The Effects of CenteringPregnancy Group Prenatal Care on Postpartum Visit Attendance and Contraception Use

We examined whether Medicaid-enrolled women in CenteringPregnancy group prenatal care had 23 higher rates of postpartum visit attendance and postpartum uptake of contraceptives, compared to women in individual prenatal care

Relationship Intentions, Race, and Gender: Student Differences in Condom Use During Hookups Involving Vaginal Sex

Objective: To examine the relationship between race, gender, and pre-hookup relationship intentions and college students’ participation in condomless vaginal sex. Participants: 3,315 Black and White college students who participated in the Online College Social Life Survey (OCSLS). Methods: Secondary data analysis of the OCSLS using Chi-square and multiple logistic regression analyses. Results: The model revealed that students who did not want a relationship with their hookup partners and students unsure of their relationship intentions were more likely to use condoms during their last vaginal hookup. Further, White and Female students were less likely to have used condoms during their last vaginal hookup. Conclusions: White and female students, as well as students desiring romantic relationships with hookup partners may be at risk for sexually transmitted infections (STIs) due to decreased condom use. However, more research is needed to explore the factors driving STI disparities facing Black students despite higher condom us

Black college women’s sexual attitudes and behaviors within the context of hookup culture: a mixed method study

Black women are one of the fastest growing minority populations on United States (US) college campuses. In addition, they are disproportionately burdened by the sexually transmitted infection (STI) and HIV epidemics facing young adults. Despite these deleterious health outcomes, little is known about the sexual behaviors and factors that affect Black college women’s sexual health. One avenue of sexual health research with potential to shed light on this population’s sexual behavior and risk is hookup culture. The ‘hookup’—a casual sexual encounter between individuals without the expectation of a dating or romantic relationship—has become increasingly prevalent on US college campuses with 60-80% of students reporting at least one hookup experience during their college career. Considering that young adults aged 15-24 account for half of new STI diagnoses in the US each year, hookups present a potential health risk to college students. However, the existing hookup literature is overwhelming White and female, and often exclusive of historically marginalized populations such as Black women. Accordingly, the purpose of this dissertation study was two-fold. The first goal was to quantitatively examine the intersecting relationship of race and gender and its association with hookup attitudes and condomless vaginal sex during hookups. The study also explored the association between pre-hookup relationship intentions and condomless vaginal sex. The second goal of the study was to qualitatively describe Black college women’s perceptions of and attitudes toward hookup culture on their respective college campuses. In all, the quantitative findings from this study indicated that both race and gender were statistically, significantly associated with college students’ attitudes toward hooking up. Black students and female students held more conservative attitudes toward hooking up than their White and male counterparts, respectively. Further, both race and gender were statistically, significantly associated and condom use during last vaginal hookup. Black students and male students were more likely to report condom use during their last vaginal hookup when compared to their White and female counterparts, respectively. Pre-hookup relationship intentions were also found to play a significant role in condom use atlast vaginal hookup. Students who desired a relationship with their hookup partner were less likely to report condom use than those who had no desire or were unsure of their relationship intentions. In both studies, the interaction between race and gender was found to have no influence on attitudes toward hooking up and condom use during last vaginal hookup. The preliminary qualitative findings from the focus groups suggest that Black college women’s sexual attitudes and experiences of romantic and casual sexual relationships with hookup culture are influenced by both racial and gendered stereotypes and expectations of appropriate sexual behavior. Accordingly, future research should further examine the intersectional influences of race and gender on Black college women’s sexual experiences to enhance our understanding of the sexual health disparities facing this population and inform culturally congruent interventions

HIV-prevention Opportunities With GPS-based Social and Sexual Networking Applications for Men Who Have Sex With Men

The goal of this study was to gain insight on the sexual health needs of men who have sex with men (MSM) who use GPS-based social and sexual networking mobile applications (apps) and the future utility of app-based interventions. A health educator promoted HIV-testing resources in four popular apps used by MSM. Content analysis was used to identify salient themes that emerged from the conversations. Four major themes were identified: (1) soliciting sexual encounters, (2) relationship building, (3) HIV and STI-testing inquiries, and (4) seeking other sexual health information. The results suggest the intervention\u27s social media-based strategy, respect for community culture, and unobtrusive approach was advantageous in establishing credibility and rapport with app users. These results highlight a need for convenient and discreet methods to access accurate sexual health information and suggest that apps provide an alternative, non-traditional venue for sexual health education in addition to HIV testing promotion