3014.1: Monday, October 22, 2001 - 12:45 PM

Abstract #27452

An ethnically-sensitive and gender-specific HIV/AIDS assessment of African-American women: a comparative study of urban and rural communities

P, Bassey Williams, PhD, CHES1, Ademola M. Omishakin, MPH, PhD2, Ifeyinwa E. Udezulu, PhD3, Olugbemiga Ekundayo, MD1, and Tonya A. Griffin, MS2. (1) The MPH/DrPH Program, Department of Public Health, Morgan State University, 343 Jenkens Builging, 1700 E. Cold Spring Lane, Baltimore, MD 21251-0001, (2) Department of Natural Sciences & Environmental Health, Mississippi Valley State University, Itta Bena, MS 38941, (3) Department of Political Science, Delaware State University, Dover, DE 19901-2277, 302 - 857 - 6626, ifyu@yahoo.com

Prevention program that promotes attitudinal and behavioral change has been recommended as an effective measure for community prevention and control of HIV- related infections. Within the past decade, disease control program among African-Americans had seen no significant change as HIV/AIDS now become the leading causes of death and disability in this population. This is more-so of the African-American females who although represent 13.9 % of the US female population, not only account for over 60 percent of all AIDS cases among females but also triple the HIV/AIDS incidence and prevalence rates of Caucasian and Hispanic female populations, respectively. The epidemic nature of the disease among this ethnic group poses the question of African-American women's rights and underscores their physical/emotional and sociocultural vulnerability to HIV/AIDS. This study which utilized an AKFBQ-survey approach was designed to assess the various HIV high-risk behavioral factors that can impact the high HIV/AIDS incidence among the 600 African-American women, drawn randomly from specific urban and rural communities in United States. Analysis showed no differences in factors favoring rate of spread of HIV/AIDS among the women in both the urban and rural communities. Furthermore, knowledge base regarding the consequences of casual sexual contacts, behavior in relation to condom-use/non-use during sexual activity, empowerment process regarding African-American females sexual responses, assertiveness, and decision making, and their beliefs, feelings/attitude toward African-American males (heterosexual or bisexual), did not differ significantly among women in the two communities. The paper advocates an ethnoculturally-sensitive and gender specific HIV/AIDS prevention program for African-American women.

Learning Objectives: At the conclusion of this session, the participants will be able to: 1. Identify the major factors favoring the continuous rise in the level of HIV/AIDS among African-American women, 2. Discuss major comparisons in HIV/AIDS incidence, prevalence, mortality and morbidity rates between urban/rural African-American women, and women of other ethnic groups, 3. Discuss specific strategies for the prevention and control of HIV/AIDS and related problems among African-American women.

Keywords: Ethnic Minorities, Community-Based Health Promotion

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA