Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, 845 S. Damen Avenue Room 816, Chicago, IL, 60612, USA.
School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.
BMC Womens Health. 2022 Mar 13;22(1):69. doi: 10.1186/s12905-022-01644-x.
Black females in the United States face unique sociocultural conditions that impact their sexual development and increase their risk for sexually transmitted infections (STI), including but not limited to chlamydia, gonorrhea, and HIV. Research has not adequately explained how sociocultural conditions contribute to this increased risk. The purpose of our investigation was to explore the sociocultural conditions that influence Black cisgender females risk for STI.
This grounded theory study involved in-depth audio-recorded interviews with 20, primarily heterosexual, Black females ages 19-62.
Findings informed a conceptual model that builds on previous theory about the sexual development of Black females and explains how sociocultural conditions impact two, participant identified, sexual pathways: Fast and Cautious. Movement on these sexual pathways was not always a linear trajectory; some participants shifted between pathways as their sociocultural contexts changed (i.e., sexual assault, STI, and level of protection). The Fast sexual pathway often led to greater STI risk.
This model may inform future research designed to prevent STI/HIV and promote the sexual health of Black females across the life course.
美国的黑人女性面临着独特的社会文化环境，这些环境影响着她们的性发育，并增加了她们感染性传播感染（STI）的风险，包括但不限于衣原体、淋病和 HIV。研究尚未充分解释社会文化条件如何导致这种风险增加。我们调查的目的是探讨影响黑人顺性别女性 STI 风险的社会文化条件。
这项扎根理论研究涉及对 20 名主要为异性恋的 19-62 岁黑人女性进行深入的音频记录访谈。
研究结果提供了一个概念模型，该模型建立在前人关于黑人女性性发育的理论基础上，并解释了社会文化条件如何影响两个被参与者确定的性途径：快速和谨慎。这些性途径的进展并不总是线性的轨迹；随着社会文化背景的变化，一些参与者在途径之间转换（即性侵犯、性传播感染和保护水平）。快速的性途径往往会导致更高的性传播感染风险。
该模型可以为未来旨在预防 STI/HIV 和促进整个生命周期黑人女性性健康的研究提供信息。
