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RESEARCH ARTICLE

Masculinity, condom use self-efficacy and abusive responses to condom negotiation: the case for HIV prevention for heterosexual African-American men

Jerris L. Raiford A D , Puja Seth B C , Nikia D. Braxton C and Ralph J. DiClemente B C
+ Author Affiliations
- Author Affiliations

A Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA.

B Rollins School of Public Health, Department of Behavioral Sciences & Health Education, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA.

C Emory Center for AIDS Research, 1518 Clifton Rd, Atlanta, GA 30322, USA.

D Corresponding author. Email: jraiford@cdc.gov

Sexual Health 10(5) 467-469 https://doi.org/10.1071/SH13011
Submitted: 25 January 2013  Accepted: 17 May 2013   Published: 10 July 2013

Abstract

Background: This study explored the role of masculinity and perceived condom use skills in African-American men’s abusive response to female partners’ condom requests. Methods: Eighty African-American men aged 18–29 years completed measures on sexual behaviour, responses to condom requests, condom use self-efficacy and other masculine constructs. Men also were tested for sexually transmissible infections. Results: Men’s condom use self-efficacy explained 16.5% of the variance in abusive response to condom requests, beyond demographics and masculine constructs. The full model accounted for 63% of the variance. Conclusions: Many HIV interventions with women encourage condom negotiation. Findings highlight the need to address men’s condom use skills and masculine norms.

Additional keywords: HIV/AIDS, safer sex, partner violence.


References

[1]  Centers for Disease Control and Prevention (CDC). National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention 2007 disease profile. Atlanta: CDC; 2009.

[2]  Centers for Disease Control and Prevention (CDC). CDC HIV/AIDS fact sheet: HIV/AIDS among women. Atlanta: CDC; 2008. Available online at: http://www.cdc.gov/hiv/risk/gender/women/facts/index.html [verified 30 May 2013].

[3]  Centers for Disease Control and Prevention (CDC). HIV/AIDS in the United States. Atlanta: CDC; 2006. Available online at: http://www.cdc.gov/hiv/resources/factsheets/us.htm [verified February 2010].

[4]  Centers for Disease Control and Prevention. Subpopulation estimates from the HIV incidence surveillance system – United States, 2006. MMWR Morb Mortal Wkly Rep 2008; 57 985–9.
| 18784639PubMed |

[5]  Laumann E, Youm Y. Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: a network explanation. Sex Transm Dis 1999; 26 250–61.
Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: a network explanation.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1M3msVSksA%3D%3D&md5=2e84f6668116119548d9a83c8c8b7eebCAS | 10333277PubMed |

[6]  Darbes L, Crepaz N, Lyles C, Kennedy G, Rutherford G. The efficacy of behavioral interventions in reducing HIV risk behaviors and incident sexually transmitted diseases in heterosexual African Americans. AIDS 2008; 22 1177–94.
The efficacy of behavioral interventions in reducing HIV risk behaviors and incident sexually transmitted diseases in heterosexual African Americans.Crossref | GoogleScholarGoogle Scholar | 18525264PubMed |

[7]  Campbell CA. Male gender roles and sexuality: implications for women’s AIDS risk and prevention. Soc Sci Med 1995; 41 197–210.
Male gender roles and sexuality: implications for women’s AIDS risk and prevention.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2MzpslWqug%3D%3D&md5=b0fb29a5046ca0e3539206159c89062aCAS | 7667682PubMed |

[8]  Higgins JA. Rethinking gender, heterosexual men, and omen’s vulnerability to HIV/AIDS. Am J Public Health 2010; 100 435–45.
Rethinking gender, heterosexual men, and omen’s vulnerability to HIV/AIDS.Crossref | GoogleScholarGoogle Scholar | 20075321PubMed |

[9]  Kaufman MR, Shefer T, Crawford M, Simbayi LC, Kalichman SC. Gender attitudes, sexual power, HIV risk: a model for understanding HIV risk behavior of South African men. AIDS Care 2008; 20 434–41.
Gender attitudes, sexual power, HIV risk: a model for understanding HIV risk behavior of South African men.Crossref | GoogleScholarGoogle Scholar | 18449820PubMed |

[10]  O’Sullivan LF, Hoffman S, Harrison A, Dolezal C. Men, multiple sexual partners, and young adults’ sexual relationships: understanding the role of gender in the study of risk. J Urban Health 2006; 83 709–22.
| 16758334PubMed |

[11]  Pleck JH, Sonenstein FL, Ku LC. Masculinity ideology: its impact on adolescent males’ heterosexual relationships. J Soc Issues 1993; 49 11–29.
Masculinity ideology: its impact on adolescent males’ heterosexual relationships.Crossref | GoogleScholarGoogle Scholar |

[12]  Decker MR, Seage GR, Hemenway D, Gupta J, Raj A, Silverman JG. Intimate partner violence perpetration, standard and gendered STI/HIV risk behaviour, and STI/HIV diagnosis among a clinic-based sample of men. Sex Transm Infect 2009; 85 555–60.
Intimate partner violence perpetration, standard and gendered STI/HIV risk behaviour, and STI/HIV diagnosis among a clinic-based sample of men.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1MjnvFGhtA%3D%3D&md5=396339149445c18cb06b64a658d2e989CAS | 19625287PubMed |

[13]  Braxton ND, Raiford JL, Seth P, Alexander AO, DiClemente RJ, Wingood GM. Forgotten pieces of the prevention puzzle: Designing HIV prevention programs for heterosexual young adult African American men. JBPHPD: Res. Educ Policy 2011; 4 637–48.