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Demographic Differences, Self-Esteem and Sexual Assertiveness among Black Women

机译：黑人妇女的人口差异，自尊心和性自信

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摘要

There is a high HIV prevalence rate for Black women in Virginia; however, few scholars have examined how sexual assertiveness and self-esteem against HIV vary within this group. Black women who have low levels of self-esteem may increase their risk for HIV. The purpose of this quantitative cross-sectional study was to determine if four aspects of sexual assertiveness (sexual initiation, sexual refusal, HIV/AIDS/STD communication, and contraception/STD prevention) differed across demographic categories and were associated with self-esteem in a diversified group of Black women living in Virginia. A cross-sectional survey was conducted with a community-based sample of 117 adult Black women. The social cognitive theory was the framework that guided this study. ANOVAs were used to determine differences in means of the four sexual assertiveness subscales across the demographic categories (age, sexual orientation, income, education, and relationship status. HIV, AIDS, and sexual transmitted disease communication assertiveness mean scores were significantly higher among higher income Black women (padj = .016) and Black women with a college versus a high school degree (padj = .047). Moreover, Pearson bivariate correlation results showed self-esteem was significantly positively associated with all but one measure (sexual initiation) of sexual assertiveness. Health educators can use the findings of this study to create education initiatives that focus on building self-esteem and sexual assertiveness behaviors among Black women as an HIV/AIDS prevention method.
机译：在弗吉尼亚州，黑人妇女的艾滋病毒感染率很高；但是，很少有学者研究过这一群体中对艾滋病毒的性自信和自尊心如何变化。自尊水平低的黑人妇女可能增加感染艾滋病毒的风险。这项定量横断面研究的目的是确定性自信的四个方面（性启蒙，性拒绝，HIV / AIDS / STD交流以及避孕/性病预防）在不同的人口统计类别之间是否存在差异，并且与以下方面的自尊相关？一群生活在弗吉尼亚州的黑人妇女群体。以社区为基础的117名成年黑人妇女的样本进行了横断面调查。社会认知理论是指导这项研究的框架。方差分析用于确定人口统计类别（年龄，性取向，收入，教育，和婚姻状况）中四个性自信心子量表的均值。HIV，AIDS和性传播疾病传播自信心的平均得分在较高收入者中明显更高黑人妇女（padj = .016）和拥有大学学历与高中学历的黑人妇女（padj = .047）。而且，皮尔森双变量相关结果显示，自尊与除一项措施（性启蒙）外的所有措施均呈显着正相关。性自信：健康教育者可以利用这项研究的结果来制定教育计划，着重于建立黑人妇女的自尊和性自信行为，以此作为一种预防艾滋病毒/艾滋病的方法。

著录项

  • 作者

    Lewis-Keith, Sharon.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Public health.;Public health education.;Womens studies.;Black studies.
  • 学位 Ph.D.
  • 年度 2018
  • 页码 202 p.
  • 总页数 202
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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