University of Illinois at Chicago, College of Nursing, USA.
Emory University, Rollins School of Public Health, USA.
Soc Sci Med. 2020 Oct;263:113303. doi: 10.1016/j.socscimed.2020.113303. Epub 2020 Aug 22.
Black girls and women are disproportionately affected by sexually transmitted infections (STIs) and human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Research shows sexual networks, sexual concurrency, and assortative mixing impacting racial disparities in STI/HIV. However, the underlying sociocultural conditions of these phenomenon have yet to be fully explored within a framework of Black girls' and women's sexual development.
This grounded theory study investigated the sociocultural conditions and processes of becoming a sexual Black woman in order to understand the sociocultural drivers of STI/HIV rates among this group.
We used theoretical sampling to select and interview 20 Black women aged 19-62 years old from a Midwestern community.
This study revealed sociocultural conditions related to Black heterosexual relationships and STI/HIV risk. Protecting Black men, silencing Black girls and women, cultural norms and messaging about sexuality, and gendered societal expectations and sexual stereotypes contribute to STI/HIV risk in Black girls and women.
Our findings demonstrate how the intersection of social and systemic structures (i.e.,history, incarceration, unemployment) shape the context of Black heterosexual relationships. We suggest STI/HIV prevention efforts address these systemic, cultural, and societal factors in order to effectively reduce racial disparities in STI/HIV risk.
黑人群体中的女孩和妇女受到性传播感染（STIs）和人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）的影响不成比例。研究表明，性网络、性同时发生和同质性混合会影响 STI/HIV 的种族差异。然而，这些现象的潜在社会文化条件尚未在黑人群体中女孩和妇女的性发展框架内得到充分探讨。
本扎根理论研究旨在调查成为性黑人女性的社会文化条件和过程，以了解该群体中 STI/HIV 发病率的社会文化驱动因素。
我们使用理论抽样选择并采访了来自中西部社区的 20 名年龄在 19-62 岁之间的黑人女性。
这项研究揭示了与黑人异性恋关系和 STI/HIV 风险相关的社会文化条件。保护黑人男性、使黑人女孩和妇女保持沉默、关于性的文化规范和信息、以及社会性别期望和性刻板印象，这些都导致了黑人女孩和妇女的 STI/HIV 风险增加。
我们的研究结果表明，社会和系统结构（即历史、监禁、失业）的交叉点如何塑造了黑人异性恋关系的背景。我们建议 STI/HIV 预防工作解决这些系统性、文化性和社会性因素，以有效减少 STI/HIV 风险方面的种族差异。
