Abstract
African-American women are disproportionately affected by sexually transmitted infections (STIs), including HIV. The Theory of Gender and Power (TGP) posits that socioeconomic exposures, including educational attainment, place women at increased risk for STIs/HIV. This study examined the association between educational attainment and vulnerability to STIs/HIV, as well as potential TGP-driven mediators of this association, among African-American women. Baseline data were assessed from an STI/HIV prevention intervention for African-American women (n = 848) aged 18 to 29 recruited from three Kaiser Permanente Centers in Atlanta, Georgia. Data collection included a survey of demographic, psychosocial, and behavioral measures and self-collected, laboratory-confirmed vaginal swabs for STIs (trichomoniasis, chlamydia, gonorrhea, and human papillomavirus). Multiple regression analyses and multivariate mediation analyses were used to examine the association between educational attainment with a laboratory-confirmed STI and potential TGP mediators. Controlling for age and receipt of public assistance, the odds of an STI diagnosis were 73% lower among participants with a college degree or greater compared with participants who had not com...Continue Reading
References
May 1, 1992·Sexually Transmitted Diseases·D M UpchurchE W Hook
Dec 1, 1986·Journal of Personality and Social Psychology·R M Baron, D A Kenny
Oct 25, 1995·JAMA : the Journal of the American Medical Association·R J DiClemente, G M Wingood
Jan 5, 2002·Sexually Transmitted Diseases·Ralph J DiClementeM Kim Oh
Jul 14, 2004·JAMA : the Journal of the American Medical Association·Ralph J DiClementeAlyssa Robillard
Jul 27, 2005·Seminars in Pediatric Infectious Diseases·William L RisserJan M H Risser
Nov 30, 2005·Journal of Women's Health·Michael K Paasche-OrlowMichael D Stein
Jan 24, 2006·Journal of Adolescent Research·Reuben N Robbins, Angela Bryan
Nov 30, 2006·AIDS Care·M HasnainJ M Sinacore
Jan 16, 2008·AIDS·James R HargreavesJudith R Glynn
Jul 11, 2008·International Journal of Epidemiology·Audrey E PettiforHelen V Rees
Feb 6, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Donna J HelmsMatthew R Golden
Feb 7, 2009·American Journal of Public Health·Kate ShannonMark W Tyndall
Mar 24, 2009·Social Science & Medicine·Isolde BirdthistleJudith R Glynn
Aug 15, 2009·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Puja SethRalph J Diclemente
Aug 27, 2009·BMC Public Health·Nkomba KayeyiKnut Fylkesnes
Sep 19, 2009·American Journal of Public Health·Nicole CrepazAnn O'Leary
Oct 21, 2009·American Journal of Preventive Medicine·Adaora A AdimoraMichelle A Floris-Moore
Dec 10, 2009·Archives of Pediatrics & Adolescent Medicine·Ralph J DiClementeRichard A Crosby
Jan 7, 2010·AIDS·James R Hargreaves, Laura D Howe
Apr 20, 2010·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Quarraisha Abdool KarimCheryl Baxter
Jun 12, 2010·Annals of Epidemiology·Jacky M JenningsJonathan M Ellen
Mar 5, 2011·Sexual Health·Puja SethJessica M Sales
May 11, 2011·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Lara DePadillaRalph DiClemente
Citations
Dec 17, 2014·International Journal of Environmental Research and Public Health·Abayomi Samuel Oyekale
Jan 14, 2016·BMC Public Health·Ly Thi-Hai TranLu-Yu Hwang
Aug 21, 2014·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Bridgette M Brawner
Sep 4, 2015·Women & Health·Buffie Longmire-Avital, Virginia Oberle
Feb 11, 2015·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Felix M MuchombaNabila El-Bassel
Jun 26, 2014·Women & Health·Eva S LefkowitzJennifer L Maggs
Apr 17, 2014·Culture, Health & Sexuality·Syeda S Jesmin, Cynthia M Cready
Feb 7, 2017·Journal of Ethnicity in Substance Abuse·Danielle P CottonhamRichard S Mohn
Apr 12, 2014·Sexually Transmitted Diseases·Andrea HuneeusSylvia Guendelman
May 8, 2014·Journal of Health Psychology·Dexter R Voisin, Caitlin Elsaesser
Oct 28, 2017·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Julia E PainterRalph J DiClemente
Jan 15, 2018·The Journal of the Association of Nurses in AIDS Care : JANAC·Kelly Tan, Beth Perry Black
Jul 15, 2015·Archives of Sexual Behavior·Syeda S Jesmin, Cynthia M Cready
Jan 22, 2020·BMC Public Health·Janet E Rosenbaum
May 17, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Gina M WingoodRalph J DiClemente
Aug 23, 2020·Journal of Racial and Ethnic Health Disparities·Rasheeta ChandlerNatalie D Hernandez
May 29, 2018·Public Health Nursing·Amanda M EmersonMegha Ramaswamy
Oct 5, 2018·Health Equity·Cynthia PratherWinifred King
Mar 12, 2020·Archives of Sexual Behavior·Devin E BanksTamika C B Zapolski
Apr 15, 2017·AIDS and Behavior·Tiara WillieKamila A Alexander
May 1, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Keosha T BondSchenita D Randolph