene A.; White, Becky L.; Simpson, Cathy A.; Villar-Loubet, Olga; McLellan-Lemal, Eleanor; O’Daniels, Christine M.; Adimora, Adaora A.

In: Journal of Health Care for the Poor and Underserved, Vol. 26, No. 1, 2015, p. 168-181.

Research output: Contribution to journalArticle

Ludema, Christina ; Doherty, Irene A. ; White, Becky L. ; Simpson, Cathy A. ; Villar-Loubet, Olga ; McLellan-Lemal, Eleanor ; O’Daniels, Christine M. ; Adimora, Adaora A. / Religiosity, spirituality, and HIV risk behaviors among African American women from four rural counties in the southeastern U.S. In: Journal of Health Care for the Poor and Underserved. 2015 ; Vol. 26, No. 1. pp. 168-181.
@article{70484819895a4b689b40fe48637dbd47,
title = "Religiosity, spirituality, and HIV risk behaviors among African American women from four rural counties in the southeastern U.S",
abstract = "In a cross-sectional survey of 1,013 African American women from rural Alabama and North Carolina, we examined the relationship of (1) organizational religiosity (i.e., religious service attendance), (2) non-organizational religiosity (e.g., reading religious materials), and (3) spirituality with these outcomes: women’s reports of their sexual behaviors and perceptions of their partners’ risk characteristics. Women with high nonorganizational religiosity, compared with low, had fewer sex partners in the past 12 months (adjusted prevalence ratio (aPR): 0.58, 95{\%} confidence interval (CI): 0.42, 0.80) and were less likely to have concurrent partnerships (aPR: 0.47, 95{\%} CI: 0.30, 0.73). Similar results were observed for spirituality, and protective but weaker associations were observed for organizational religiosity. Weak associations were observed between organizational religiosity, non-organizational religiosity, and spirituality with partners’ risk characteristics. Further exploration of how religiosity and spirituality are associated with protective sexual behaviors is needed to promote safe sex for African American women.",
keywords = "African American, And sex partner, HIV risk, Religion, Sexual behavior, Spirituality, Women",
author = "Christina Ludema and Doherty, {Irene A.} and White, {Becky L.} and Simpson, {Cathy A.} and Olga Villar-Loubet and Eleanor McLellan-Lemal and O’Daniels, {Christine M.} and Adimora, {Adaora A.}",
year = "2015",
doi = "10.1353/hpu.2015.0005",
language = "English (US)",
volume = "26",
pages = "168--181",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "1",

}

TY - JOUR

T1 - Religiosity, spirituality, and HIV risk behaviors among African American women from four rural counties in the southeastern U.S

AU - Ludema, Christina

AU - Doherty, Irene A.

AU - White, Becky L.

AU - Simpson, Cathy A.

AU - Villar-Loubet, Olga

AU - McLellan-Lemal, Eleanor

AU - O’Daniels, Christine M.

AU - Adimora, Adaora A.

PY - 2015

Y1 - 2015

N2 - In a cross-sectional survey of 1,013 African American women from rural Alabama and North Carolina, we examined the relationship of (1) organizational religiosity (i.e., religious service attendance), (2) non-organizational religiosity (e.g., reading religious materials), and (3) spirituality with these outcomes: women’s reports of their sexual behaviors and perceptions of their partners’ risk characteristics. Women with high nonorganizational religiosity, compared with low, had fewer sex partners in the past 12 months (adjusted prevalence ratio (aPR): 0.58, 95% confidence interval (CI): 0.42, 0.80) and were less likely to have concurrent partnerships (aPR: 0.47, 95% CI: 0.30, 0.73). Similar results were observed for spirituality, and protective but weaker associations were observed for organizational religiosity. Weak associations were observed between organizational religiosity, non-organizational religiosity, and spirituality with partners’ risk characteristics. Further exploration of how religiosity and spirituality are associated with protective sexual behaviors is needed to promote safe sex for African American women.

AB - In a cross-sectional survey of 1,013 African American women from rural Alabama and North Carolina, we examined the relationship of (1) organizational religiosity (i.e., religious service attendance), (2) non-organizational religiosity (e.g., reading religious materials), and (3) spirituality with these outcomes: women’s reports of their sexual behaviors and perceptions of their partners’ risk characteristics. Women with high nonorganizational religiosity, compared with low, had fewer sex partners in the past 12 months (adjusted prevalence ratio (aPR): 0.58, 95% confidence interval (CI): 0.42, 0.80) and were less likely to have concurrent partnerships (aPR: 0.47, 95% CI: 0.30, 0.73). Similar results were observed for spirituality, and protective but weaker associations were observed for organizational religiosity. Weak associations were observed between organizational religiosity, non-organizational religiosity, and spirituality with partners’ risk characteristics. Further exploration of how religiosity and spirituality are associated with protective sexual behaviors is needed to promote safe sex for African American women.

KW - African American

KW - And sex partner

KW - HIV risk

KW - Religion

KW - Sexual behavior

KW - Spirituality

KW - Women

UR - http://www.scopus.com/inward/record.url?scp=84924420095&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924420095&partnerID=8YFLogxK

U2 - 10.1353/hpu.2015.0005

DO - 10.1353/hpu.2015.0005

M3 - Article

C2 - 25702735

AN - SCOPUS:84924420095

VL - 26

SP - 168

EP - 181

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 1

ER -