In the U.S., sexually transmitted infections (STIs) disproportionately affect adolescents, especially African Americans [CDC, STD Surveillance, 2005]. Sexual risk behaviors do not solely explain the magnitude of their increased risk [Ellen el al., 1998], leading investigators to explore other explanations such as partner selection patterns. Numerous studies have found that certain sexual partner characteristics, more broadly referred to as sexual mixing patterns, are associated with STIs, with differences by gender and ethnicity. For example, compared to their peers, African American male youth more likely to have concurrent sex partners [CDC, YRBS, 2004] and African American female youth are more likely to have partners who have been incarcerated [Mertz, 2002;Pack, 2000;Oh, 1994]. Our current understanding of the socio-cultural determinants of sex partner selection is limited. Theories of sexual partner selection that could be proposed to inform our discussion have not been developed with impoverished youth of color in mind. The goal of the proposed study is to identify factors beyond socioeconomic status and individual sexual behaviors, particularly social contexts, which contribute to high rates of STIs in African American youth. Specifically, we are interested in examining gender role beliefs and their association with sexual partner selection and risk behaviors among an urban sample of youth. Gender role beliefs are culturally-bound beliefs and expectations about men and women that dictate unique and specific gendered behaviors. Through a demographically representative sample of 15-24 year olds in Baltimore, MD, the study aims to: 1. determine if gender role beliefs (hypermasculinity, hyperfemininity, power distribution in relationships), sexual partner selection patterns, and risky sexual behaviors vary by age, gender, race/ethnicity, and SES;2. determine whether gender role beliefs mediate the effects of race/ethnicity and SES on sexual partner selection patterns and risky sexual behaviors;and 3. qualitatively explore gender role beliefs and sexual behaviors among 15-24 year old females in Baltimore, MD. To meet the study aims, we will conduct a random-sample cross-sectional survey (N=480) and in-depth interviews (N=40) of 15-24 year olds across Baltimore City, Maryland. The study is one of the first community-based studies of gender role beliefs and partner selection patterns among an economically and racially diverse sample of male and female youth.

Public Health Relevance

The proposed study aims to examine gender role beliefs and partner selection patterns among a community-based, economic and racially diverse sample of 15-24 year olds in Baltimore, Maryland. The study will enhance our understanding of the mechanisms of sexual risk behaviors among this population at a heightened risk for HIV and sexually transmitted infections.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Research Project (R01)
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Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
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Newcomer, Susan
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Johns Hopkins University
Public Health & Prev Medicine
Schools of Public Health
United States
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Matson, Pamela A; Towe, Vivian; Ellen, Jonathan M et al. (2018) The Interaction of Sexual Validation, Criminal Justice Involvement, and Sexually Transmitted Infection Risk Among Adolescent and Young Adult Males. Sex Transm Dis 45:189-194
Lim, Sahnah; Powell, Terrinieka W; Xue, Qian-Li et al. (2018) Exploratory and confirmatory factor analyses and invariance assessment of the perceived powerlessness scale among youth in Baltimore. J Health Psychol :1359105318769349
Decker, Michele R; Rodney, Ria; Chung, Shang-En et al. (2015) HIV testing among youth in a high-risk city: prevalence, predictors, and gender differences. AIDS Care 27:555-60
Lilleston, Pamela S; Hebert, Luciana E; Jennings, Jacky M et al. (2015) Attitudes Towards Power in Relationships and Sexual Concurrency Within Heterosexual Youth Partnerships in Baltimore, MD. AIDS Behav 19:2280-90
Hebert, Luciana E; Lilleston, Pamela S; Jennings, Jacky M et al. (2015) Individual, partner, and partnership level correlates of anal sex among youth in Baltimore City. Arch Sex Behav 44:619-29