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I describe 4 protective Strategies that African Americans employ that may challenge current HIV prevention efforts: (1) an adaptive duality that protects identity, (2) personal control influenced by external factors, (3) long-established indirect communication patterns, and (4) a mistrust of 'outsiders.' I propose the Sexual Health Model as a conceptual framework for HIV prevention interventions because it incorporates established adaptive coping strategies into new HIV-related protective skills. The Sexual Health Model promotes interconnectedness, sexual ownership, and body awareness, 3 concepts that represent the context of the African American historical and cultural experience and that enhance rather than contradict future prevention efforts. (Am J Public Health. 2009;99:1941-1945. doi: 10.2105/AJPH.2008.152181)

People of color are disproportionately affected by HIV/ AIDS, yet African American HIV/AIDS researchers are in short supply. Complex historical, structural, sociocultural, and personal barriers can prevent African Americans from becoming well-trained biomedical, behavioral, and social HIV/AIDS researchers. Institutional factors that influence the numbers of African Americans conducting HIV/AIDS research include the limitation of early-career decisions and a lack of exposure to research, research socialization, and mentoring. Two individual-level factors that influence the submission of federally funded research proposals are the limited availability of support for culturally congruent HIV research and African Americans' negative perceptions of their own competence and ability to contribute to society. We discuss progress to ward eliminating disparities experienced by African American HIV/AIDS researchers at the individual, academic institution, and sociopolitical levels. (doi:10.2105/AJPH.2007.131094)

Child adjustment and parenting were examined in twenty-three 9-16-year-old youth from families affected by maternal HIV infection and 20 same-age peers whose mothers were not infected. Children whose mothers were seropositive reported significantly more externalizing problems. Infected mothers reported less age-appropriate supervision/monitoring relative to non-infected mothers. Better mother-child relationship quality and less impairment in parental supervision/ monitoring of age-appropriate youth behaviors were associated with fewer externalizing difficulties among the HIV-positive group only. Similarly, only among HIV-infected mothers was refraining from engaging in inconsistent disciplinary tactics associated with lower reports of internalizing and externalizing problems. These data highlight the promise of programs targeting parenting skills to prevent or ameliorate child difficulties. Keywords Parenting * Parent-child relationship * HIV/AIDS * Child adjustment * Maternal illness

Risky and precautionary sexual behaviors were examined in a community sample of 260 single and married/cohabitating White women. Structural equation modeling was used to assess the ability of age, socioeconomic status (SES), marital status, religiosity, and 9 health belief constructs to predict risky sexual behavior with one's partner, using a barrier method of birth control, unintended pregnancies, and number of sexual partners in the past year. The pattern of results suggests that single White women appear to feel more vulnerable to HIV and STD infection and more likely to engage in risky sexual behavior than do married White women. The discussion focuses on the importance of sociocultural factors in understanding risk behaviors within the social context of relationship status, the complexity of the concept of risk reduction, and the need for going beyond the health belief model in order to develop different HIV prevention strategies for single and married White women.

Objectives. We investigated history of abuse and other HIV-related risk factors in a community sample of 490 HIV-positive and HIV-negative African American, European American, and Latina women. Methods. Baseline interviews were analyzed, and logistic regressions were used to identify predictors of risk for positive HIV serostatus overall and by racial/ethnic group. Results. Race/ethnicity was not an independent predictor of HIV-related risk, and few racial/ethnic differences in risk factors for HIV were seen. Regardless of race/ethnicity, HIV-positive women had more sexual partners, more sexually transmitted diseases, and more severe histories of abuse than did HIV-negative women. Trauma history was a general risk factor for women, irrespective of race/ethnicity. Conclusions. Limited material resources, exposure to violence, and high-risk sexual behaviors were the best predictors of HIV risk.

Predictions generated by cognitive adaptation theory and conservation of resources theory were tested with regard to positive and negative changes associated with HIV infection in an ethnically diverse, low socioeconomic status sample of 189 HIV-positive women. Women reported a significantly greater number of benefits than losses' in their experiences with HIV infection. Changes in the domains of the self and life priorities were significantly positive, whereas changes in romantic/sexual relations and view of body were significantly negative. Women who reported more benefits were less likely to report depressive and anxious symptoms. Although health status and optimism significantly predicted depression, anxiety, and negative HIV-related changes, socioeconomic resources (education and income) were the most significant predictors of HIV-related benefit finding. Implications of these results are discussed.

Almost half the African American women in a research study reported verbal and physical conflict with intimate partners, and most of these had been abused as children. Other factors increasing risk for partner violence include income and HIV status.

A sample of African-American, Latina and White women in LA were surveyed to analyse the links between economic, social and structural factors and HIV-related risk taking. The findings show distinct differences in the ethnic communities influenced by the nature of the family and the economic position of the women. African-American women faced increased risk because of economic instability which led them to sex outside their primary relationships. Latina women in committed relationships faced risk influenced by the sexual history of their partners. The sexual practices of White women increased their risk.

A survey of 248 white and African American women found that white women were more likely to have experienced sexual harassment in the work place. Overall, about half of those surveyed reported some incidence of sexual harassment. African American women reporting harassment tended to be of lower incomes compared to white peers.

This paper addresses five existing societal myths and their underlying faulty assumptions about women's sexuality. The following myths are examined: (a) women possess adequate sexual knowledge to understand their sexual needs, (b) they know how to communicate about sex, (c) they engage in sex because they want to do so, (d) if they are sexually active, they enjoy sex, and (e) they use their knowledge of sex to protect themselves from sexually transmitted diseases and pregnancy. These myths need to be considered when conducting research and developing interventions designed to decrease women's sexual risk-taking. Research that assesses women's levels of factual sexual knowledge, comfort and skills discussing sexual information, and literacy is needed. The importance of examining ethnic, cultural, economic, religious, relationship factors, and psychological issues is discussed in order to encourage research relevant to women's sexual decision-making.

The biological concept of race has long been controversial in psychology. Although many psychologists have challenged the concept of race, others have espoused it as a deductive premise and applied it as an inferential and research factor and variable, especially regarding Black-White IQ differences. Although race and its use have been polemically disputed for decades, no disciplinewide, concerted action within psychology has been taken to ascertain the scientific meaning of race and to determine its proper application. Psychology's inaction contrasts with deliberate steps taken by other national and international scientific groups. This article examines a variety of problems concerning race in psychology: (a) definition, (b) application, (c) invoking authority and references for genetic knowledge, and (d) passive inaction by psychologists and professional associations.

Psychological research is increasingly involved in debates regarding abortion. While recognizing the diversity of ethical and moral issues intertwined with abortion, the American Psychological Association (APA) has focused its involvement on psychological factors, most recently by appointing an expert panel to review the literature on psychological effects. This article notes the history of APA involvement and reports on the panel's conclusions. It presents evidence that abortion is not likely to be followed by severe psychological responses and that psychological aspects can best be understood within a framework of normal stress and coping rather than a model of psychopathology. Correlates of more negative responses following abortion are also discussed.

Psychological Responses After Abortion ABORTION HAS BEEN A LEGAL MEDICAL PROCEDURE throughout the United States since the 1973 Supreme Court decision in Roe v. Wade, with 1.5 million to 1.6 [...]

The relationship between child sexual abuse (CSA) and adolescent and adult sexual functioning is explained. The symptoms and patterns associated with sexual problems are discussed.

This study examined the prevalence and circumstances of child sexual abuse in a community sample of Latina women, 18 to 50 years of age. Chi-square tests of independence and t-test procedures were used to assess the prevalence, characteristics of the victim, assault, perpetrator, disclosure, and long-term effects. One in three Latina women reported incidents of sexual abuse, regardless of acculturation or citizenship status. More than one third of the women also experienced revictimization, with more than 80% of initial incidents occurring from the age of 7 years. The majority of the experiences occurred in private locations, by young male perpetrators, known to the victim. Four women were forced to marry perpetrators of their abuse. Treatment implications and community-based interventions for Latina survivors of child sexual abuse are discussed.

Objective: This study reports the prevalence of child sexual abuse of African American and European American women and compares the circumstances of these incidents to data collected a decade ago. Method: Stratified probability sampling was used to recruit comparable samples of African American and European American women in Los Angeles County for a larger study of women's sexual decision making. Incidents of contact abuse were obtained from women 18 to 36 years old in 1994 and compared to women with those demographic characteristics from a comparable 1984 dataset. The prevalence of abuse, characteristics of the victim, assault, alleged perpetrator, disclosure, and long-term effects by ethnic group affiliation were assessed. Results: Of the total sample, 34% reported at least one incident prior to age 18. Ethnic differences were found with respect to prevalence, location of abuse, and number of incidents of rape. While comparisons made with the 1984 dataset revealed no significant difference in prevalence rates over the 10 year period, changes in circumstances were noted. Conclusions: Although the prevalence of child sexual abuse in Los Angeles County remained fairly stable, several circumstances of abuse underwent change. These characteristics are discussed in relation to how sexual abuse among ethnically diverse samples in Los Angeles County has changed over a decade and how these differences can help better tailor prevention messages to different communities. Key Words - Child sexual abuse, Prevalence, Changes.

Latinas are nearly 3 times more likely to acquire AIDS than other women in the United States. It is critical to understand this vulnerability and to identify predictors of risk. Structural equation models were used to test predictors, mediators (including components of the health belief model), and sex-related outcomes and behavior. Interview data were collected from a random, cross-sectional community sample of 227 sexually active Latinas (M age = 32 years). Acculturation was associated with higher HIV-related risks within primary relationships. Older Latinas were less likely than younger Latinas to make behavior changes or use barrier methods of contraception to prevent HIV, and they had higher rates of unintended pregnancies. Marriage was related to greater relationship risk and less behavior change. Theoretical models must account for ethnicity, race, and culture to understand better unwanted sexual outcomes for Latinas, including HIV risks. Strategies are needed that specifically address these issues in HIV prevention and counseling programs.