Overlooked role of African-American males' hypermasculinity in the epidemic of unintended pregnancies and HIV/AIDS cases with young African-American women

Journal of the National Medical Association

Volumn 95, Issue 9, 2003, Pages 846-852

  Wolfe, William A ^a  

^a Warminster Hospital   (United States)

Author keywords

African American males; African American women; HIV AIDS; Hypermasculinity; Unintended pregnancy

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADOLESCENT; ADULT; AGE; BEHAVIOR; CONDOM; EPIDEMIC; FEMALE; HETEROSEXUALITY; HIGH RISK POPULATION; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MALE; MASCULINITY; NEGRO; PREGNANCY; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; RISK FACTOR; SEXUAL BEHAVIOR;

ADOLESCENT; ADULT; AFRICAN AMERICANS; AFRICAN CONTINENTAL ANCESTRY GROUP; DISEASE OUTBREAKS; FEMALE; GENDER IDENTITY; HEALTH BEHAVIOR; HIV INFECTIONS; HUMANS; MALE; PREGNANCY; RISK-TAKING; SEXUAL BEHAVIOR; UNITED STATES;

EID: 0141707141     PISSN: 00279684     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (82)

1. Henshaw S. Unintended pregnancy in the US family. Fam Plan Perspect. 1998; 30(1):4-29, 46.
2. Polit DF, Kahn JR. Early subsequent pregnancy among economically disadvantaged teenage mothers. Am J Public Health. 1986; 76:167-171.
3. HIV/AIDS among U.S. women: Minority and young women at continuing risk. Available at http://www.cdc.gov/hiv/pubs/facts/women.pdf. Accessibility verified December 12, 2002.
4. U.S. HIV and AIDS cases reported through December 2001. Year-end edition Vol. 13, No. 2. Available at http://www.cdc.gov/hiv/stats/hasr1302.htm. Accessibility verified December 12, 2002.
5. HIV/AIDS surveillance in women available at http://www.cdc.gov/hiv/pubs/facts/afam.htm. Accessibility verified December 3, 2002.
6. Trends in annual rates of death due to leading causes of death among black women 25-44 years old, USA, 1987-2000 available at http://www.cdc.gov/hiv/graphics/images//285/285-14.ppt. Accessibility verified December 12, 2002.
7. Guinan ME, Hardy A. Epidemiology of AIDS in women in the United States. 1981 through 1986. JAMA. 1987; 257:2039-2042.
8. Update: Trends in AIDS incidence - United States, 1996. MMWR. 1997; 46:861-867.
9. Female adult/adolescent AIDS cases exposure category and race/ethnicity, reported through December 2001, United States. Surveillance Report 13, No. 20 http://www.cdc.gov/hiv/stats/hasr1302/table11htm. Accessibility verified December 12, 2002.
10. Johnson JD, O'Malley PM, Bachman. National Survey Results on drug use from the monitoring the future study, 1975-1995, Volume I, Secondary school students. Rockville, MD: National Institute on Drug Abuse; 1996. NIH Publication 96-4139.
11. Haverkos HW, Turner F, Moolchan ET, Cadet J-L. Relative rates of AIDS among racial/ethnic groups by exposure categories. J Natl Med Assn. 1999; 91:17-24.
12. Fuller CM, Vlahov D, Ompad DC, Shah N, Arria A, Strathdee SA. High-risk behaviors associated with transition from illicit non-injection to injection drug use among adolescent and young adult drug users: A case-control study. Drug Alcohol Depend. 2002; 66:189-198.
13. Landy DJ, Forrest JD. How old are US fathers. Fam Plan Perspect. 1995; 27:159-165.
14. Miller KS, Clark LF & Moore JS. Sexual initiation with older male partners and subsequent HIV risk behavior among female adolescents. Fam Plan Perspect. 1997; 29(4):212-214.
15. Dolcini M, Catania JA, Coates TJ, Stall R, Hudes ES, Gagnon JH, et al. Demographic characteristics of Heterosexuals with multiple partners: The national AIDS behavior survey. Fam Plan Perspect. 1993; 25:208-214.
16. Seidman SN, Rieder RO. A review of sexual behavior in the United States. Am J Psychiatr. 1994; 151-330-331.
17. Unrecognized HIV infection, risk behaviors and perception of risk among black men who have sex with men - Six U.S. cities, 1994-1998. MMWR, 2002; 51:733-736.
18. Wolitski RJ, Valdiserri RO, Denning PH, Levine WC. Are we headed for a resurgence of the HIV epidemic among men who have sex with men? Am J Public Health. 2001; 91:883-888.
19. Osemene NI, Essien, EJ, Egbunike IG. HIV/AIDS behind bars: An avenue for culturally sensitive interventions. J Natl Med Assn. 2001; 93:481-486.
20. Stein Z. Editorial: Family planning, sexually transmitted diseases and the prevention of AIDS - Divided we fail? Am J Public Health. 1996; 86:783-784.
21. Pallin, DJ, Sundaram V, Laraque F, Berenson L, Schomberg DR. Active surveillance of maternal mortality in New York City. Am J Public Health. 2002; 92:1319-1322.
22. Ho EM, Brown J, Graves W, Lindsay MK. Maternal death at an inner-city hospital, 1949-2000. Am J Obstet Gynecol. 2002; 187:1213-1216.
23. Minino AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: Final data for 2000. National Vital Statistics Reports. 2002; 50:1-120
24. Centers for Disease Control. Number of sex partners and potential risk of sexual exposure to human immunodeficiency virus. MMWR. 1988; 37:566-568.
25. Kelly JA, Katichman SC. Increased attention to human sexuality can improve HIV-AIDS prevention efforts: Key research issues and directions. J Consult Clin Psychol. 1995; 63:907-918.
26. Rosenberg PS. Scope of the AIDS epidemic in the United States. Science. 1995; 270:1372-1375.
27. Zabin LS, Huggins GR, Emerson MR, Cullins VE. Partner's effects on a woman's intention to conceive: Not with this partner. Fam Plan Perspect. 2000; 32:39-45.
28. Overby KJ, Kegeles SM. The impact of AIDS on an urban population of high-risk female minority adolescents: Implications for intervention. J Adolesc Health Care. 1994; 15:216-227.
29. Chirgwin KD, Feldman J, Dehovitz JA, Minkoff H, Landesman SH. Incidence and risk factors for heterosexually acquired HIV in an inner-city cohort of women: Temporal association with pregnancy. J Acquired Immune Defic Syndr Hum Retrovirol. 1999; 20:295-299.
30. Anderson E. Sex codes and family life among poor innercity youths. Ann Amer Acad Polit Soc Sci. 1989; 501:59-78.
31. Anderson E. Code of the Street. New York: WW Norton and Co., 1999.
32. Vadies C, Hale D. Attitudes of adolescent males towards abortion, contraception and sexuality. Social Work Health Care. 1977; 3:164-174.
33. Durbin M, DiClemente RJ, Siegel D, Krasnovsky F, Lazarus N, Camacho T. Factors associated with multiple sex partners among junior high school students. J Adolesc Health. 1993; 14:202-207.
34. Trends in sexual risk behaviors among high school students - United States, 1991-1994. MMWR, 1998; 47:749-752.
35. Peterson JL, Catania JA, Dolcini MM, Faigeles B. III. Multiple sexual partners among blacks in high-risk cities. Fam Plan Perspect. 1993; 25:263-267.
36. Leigh BC, Temple MT, Trocki KF. The sexual behavior of US adults: Results from a national survey. Am J Public Health. 1993; 83(10):1400-1408.
37. Binson D, Dolcini MM, Pollack LM, Catania JA. IV. Multiple sexual partners among adults in high-risk cities. Fam Plan Perspect. 1993; 25:268-272.
38. Ford K. Sexually transmitted diseases: Experience and risk factors among urban, low-income African-American and Hispanic youth. Eth & Hlth. 1996; 1(2):175-184.
39. Santelli JS, Brener ND, Lowry R, Bhatt A, Zabin LS. Multiple sexual partners among US adolescents and young adults. Fam Plan Perspect. 1998; 30(6):271-275.
40. Warren CW, Santelli JS, Everett SA. Sexual behavior among US high school students. 1990-1995. Fam Plan Perspect. 1998; 30:170-172 & 200.
41. Youth risk behavior surveillance - United States, 2001. MMWR. 2002; 51:1-64.
42. Gilmore S, DeLamater J, Wagstaff D. Sexual decision making by inner-city black adolescent males: A focus group study. J Sex Res. 1996; 33:363-371.
43. Lauman EO, Youm Y. Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: A network explanation. Sex Transm Dis. 1999; 26:250-257.
44. Aral SO, Hughes JP, Stoner B et al. Sexual mixing patterns in the spread of gonococcal and chlamydial infections. Am J Public Health. 1999; 89:825-833.
45. Staples R. Black Masculinity: The Black Male's Role in American Society. San Francisco: Black Scholar Press, 1982.
46. Oliver W. Black males and the tough guy image: A dysfunctional adaptation. Western J Black Studies. 1984; 8:199-202.
47. Clark KB. Dark Ghetto. New York: Harper and Row; 1965.
48. Benjamin L. The dog theory: Black male/female conflict. Western J Black Stud. 1983; 7:49-55.
49. Oliver W. Sexual conquest and patterns of black-on-black violence: A structural-cultural perspective. Violence & Victims. 1989; 4:257-273.
50. Gibbs JT. Young black males in America: Endangered, embittered and embattled. In: Gibbs JT, Brunswick AF, Connor ME, Dembo R, Larson TE, Reed RJ et al., eds. Young, Black and Male in America: An Endangered Species. Dover, MA: Auburn House Publishing; 1988:1-35.
51. Cubbin C, Pickle LW, Fingerhut L. Social context and geographic patterns of homicide among US black and white males. Am J Public Health. 2000; 90:579-587.
52. Sailes GA. Betting against the odds: An overview of black sports participation. J African American Men. 1996/1997; 2(2/3):11-22.
53. Johnson EH, Jackson LA, Hinkle Y, Gilbert D, Hoopwood T, Lollis CM, et al. What is the significance of black-white differences in risky sexual behavior. J Natl Med Assn. 1994; 86:745-759.
54. Maxwell AE, Bastani R, Warda US. Condom use in young blacks and Hispanics in public STD clinics. Sex Transm Dis. 1999; 26:463-471.
55. Sonenstein FL, Leighton K, Lindberg LD, Turner CF, Pleck JH. Changes in sexual behavior and condom use among teenaged males: 1988 to 1995. Am J Public Health. 1998; 88:956-959.
56. DiIorio C, Dudley WN, Kelly M, Soet JE, Mbwara J, Potter JS. Social cognitive correlates of sexual experience and condom use among 13- through 15-year-old adolescents. J Adolesc Health. 2001; 29:208-216.
57. Pleck JH, Sonenstein FL, Ku LC. Masculinity ideology: Its impact on adolescent males' heterosexual relationships. J Social Issues. 1993; 49:11-29.
58. Dicks BA. African-American women and AIDS: A public health/social work challenge. Soc Work Health Care. 1994; 19:123-143.
59. Sikkema KJ, Koob JJ, Cargill VC, Kelly JA, Desiderto LL, et al. Levels and predictors of HIV risk behavior among women in low-income public housing developments. Pub Health Rep. 1995; 110:707-713.
60. Mosher DL & Sirkin. Measuring a macho personality constellation. J Res Personality. 1984; 18:150-163.
61. Mosher DL & Tompkins SS. Scripting the macho man: Hypermasculine socialization and encultruration. J Sex Res. 1988; 25:60-84.
62. Vass JS & Gold SR. Effects of feedback on emotion in hypermasculine males. Violence & Victims. 1995; 10:217-226.
63. Wingood GM & DiClemente RJ. The effects of an abusive primary partner on condom use and sexual negotiation practices in African-American women. Am J Public Health. 1997; 87:1016-1018.
64. Wingood GM & DiClemente RJ. Rape among African-American women: Sexual, psychological, and social correlates predisposing survivors to risk of STD/HIV. J Women Health. 1998; 7:77-84.
65. Landry DJ, Forrest JD. How old are US fathers. Fam Plan Perspect. 1995; 27:159-165.
66. Lindberg LD, Sonenstein FL, Ku L, Martinez G. Age differences between minors who give birth and their adult partners. Fam Plan Perspect. 1997; 29:61-66.
67. Abma J, Driscoll A, Moore K. Young women's degree of control over first intercourse: An exploratory analysis. Fam Plan Perspect. 1998; 30:12-18.
68. Fox LJ, Williamson NE, Cates W, Dallabetta G. Improving reproductive health: Integrating STD and contraceptive services. JAMWA. 1995; 50:129-136.
69. Kowal D. Expanding perspectives on reproductive health. In: Hatcher RA, Trussell J, Stewart F, Cates W, Stewart GK, Guest F et al., eds. Contraceptive Technology. New York: Ardent Media, Inc., 1998:1-11.
70. Cates W. Contraception, contraceptive technology and STDs. In: Holmes KK, March P-A, Sparling PF, Lemon SM, Stamm WE, Piot P, et al., eds. Sexually transmitted diseases. New York: McGraw-Hill, 1999:1067-1078.
71. Kalichman SC, Rompa D, Coley B. Lack of positive outcomes from a cognitive-behavioral HIV and AIDS prevention intervention for inner-city men: Lesson from a controlled pilot study. AIDS Educ Prev. 1997; 9:299-313.
72. Kirby D, Barth RP, Leland N, Fetro JV. Reducing the risk: Impact of a new curriculum on sexual risk-taking. Fam Plann Perspect. 1991; 23:253-263.
73. DiClemente RJ, Lodico M, Grinstead OA, Harper G, Richman RL, Evans PE et al. African-American adolescents residing in high-risk environments do use condoms: Correlates and predictors of condom use among adolescents in public housing developments. Pediatr. 1996; 98:269-278.
74. Jemmott JB, Jemmott LS, Fong G. Reductions in HIV risk-associated sexual behaviors among black male adolescents: Effects of an AIDS prevention intervention. Am J Public Health. 1992; 82:372-377.
75. Walter HJ, Vaughn RD, Ragin DF, Cohall AT, Kasen S, Fullilove RE. Prevalence and correlates of AIDS-risk behaviors among urban minority high school students. Prev Med. 1993; 22:813-824.
76. St. Lawrence JS, Brasfield TL, Jefferson KW, Alleyne E, O'Bannon R, Shirley A. Cognitive-behavioral intervention to reduce African-American adolescents' risk for HIV infection. J Consult Clin Psychol. 1995; 63:221-237.
77. Jemmott JB, Jemmott LS, Fong G. Reducing HIV risk-associated sexual behavior among African-American adolescents: Testing the generality of intervention effects. Am J Community Psychol. 1999; 27:161-187.
78. Battle SF. African-American male responsibility in teenage pregnancy: The role of education. Urban League Rev. 1988; 12:72-81.
79. Watts RJ. Community action through Manhood Development: A look at concept and concerns from the frontline. Am J Comm Psychol. 1993; 21(3):333-359.
80. Sampson RJ. Urban black violence: The effect of male joblessness and family disruption. Am J Sociol. 1987; 93:348-382.
81. Almgren G, Guest A, Immerwahr G, Spittel M. Joblessness, family disruption and violent death in Chicago, 1970-90. Soc Forces. 1998; 76:1465-1493.
82. Hulbert A. Children as parents. The New Republic. 1984; 191(11):15-23.