Title: Cynthia Gomez, Olga Grinstead, Dellanira ValenciaGarcia,
1A Gender-Economic Model of HIV Risk in African
American and Latina Women
Cynthia Gomez, Olga Grinstead, Dellanira
Valencia-Garcia, Debra Allen, Dina Hondrogen,
Angelica Martinez, Kathleen Erwin University of
California San Francisco, Center for AIDS
Prevention Studies
2- GEM is a five year study examining the extent to
which the intersection of socio-culturally
prescribed sexual gender norms (SGN) and
socioeconomic context (SEC) are associated with
sexual risk behaviors among African American and
Latina women.
3Study Aims
- Identify, assess and compare socio-culturally
sanctioned SGN for African American and Latina
women. - Identify the extent to which African American and
Latina women of differing SEC acquiesce to
culturally sanctioned SGN. - Test the GEM model for understanding HIV risk in
women by assessing how the intersection of SGN
and SEC contributes to, and predicts sexual risk
behaviors among African American and Latina women.
4Gender-Economic Model
Sexual Gender Norm Conformity
Less Traditional Norms More Traditional
Norms
Lo
Socioeconomic Context
HI
5Eligibility Criteria
- African American Latina women
- HIV negative
- 18 years of age or older
- Live in the greater San Francisco metropolitan
area - Have had a least one male sex partner in the
previous 12 months
6Phase I Qualitative Assessments
- Focus Groups
- 11 groups (N94) were conducted with women from
mixed socioeconomic backgrounds in both English
and Spanish - In-depth Personal Interviews
- 25 interviews were conducted to further examine
sexual, social, and economic factors
7Phase I Qualitative Findings Focus Groups
- Differences in perception of gender roles between
African American and Latina women. - Differences in perceptions regarding community
involvement and trust. - High awareness and concern for STDs and HIV
infection. - Regional, generational, and acculturation
differences in perceptions of gender roles.
8Phase I Qualitative Findings Personal
Interviews
- Many women are engaging in high risk sexual
encounters. - Gender role compliance varies by partners.
- Some women believe that women stay in
relationships with men for financial reasons. - Women with more resources view themselves as
having more choices.
9Where Are We Now?
- Quantitative Survey Development
- Survey includes measures of economic resources,
economic decision-making, income and wealth,
social capital, sexual gender norms, and sexual
risk behavior. - Survey Pilot-Testing (n40)
- Audio Computer-Assisted Self Interview (A-CASI)
- Development of the Recruitment Plan
- Cross-sectional sample of 600 women via two
sampling techniques - - Venue Based Sampling
- - Respondent Driven Sampling
- Recruitment to begin late Summer
10Contact Information
Cynthia Gomez, Ph.D. (Principal Investigator)
cgomez_at_psg.ucsf.edu (415)
597-9267 Dellanira Valencia-Garcia, M.A.
(Project Director)
dvalencia_at_psg.ucsf.edu (415)
597-4652