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Document 0025
DOCN M94A0025
TI STD prevention and the challenge of gender and cultural diversity:
knowledge, attitudes, and risk behaviors among black and Hispanic
inner-city STD clinic patients.
DT 9412
AU O'Donnell L; San Doval A; Vornfett R; O'Donnell CR; Education
Development Center, Inc., Newton, Massachusetts 02160.
SO Sex Transm Dis. 1994 May-Jun;21(3):137-48. Unique Identifier : AIDSLINE
MED/94353299
AB BACKGROUND AND OBJECTIVES: This study describes gender and cultural
differences in sex-related risk behaviors, knowledge, and attitudes
among black and Hispanic men and women seeking services at an STD clinic
in the South Bronx. STUDY DESIGN: Survey instruments were administered
to 3,348 men and women selected as a proportionate random sample of
clinic patients registered from January through December 1992. RESULTS:
There were significant differences in risk behaviors, knowledge about
AIDS and STDs, and attitudes related to condom use among men and women
who sought services at this large inner-city clinic. Across groups, the
majority of subjects had a history of prior STDs and previously had been
treated at a STD clinic. Overall levels of knowledge were high, with the
exception of specific issues related to condom use and STD symptoms.
Gender and cultural differences were most apparent in sex practices,
experience with condoms, and attitudes concerning the use of condoms in
relationships. CONCLUSIONS: These data indicate the need to design
clinic prevention programs that reflect the diversity of gender and
culturally based attitudes, knowledge, and behaviors within inner-city
populations. Minority men and women who seek services at STD clinics are
known to be at high risk of HIV infection and other sexually transmitted
diseases. Yet providing all members of this patient population with the
same prevention messages is not sufficient; differences in sex
practices, educational needs, and concerns about adopting safer sex
behaviors must be taken into account. This study underscores how
important it is for clinics to develop the multiple interventions
necessary to provide patients with the specific information and skills
they need--beyond admonishments to avoid risky sex and use condoms--and
for clinic staff to be trained in providing education that is gender and
culturally appropriate.
DE Adult *Blacks *Cultural Characteristics Female *Hispanic Americans
Human Male Risk Factors *Sex Behavior Sex Education Sex Factors
Sexually Transmitted Diseases/EPIDEMIOLOGY/*PREVENTION & CONTROL
Support, U.S. Gov't, P.H.S. *Urban Population JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).