Social and psychological correlates of unprotected anal intercourse among Hispanic-American women: implications for STI/HIV prevention

Olga Villar-Loubet, Stephen M Weiss, Gary Marks, Christine O’Daniels, Deborah Jones, Lisa R. Metsch, Eleanor McLellan-Lemal

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Heterosexual anal intercourse is associated with increased risk for HIV and other sexually transmitted infections. Research on the social and psychological risk factors associated with heterosexual unprotected anal intercourse among Hispanic women in the USA is limited. We examined demographic, mental health, relationship power, sexual self-efficacy, self-esteem, acculturation and HIV knowledge as correlates of unprotected anal intercourse among 514 HIV-negative Hispanic women, 18 to 59 years of age, residing in one urban county in southern Florida. In both unadjusted and adjusted results, the likelihood of engaging in unprotected anal intercourse was associated with food insecurity in the past 30 days (adjusted odds ratio [AOR] = 1.57, 95% confidence interval [CI] 1.03, 2.40) and more interpersonal power attributed to the male partner (AOR = 1.63, 95%CI 1.08, 2.45). Not significant, yet of possible importance, were ever having engaged in exchange sex (AOR = 1.96, 95%CI = 0.97, 3.98) and lower HIV knowledge (AOR = 0.80, 95%CI = 0.63, 1.01). Interventions aimed at reducing heterosexual unprotected anal intercourse risk for HIV infection among Hispanic women may benefit by addressing socioeconomic and interpersonal issues, and assessing HIV knowledge and comprehension.

Original languageEnglish (US)
Pages (from-to)1-17
Number of pages17
JournalCulture, Health and Sexuality
DOIs
StateAccepted/In press - Jun 7 2016

Keywords

  • anal sex
  • Hispanic women
  • HIV knowledge
  • Sexual relationship power
  • USA

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

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