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  • Title: HIV-related concerns and behaviors among Hispanic women.
    Author: Deren S, Shedlin M, Beardsley M.
    Journal: AIDS Educ Prev; 1996 Aug; 8(4):335-42. PubMed ID: 8874650.
    Abstract:
    Hispanic women whose sexual partners have other sexual partners may be at risk for HIV. A structured interview was administered to 106 Dominican and Puerto Rican women who reported that they knew or suspected that their partner had other partners. A subsample participated in qualitative interviews. The study assessed concern about HIV and predictors of condom use. The majority of women reported that they worried about getting HIV and almost half had been HIV-tested. Most of the women discussed HIV/AIDS concerns with their partners, and one-third reported some condom use. Predictors of condom use were: born in the Dominican Republic/Puerto Rico, having talked with their partner about being tested, and belief that he used condoms with others. Although the women were concerned about HIV, condom use was infrequent. Results suggested methods to address this discrepancy: introducing condoms early in the relationship, developing women-controlled methods, and directly influencing men's behavior. Hispanic women in the US, especially injecting drug users and partners of infected men, have a disproportionate risk of acquiring the human immunodeficiency virus (HIV). This study focused on two groups of Hispanic women in New York City--45 Dominicans and 61 Puerto Ricans--who knew or suspected that their regular sexual partner was involved with other partners. Respondents were recruited from health clinics and social service agencies in 1992. Respondents had a relationship with their husband/boyfriend of at least one year's duration and no history of intravenous drug use. About half the women were living with their partner. 62% reported worrying "a lot" about HIV, and about half had been tested. 36% of Dominican and 33% of Puerto Rican women's partners used condoms with them; 27% of Dominican respondents and 41% of Puerto Rican women believed their partner used condoms with other partners. Logistic regression revealed that condom use was significantly more frequent among women born in the Dominican Republic or Puerto Rico as opposed to the US, women who talked to their partners about being tested for HIV, and those who believed their partner was using condoms with other women. In focus group discussions, women reported they felt more confident negotiating condom use for contraceptive purposes than for disease prevention. They further indicated it was easier to introduce condom use at the start of a sexual relationship.
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