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HIV/AIDS and the Young African American Woman

It is not in our nature to keep quiet. So do what comes natural …

GET YOUR TALK ON!

Expressing Self-Love Through The Decisions We Make

Did you know that … African Americans now represent 36 percent of all reported AIDS cases and 43 percent of new AIDS cases, even though African Americans comprise only 13 percent of the U.S. population.*Communication is the first step toward safer sex. Speak up, girl!!!

African American women have the highest percentage (60 percent) of all AIDS cases reported among women, 64 percent of new AIDS cases among women, and three times the number of new cases reported among white women.*

Shocked? Don't be shocked. Be safe!

We have the power to take control of our lives! HIV/AIDS affects African American women more than women in any other ethnic group. It's time we use the most powerful tool we have to fight the battle against HIV (human immunodeficiency virus)—Get Your Talk On!

Communication!!!

Many of us sistas find talking about sex difficult. Our partners may get angry or defensive. They sometimes feel that we are accusing them of something or that we don't trust them. Talking is especially hard when a young woman has an older partner because the older partner tends to have more power in the relationship. Often, we look to the older partner for information about protection against pregnancy and HIV and may get wrong information. An older partner usually has more sexual experience and is more likely than the younger partner to have prior experience with illegal substances. Both of these factors increase the older partner's risk of being infected with HIV and put the younger partner, too, at risk.

Some of us disassociate ourselves from HIV/AIDS. We may choose not to talk about the epidemic because we believe the government created HIV to get rid of African Americans. The truth is—no one really knows where or how HIV first infected people. What we do know is that it exists and that there are ways to prevent infection.

This pamphlet gives tips on talking with our partners about several important issues:

  • Relationship expectations
  • Past and present sexual relationships
  • Past and present drug use
  • Contraceptive use
  • Testing for HIV and STIs.**

Talking about these issues will be easier if we:

  • Set up a mutually convenient time to talk
  • Choose a neutral, relaxing environment where no one will feel like he/she is being interrogated
  • Make sure that we use "I" statements when talking. For example, I would feel more comfortable if we used a condom.

So, with these things in mind, let's get our talk on!!!

Relationship Expectations

When a relationship begins, we may assume that it's monogamous. We shouldn't assume anything!! We need to talk with our partner about expectations for the relationship and discuss what monogamy means to each of us.

Surveys show that when monogamy is not discussed and a partner cheats, the cheating partner tends to justify him/herself because the couple set no ground rules. Many people contract an STI when a partner has unprotected sex with someone outside of the relationship. 

We need to communicate to our partner our feelings about infidelity. If we have zero tolerance for cheating, we should communicate to our partner that infidelity will end the relationship. We also need to make clear to our partner that a main concern about fidelity is protecting the health of both partners.

Helpful Hints

  • Being a good listener means letting a partner know that we hear, understand, and care about what he/she is saying and feeling.
  • If you suspect your man is cheating, arguing won't help. The situation calls for calm, clear discussion. If we can't discuss the situation calmly, we can set another time to talk.

Past and Present Sexual Relationships

Many people—both male and female—feel that their past sexual relationships are not the business of the current sexual partner. Someone who feels this way might say, "You weren't in the picture then. What we need to do is concentrate on us and the present."

Sound familiar? REALITY CHECK!! When we have unprotected sex with a partner, we are having sex with everyone the partner has had unprotected sex with. Think about it!

Helpful Hint

  • Don't let fear of how a partner might react stop you from talking with him/her. Be assertive! When a partner does not want to discuss sexual histories, we can't just let the subject end there. We must make sure he/she knows that the relationship won't work if we can't communicate. We won't know where we're going unless we know where we've been!

Past or Present Drug Use

Many people tend to forget that HIV is also transmitted through sharing needles.

Tattoos and body piercing also require needles. Ensure that the person performing the work sterilizes all of his/her equipment, uses disposable needles, and is licensed.

In fact, the number one route of HIV infection for African American women is having unprotected intercourse with an injection drug user. We need to know whether our partners use or have ever used drugs. We also need to keep in mind that being under the influence of alcohol or other drugs impairs reason and judgment. So, using substances may also impair our ability to protect ourselves. Alcohol and other drugs don't mix well with safer sex!

Contraceptive Use

We should always use condoms when engaging in sexual intercourse (vaginal, oral, or anal) to prevent HIV, STIs, and unplanned pregnancy. 

Now that female condoms are available, we can't excuse ourselves by saying, My partner refuses to wear one! Female condoms are available in drug stores and are an effective, female-controlled barrier method. Using a condom may be easier said than done, but it's definitely possible. We need to remember that this isn't an issue of trust. It's an issue of health, and it can be a matter of life or death! It's better to lose a relationship than ruin your life. No condom, no sex!

Hormonal methods of contraception - such as Norplant, Depo-Provera, and birth control pills - only protect against pregnancy. They Do Not protect against STDs, including HIV.

Helpful Hints
Some people think that condoms decrease the pleasure of sex. But, using lubricants with condoms may enhance our pleasure:

  • Shopping together for condoms can give us time to talk
  • Some male condoms have now been designed to increase a woman's sexual enjoyment
  • Putting a condom on a partner can be an intensely sensual and pleasurable activity —for both partners!

HIV/STI Testing

Getting tested and treated for an STI can be life-saving. An untreated STI leaves a sista more vulnerable to HIV infection. Many people don't know they have an STI because they may have no symptoms. We can't tell if people are clean just by looking at them! Anybody who has ever had unprotected sex or shot up should get tested and should make sure her partner gets tested, too!

Helpful Hints

  • You can contact your local health department for the location of the nearest site where HIV/STI testing is performed free of charge.
  • Talking about getting tested can be very uncomfortable for you and your partner. Make sure that what needs to be said is said. But also listen to your partner's feelings and concerns. No matter what, you can't afford to decide not to have this conversation with your partner!
  • Partners may prefer to get tested together.

Talking about relationship issues is not easy. But, just as we are worth the wait, we are worth the talk! The helpful hints given in this pamphlet may not make talking any easier, but at least they will provide a few tools to help get the conversation started. It really boils down to one thing:

We have to love ourselves enough to want what is best for us!!!

Happy Chatting!!!

If you have any questions, you can call the National CDC AIDS hotline at 1.800.CDC.INFO.

Advocates for Youth is dedicated to creating programs and promoting policies that help young people make informed and responsible decisions about their sexual and reproductive health. We provide information, training, and advocacy to youth-serving organizations, policy makers, and the media in the U.S. and internationally.

Author: Quanitta Favorite

About the Author: Quanitta Favorite, peer educator at Advocates for Youth, is an African American woman, age 20, committed to educating other young African American women about the HIV/AIDS epidemic.

The author is grateful for the assistance and support of Jane Norman, Monique Henderson, Kayla Jackson, Sarita Edwards, Sabrina Freeman, Tiffany Jackson, Marcela Howell, Michelle Gilliam, L. Michael Gipson, and Debra Hauser.

Editor: Sue Alford
Design: William Henry Washington, III

ISBN:0-913843-41-5

To order copies of this publication, contact Advocates' Publications Department at 202.419.3420.

* Centers for Disease Control and Prevention. [www.cdc.gov] Atlanta, GA: The Center, 1999.
** Sexually transmitted diseases

© 1999 Advocates for Youth—Helping young people make safe and responsible decisions about sex

Click here to view the Publications Catalog and/or to order this publication.

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