Dimensions of Sexual Health Conversations among U.S. Black Heterosexual Couples
Sexual health communication is an important feature of healthy intimate relationships; however, some couples may avoid discussing difficult matters (e.g., HIV/STI testing, sexual satisfaction) to minimize interpersonal conflict. From October 2018 to May 2019 in New York State, we conducted a multi-m...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-12, Vol.20 (1), p.588 |
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| creator | Leblanc, Natalie M St Vil, Noelle M Bond, Keosha T Mitchell, Jason W Juarez, Adrian C Lambert, Faith Muheriwa, Sadandaula R McMahon, James |
| description | Sexual health communication is an important feature of healthy intimate relationships; however, some couples may avoid discussing difficult matters (e.g., HIV/STI testing, sexual satisfaction) to minimize interpersonal conflict. From October 2018 to May 2019 in New York State, we conducted a multi-method descriptive pilot study to characterize Black heterosexual couples' (N = 28) sexual health conversations. Partners individually completed an online sexual health/relationship survey before engaging in-person for a joint dyadic qualitative in-depth interview. Quantitative descriptive statistics demonstrated that most absolute score differences among couple's preferences for sexual health outcomes, communal coping and sexual relationship power were mainly small, but greatest regarding extra-dyadic sexual behaviors. A qualitative descriptive approach discerned, motivation and norms for sexual health conversations, and communication patterns. Thematic and content analysis revealed two central themes:
, and
. Integrated findings indicate that couples possess varied communication patterns that operate with motivations for sexual health conversations toward subsequent sexual health promotion. Equitable and skewed communication patterns emerged as relationship assets that can be leveraged to optimize sexual health. There is also opportunity for future work to address communication regarding extra-dyadic behavior and preferences. Asset-based considerations are discussed. |
| doi_str_mv | 10.3390/ijerph20010588 |
| format | Article |
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, and
. Integrated findings indicate that couples possess varied communication patterns that operate with motivations for sexual health conversations toward subsequent sexual health promotion. Equitable and skewed communication patterns emerged as relationship assets that can be leveraged to optimize sexual health. There is also opportunity for future work to address communication regarding extra-dyadic behavior and preferences. Asset-based considerations are discussed.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20010588</identifier><identifier>PMID: 36612908</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Black people ; Communication ; Content analysis ; Couples ; Decision making ; Disease prevention ; Dyads ; Females ; Health behavior ; Health Communication ; Health education ; Health promotion ; Heterosexuality ; HIV ; HIV Infections ; Human immunodeficiency virus ; Humans ; Infections ; Interpersonal communication ; Interpersonal conflict ; Interpersonal Relations ; Likert scale ; Males ; Motivation ; Norms ; Pilot Projects ; Racism ; Sexual Behavior ; Sexual Health ; Sexual Partners ; Sexual satisfaction ; Sexually Transmitted Diseases ; Social policy ; Statistical analysis ; STD ; Verbal communication</subject><ispartof>International journal of environmental research and public health, 2022-12, Vol.20 (1), p.588</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c373t-6c643b91e3cab41f3b2e898acfef0021cdb3d1fbf54670bf8c89049241c4f8293</cites><orcidid>0000-0003-3468-3332 ; 0000-0001-6944-4636 ; 0000-0003-4707-5141</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819242/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819242/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27344,27924,27925,33774,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36612908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leblanc, Natalie M</creatorcontrib><creatorcontrib>St Vil, Noelle M</creatorcontrib><creatorcontrib>Bond, Keosha T</creatorcontrib><creatorcontrib>Mitchell, Jason W</creatorcontrib><creatorcontrib>Juarez, Adrian C</creatorcontrib><creatorcontrib>Lambert, Faith</creatorcontrib><creatorcontrib>Muheriwa, Sadandaula R</creatorcontrib><creatorcontrib>McMahon, James</creatorcontrib><title>Dimensions of Sexual Health Conversations among U.S. Black Heterosexual Couples</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Sexual health communication is an important feature of healthy intimate relationships; however, some couples may avoid discussing difficult matters (e.g., HIV/STI testing, sexual satisfaction) to minimize interpersonal conflict. From October 2018 to May 2019 in New York State, we conducted a multi-method descriptive pilot study to characterize Black heterosexual couples' (N = 28) sexual health conversations. Partners individually completed an online sexual health/relationship survey before engaging in-person for a joint dyadic qualitative in-depth interview. Quantitative descriptive statistics demonstrated that most absolute score differences among couple's preferences for sexual health outcomes, communal coping and sexual relationship power were mainly small, but greatest regarding extra-dyadic sexual behaviors. A qualitative descriptive approach discerned, motivation and norms for sexual health conversations, and communication patterns. Thematic and content analysis revealed two central themes:
, and
. Integrated findings indicate that couples possess varied communication patterns that operate with motivations for sexual health conversations toward subsequent sexual health promotion. Equitable and skewed communication patterns emerged as relationship assets that can be leveraged to optimize sexual health. There is also opportunity for future work to address communication regarding extra-dyadic behavior and preferences. Asset-based considerations are discussed.</description><subject>Black people</subject><subject>Communication</subject><subject>Content analysis</subject><subject>Couples</subject><subject>Decision making</subject><subject>Disease prevention</subject><subject>Dyads</subject><subject>Females</subject><subject>Health behavior</subject><subject>Health Communication</subject><subject>Health education</subject><subject>Health promotion</subject><subject>Heterosexuality</subject><subject>HIV</subject><subject>HIV Infections</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Interpersonal communication</subject><subject>Interpersonal conflict</subject><subject>Interpersonal Relations</subject><subject>Likert scale</subject><subject>Males</subject><subject>Motivation</subject><subject>Norms</subject><subject>Pilot Projects</subject><subject>Racism</subject><subject>Sexual Behavior</subject><subject>Sexual Health</subject><subject>Sexual Partners</subject><subject>Sexual satisfaction</subject><subject>Sexually Transmitted Diseases</subject><subject>Social policy</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Verbal communication</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1PAjEQxRujEUSvHs0mXryA7bZb2ouJ4gcmJByQc9MtU1jc3WK7a_S_dxEk4Gkmmd-8zJuH0CXBPUolvs2W4FeLGGOCEyGOUJtwjruMY3K817fQWQhLjKlgXJ6iFuWcxBKLNho_ZgWUIXNliJyNJvBV6zwags6rRTRw5Sf4oKvfsS5cOY-mvUkvesi1eW-oCrwLm5WBq1c5hHN0YnUe4GJbO2j6_PQ2GHZH45fXwf2oa2ifVl1uOKOpJECNThmxNI1BSKGNBYtxTMwspTNiU5sw3sepFUZIzGTMiGFWxJJ20N1Gd1WnBcwMlJXXuVr5rND-WzmdqcNJmS3U3H0qKUgjEzcCN1sB7z5qCJUqsmAgz3UJrg4q7nMi-4wma_T6H7p0tS8be78UEQlOeEP1NpRpfhI82N0xBKt1Vuowq2bhat_CDv8Lh_4ANtORIw</recordid><startdate>20221229</startdate><enddate>20221229</enddate><creator>Leblanc, Natalie M</creator><creator>St Vil, Noelle M</creator><creator>Bond, Keosha T</creator><creator>Mitchell, Jason W</creator><creator>Juarez, Adrian C</creator><creator>Lambert, Faith</creator><creator>Muheriwa, Sadandaula R</creator><creator>McMahon, James</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7U4</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3468-3332</orcidid><orcidid>https://orcid.org/0000-0001-6944-4636</orcidid><orcidid>https://orcid.org/0000-0003-4707-5141</orcidid></search><sort><creationdate>20221229</creationdate><title>Dimensions of Sexual Health Conversations among U.S. Black Heterosexual Couples</title><author>Leblanc, Natalie M ; 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however, some couples may avoid discussing difficult matters (e.g., HIV/STI testing, sexual satisfaction) to minimize interpersonal conflict. From October 2018 to May 2019 in New York State, we conducted a multi-method descriptive pilot study to characterize Black heterosexual couples' (N = 28) sexual health conversations. Partners individually completed an online sexual health/relationship survey before engaging in-person for a joint dyadic qualitative in-depth interview. Quantitative descriptive statistics demonstrated that most absolute score differences among couple's preferences for sexual health outcomes, communal coping and sexual relationship power were mainly small, but greatest regarding extra-dyadic sexual behaviors. A qualitative descriptive approach discerned, motivation and norms for sexual health conversations, and communication patterns. Thematic and content analysis revealed two central themes:
, and
. Integrated findings indicate that couples possess varied communication patterns that operate with motivations for sexual health conversations toward subsequent sexual health promotion. Equitable and skewed communication patterns emerged as relationship assets that can be leveraged to optimize sexual health. There is also opportunity for future work to address communication regarding extra-dyadic behavior and preferences. Asset-based considerations are discussed.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36612908</pmid><doi>10.3390/ijerph20010588</doi><orcidid>https://orcid.org/0000-0003-3468-3332</orcidid><orcidid>https://orcid.org/0000-0001-6944-4636</orcidid><orcidid>https://orcid.org/0000-0003-4707-5141</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Black people Communication Content analysis Couples Decision making Disease prevention Dyads Females Health behavior Health Communication Health education Health promotion Heterosexuality HIV HIV Infections Human immunodeficiency virus Humans Infections Interpersonal communication Interpersonal conflict Interpersonal Relations Likert scale Males Motivation Norms Pilot Projects Racism Sexual Behavior Sexual Health Sexual Partners Sexual satisfaction Sexually Transmitted Diseases Social policy Statistical analysis STD Verbal communication |
| title | Dimensions of Sexual Health Conversations among U.S. Black Heterosexual Couples |
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