Do African-American men and women differ in their knowledge about AIDS, attitudes about condoms, and sexual behaviors?

Johnson, E.H.; Gant, L.; Hinkle, Y.A.; Gilbert, D.; Willis, C.; Hoopwood, T.

Journal of the National Medical Association 84(1): 49-64

1992


ISSN/ISBN: 0027-9684
PMID: 1602502
Document Number: 321482
This study identified a sample of young African-American men and women who were classified as having multiple sex partners or 1 sex partner. Of the 149 men, 71 (53%) had 1 sex partner. Of the 165 women, 29 (19%) were classified as having multiple sex partners and 126 (81%) as having 1 sex partner. Results indicated that the groups did not differ in their knowledge about acquired immunodeficiency syndrome (AIDS). However, attitudes about condom use differed significantly by gender (p.01) and by multiple sex status (p.001). Angry reactions regarding the negotiation of condom used occurred more with men than with women (p.05). Men and members of the multiple sex partners group tended to engage in more risky sexual behavior. These 2 groups also had a significantly (p.001) higher incidence of gonorrhea. While the multiple sex partners group had significantly more smokers (p.01), drinkers (p.01), and crack users (p.05), men were significantly higher consumers of marijuana (p.001) and alcohol (p.01). Overall, results indicate that African-Americans are knowledgeable about AIDS but there appears to be a gap between knowledge and risky sexual behaviors. Prospective studies are needed to clarify the factors which determine the relationship (or lack of) between these elements. Without such studies, a major part of the foundation necessary for the development of sensitive and effective AIDS prevention programs for this group will be missing.

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