Acculturation, sexual risk taking, and HIV health promotion among Latinas.

Abstract

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. (authors)