School of Social Work, Boston University, MA 02215, USA.
AIDS Behav. 2012 Jan;16(1):179-88. doi: 10.1007/s10461-011-9885-2.
We examined the prevalence of three domains of sexual behaviors among young Asian-American women: sexual experiences, safer sex practices, and potential HIV risk behaviors. We also investigated the impact of gender power control on these domains. Among sexually experienced women, 51% reported using condoms during their most recent sex act, 63% reported inconsistent condom use, and 18% reported ever having forced sex. Multiple logistic regression analyses revealed that women's perceived lower relationship power control was not associated with vaginal sex or safer sex practices, but it was powerfully associated with forced sex and all three potential HIV risk behaviors. This study demonstrates that control within young Asian-American women's intimate relationships exerts different associations depending on the type of sexual behavior. The application of the Theory of Gender and Power should be employed with prudence when designing HIV interventions for this population.
性经历、安全性行为和潜在的艾滋病毒风险行为。我们还调查了性别权力控制对这些领域的影响。在有性经历的女性中,51%的人报告在最近一次性行为中使用了避孕套,63%的人报告避孕套使用不一致,18%的人报告曾经有过强迫性行为。多变量逻辑回归分析显示,女性感知到的较低的关系权力控制与阴道性交或安全性行为无关,但与强迫性行为和所有三种潜在的艾滋病毒风险行为密切相关。这项研究表明,年轻亚裔美国女性亲密关系中的控制对不同类型的性行为有不同的影响。在为这一人群设计艾滋病毒干预措施时,应该谨慎运用性别与权力理论。