Advisor(s)
Tamika Smith
Committee Member(s)
Faith Fletcher
Kathryn Kaiser
Robin Lanzi
Samantha Hill
Susan Davies
School
School of Health Professions
Document Type
Dissertation
Department (new version)
Health Education/Promotion (Public Health)
Date of Award
9-9-2024
Abstract
The purpose of this dissertation was to examine the impact that power imbalance has on safe sex practices among African American emerging adults. The objectives included: provide a thorough review of preexisting literature that explores the impact of power imbalance on safe sex practices among African American women; understand the impact that power imbalance has on safe sex practices among African American emerging adults comparing data from men and women; and understand if resilience is associated with power imbalance among African American emerging adult women in the United States. Utilizing a retrospective, cross-sectional, quantitative study design, three methods were used for this dissertation and guided by the adapted Social Ecological Model and the Theory of Gender and Power model: (1) a scoping review explored the current landscape of the literature of the past 20 years; (2) quantitative data analysis determined the association of power imbalance on safe sex practices for male and female emerging adults; and (3) quantitative data analysis explained whether resilience is related to alleviating the experience of power imbalance in this sample in the Deep South of Alabama. Results from the scoping review included 21 articles over the past 20 years, which suggest a relatively new body of literature. Quantitative analysis of surveys distributed to African American emerging adults from the CITY Health II study revealed a significant association between the predictor variable of number of STIs and power imbalance for men and no significant association for women. Quantitative analysis of the surveys for aim 3 showed a negative association between resilience and power imbalance for African American female emerging adults. The limitations were the small sample size of the publications, which were limited to African American women and the United States in the scoping review, and self-reported survey responses that were taken only at baseline before the parent project occurred. In future manuscripts, the integration of the power imbalance and resilience’s impact on safe sex practices should be studied in order to inform the design and implementation of more nuanced and effective interventions that address the uptake of safe sex practices among emerging African American females.
ProQuest ID
Recommended Citation
Morgan, Jessica, "It's A Man's World: The Association Between Safe Sex Practices, Relationship Power, & Resilience among African American Emerging Adults Between 18-24 in the Deep South" (2024). All ETDs from UAB. 7641.
https://digitalcommons.library.uab.edu/etd-collection/7641
