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Title: Cynthia Gomez, Olga Grinstead, Dellanira ValenciaGarcia,


1
A 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.

3
Study 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.

4
Gender-Economic Model
Sexual Gender Norm Conformity
Less Traditional Norms More Traditional
Norms
Lo
Socioeconomic Context
HI
5
Eligibility 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

6
Phase 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

7
Phase 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.

8
Phase 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.

9
Where 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

10
Contact 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
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