Understanding Sex Partner Selection From the Perspective of Inner-City Black Adolescents
By Katherine CONTEXT: Black adolescents in inner-city settings are at increased risk for HIV and other STDs. Sex partner characteris- Andrinopoulos, tics, as well as individual behavior, influence individuals’ STD risk, yet little is known about the process of sex partner Deanna Kerrigan selection for adolescents in this setting. and Jonathan M. Ellen METHODS: Semistructured in-depth interviews were conducted during the summer and fall of 2002 with 50 inner-city black adolescents (26 females and 24 males) who had been purposively recruited from an STD clinic. Content analysis was used to study interview texts. Katherine Andrinopoulos is a doctoral student, and RESULTS: Young women desire a monogamous romantic partner, rather than a casual sex partner; however, to fulfill Deanna Kerrigan is their desire for emotional intimacy, they often accept a relationship with a nonmonogamous partner. Young men seek assistant professor, both physical and emotional benefits from being in a relationship; having a partner helps them to feel wanted, and both at the Social and they gain social status among their peers when they have multiple partners. For men, these benefits may help com- Behavioral Interven- pensate for an inability to obtain jobs that would improve their financial and, as a result, social status. Both women tions Program, Department of and men assess partners’ STD risk on the basis of appearance. International Health, Johns Hopkins CONCLUSIONS: HIV and other STD prevention initiatives must go beyond the scope of traditional messages aimed at Bloomberg School of behavior change and address the need for social support and socioeconomic opportunities among at-risk, inner-city Public Health, adolescents. Baltimore. Jonathan M. Ellen is associate Perspectives on Sexual and Reproductive Health, 2006, 38(3):132–138 research professor, Division of General Pediatrics and Adoles- Persistently high rates of HIV and other STDs have a pro- ping (nonmonogamous) partnerships. The mechanisms cent Medicine, Johns Hopkins School of found impact on the health of adolescent populations in by which these contextual factors influence sex partner se- 1 2 Medicine, Baltimore. the United States. Some populations—black youth and lection and dynamics within sexual relationships, howev- inner-city residents,3 for example—disproportionately suf- er, are not clear. fer the burden of these infections. Social and environmen- Over the past several decades, sociologists and psy- tal factors are important determinants of disparities in rates chologists have developed numerous theories to explain of infection;4 key among these factors are the patterns of ex- sexual behavior, mating patterns and sex partner selection. posure to STDs created by an individual’s sexual network.5 Most early theories describe motivations for “mate” selec- A growing body of literature suggests that in addition to tion and characteristics that people tend to look for in a individual behavior, characteristics of one’s sex partner and lifetime romantic partner in the context of marriage. For sexual network significantly influence an individual’s STD example, one theory is that people seek mates who are sim- risk.6 For example, individuals who have nonmonogamous ilar to themselves in characteristics as diverse as height, sex partners are at increased risk for STDs relative to those weight, personality, intelligence and values;10 another sug- with monogamous partners.7 Additionally, adolescents who gests that people seek mates who they believe will provide have older sex partners have a greater risk of infection than equity in the exchange of valuable resources in the rela- individuals whose partners are their own age.8 tionship.11 Distance or propinquity theories suggest that Furthermore, macro-level social and economic forces people simply mate with others with whom they tend to drive racial differences in sexual network formation in ways come in contact.12 Critics of these theories contend that that promote and sustain elevated STD rates within black their descriptions of the qualities that determine mate se- populations in the United States.9 Because of racism, racial lection are vague, and that they fail to differentiate between segregation and poverty, blacks are more likely than oth- selection strategies for women and men and selection of ers to form partnerships with members of their own race. partnerships of varying duration (for example, nonmari- Because of incarceration, violence and a subsequent im- tal sex partnerships).13 balance in the sex ratio, sexual networks within black pop- In response, Buss suggests a more comprehensive the- ulations are more likely than others to include individuals ory for understanding sex partner selection, for both short- with varying levels of risk in terms of STD transmission, term and long-term relationships, from a biological per- and more likely to include individuals who have overlap- spective based in evolutionary psychology.14 This theory
132 Perspectives on Sexual and Reproductive Health suggests that sex partner selection is a strategic process mo- ter understanding of social factors that influence STD risk tivated by a desire to achieve reproductive success, and that in the youths’ community) and provided details about par- particular selection patterns have developed as an adap- ticipation. A total of 50 adolescents—26 women and 24 men— tive response to problems our ancestors encountered dur- participated. We experienced a refusal rate of 5%. ing evolution. According to Buss, men and women pursue Adolescents recruited for the study had been seeking different mating strategies oriented toward reproduction confidential health services at the time of their enrollment because of the disparity between the levels of parental in- in PRSTD; thus, they were not required to provide parental vestment required of each sex due to biological differences: consent. This study was approved by the institutional re- Men are more likely than women to adopt short-term, over- view board of the Johns Hopkins Bloomberg School of Pub- lapping sexual partnerships and to seek fertile partners, to lic Health. increase the probability that they will successfully repro- Most participants completed two semistructured in-depth duce. In contrast, women’s reproductive success is linked interviews with the same interviewer; four participants com- to their ability to access external resources for themselves pleted only one interview. Before each interview, partici- and their children, and thus women look for partners who pants were informed of the purpose and format of the in- can provide these resources through long-term partnerships. terview and were asked to provide written consent. The Buss depicts the sex partner selection strategies included interview team consisted of four female and four male young in his model as universal, but dependent on contextual fac- adults; interviewers were white and black. All female par- tors. Adaptation to these factors is described in relation to ticipants were matched with female interviewers. Most in- the goal of successful reproduction without consideration terviews were conducted in a private room at a teaching of other social needs that may influence interactions with- hospital located near the recruitment clinics; three were in sexual relationships. In relation to successful reproduc- conducted at participants’ homes, in private rooms with tion, factors such as access to economic resources and the no other household members present. sex ratio are important to sex partner selection.15 Interview questions were open-ended, to allow partici- Limited research has examined the ways in which con- pants to elaborate on topics they considered important. textual factors shape sex partner selection beyond their in- For example, participants were asked “What types of things fluence on reproduction. Additionally, research and, in turn, do you look for in a guy/girl you would have a relationship theories that challenge reproduction as the goal of sex part- with,” “Tell me about your most recent sexual relationship” ner selection and reflect contemporary motivations and and “What did you give/get from this relationship”? Par- the social environment surrounding at-risk adolescents are ticipants were also asked to describe their most recent main sorely lacking. Furthermore, theories that focus on mate and their most recent casual partner—defined, respective- selection within the context of long-term marital relation- ly, as “a person that you have sex with and are serious about” ships may not be applicable to adolescents. Thus, to inform and “a person you have sex with but are not serious about an effective public health response to inner-city black ado- and who you may have sex with only once, a few times, or lescents’ risk for STDs, our study was designed to gain a an ongoing casual basis.” During the course of the study, better understanding of the psychosocial processes relat- the interview guide was adapted to include questions about ed to sex partner selection in this population. topics that emerged as significant to the research questions, such as monogamy and economic opportunities. METHODS The interviews were recorded and transcribed, and stud- Study participants were recruited during the summer and ied through content analysis.17 We used Atlas.ti 4.1 soft- fall of 2002 from among enrollees in the Baltimore-based ware to break the interviews down into the smallest pieces Perceived Risk of Sexually Transmitted Diseases (PRSTD) of text that could be interpreted alone, and then coded them cohort study. The PRSTD cohort consists of adolescents according to the concept they reflected. Codes were initially who live in Baltimore and have sought reproductive health generated from topics covered by the interview guide and services at a public STD or general adolescent health clin- were adapted to include salient themes that surfaced dur- ic in the eastern region of the city, a lower income area. We ing the analysis. Once the interviews were coded, short, in- employed purposive sampling16 to recruit participants from formal memos were written on each of the code families among those who had visited a clinic within the previous that provided information relevant to the research ques- year, selecting 10 individuals from four key groups: 14–21- tions for each group of participants. These code families year-old men and women with an STD experience and with included personal background (priorities and plans, and no STD experience. STD status was determined from family and friend dynamics), relationship values (ideal sex PRSTD data that included test results for gonorrhea and or romantic partner and perceptions of monogamy), de- chlamydia. Participants were categorized as having had an scription of most recent main and casual sex partner, and STD experience if they had tested positive for gonorrhea, concerns about HIV and other STDs. Responses related to chlamydia or both at any time within the previous year. the research questions were compared across the four Eligible adolescents were invited to participate in the study groups of participants. The final step in the analysis involved through recruitment letters and phone calls by study team the heuristic review of interviews, during which each in- members that summarized project goals (i.e., gaining a bet- terview was reread in its entirety.
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RESULTS with” and the manner in which he initially approached the All study participants were black, and their average age was woman. 18 (range, 16–21). Forty-six percent of participants were Most women expressed a desire for a romantic partner enrolled in school or planned to be enrolled in the next se- who manages his finances well, and who can pay for gifts mester. On average, participants had completed 11 years such as flowers, jewelry and trips to the salon. These gifts of school (most had had 9–12 years of schooling, and two allow a woman to “keep herself up,” thereby maintaining a were in their first year of postsecondary education). Sev- respected image in the community and contributing to her enty percent said that their mother had completed high social status. Most of the women in the study worked, and school; 34% had children or expected the birth of a child expected romantic partners to be able to “pull their weight” within the next six months. Only two, both female, reported in the cost of shared activities and entertainment, such as living with their sex partner. Background characteristics going to clubs and restaurants. The two women who lived were similar among the four study groups and between with their partner and those who had children with their part- Women’s those who had had an STD and those who had not. ner expected him to share a portion of the household bills. discussion was Three main themes related to sex partner selection and However, none of the women suggested that they look for a sexual relationship dynamics emerged in the in-depth in- romantic partner who will cover the full cost of household exclusively terviews: types of sex partners and desired traits, monogamy needs such as rent, utilities or food. Economic independence and affective needs. We present the findings for each of these was described as expected and common for women. about romantic themes for women and men. Several women suggested that the amount of money a man earns and the manner in which he earns his money partners; Types of Partners and Desired Traits are important considerations when selecting a romantic From the perspective of women, there exists only one cat- partner. A number of participants said that the status as- no women egory or type of sex partner, and these partners are thought sociated with a job is important, and that status differs for of as romantic partners. Women’s discussion was exclusively legal jobs versus illegal ways of acquiring money, and for discussed about romantic partners; no women discussed casual part- jobs requiring different levels of technical training. Sever- ners. Most women suggested that their ideal romantic part- al women also reported that it is important for their romantic casual partners. ner is a “good guy,” who is monogamous, has educational partner to have a job that matches their own in terms of and career goals, and is emotionally supportive. the amount of money and status it provides. In terms of personality, most women reported that they In contrast, from men’s perspective, there are two dis- desire a partner who is respectful, honest and kind. Ac- tinct types of partners, sex-only and romantic, and most cording to these women, a romantic partner demonstrates men openly described both types as being valid and de- respect by speaking to them politely in private and public, sirable. Sex-only partners were described as women who being honest, being considerate and being monogamous. may have multiple sex partners; men referred to these Many women also expressed a desire for a romantic part- women as “friends,” “sluts,” “hos,” “superfreaks” and “chick- ner who could add humor and fun to their lives. enheads.” “Gold diggers” were described as a special kind For many women, the ideal romantic partner is physi- of sex-only partner, who are interested in their male part- cally attractive—tall, with characteristics such as strong hands ner only for financial gain or status. Relationships with sex- and nice eyes. However, most suggested that the importance only partners were described as “one-night stands” and “just- of appearance is related more to how a man “keeps him- friend” relationships. self up” than to innate physical traits. Several women sug- All male participants described innate physical charac- gested that a man’s appearance is symbolic of his physical teristics that they look for in a sex-only partner, including cleanliness as well as his potential to have a “nice” per- a pretty smile, a pretty face, long hair and a nice body. In sonality and be a faithful romantic partner. One participant contrast to females, men did not discuss symbolic values described the symbolic value of appearance for adolescents associated with such traits. Several men also expressed a in her community in the following way: desire for a sex partner who is not infected with an STD. “It’s really based on appearance….I find as young people, Like female participants, males associated a “clean” and people my age, get in relationships, it’s really based on ap- “hygienic” appearance with not being infected with an STD. pearance, ’cause we don’t really know people. [It’s] about … Several men also suggested that STD risk is higher with sex- how they appear to be, how they seem like they are. He has only partners than with romantic partners. to appear nice, appear clean, appear nice, you know.” In contrast to sex-only partners, men described roman- —Female, 19 years old tic partners as monogamous, and referred to them as “good Several women suggested that a sex partner’s appear- girls,” “main girlfriends” and “girls with a good head on their ance may be used to evaluate his STD risk. A partner who shoulders.” Sexual relationships with romantic partners is “clean” in his physical appearance is also perceived to be were described as “girlfriend” and “main” relationships. In “clean” of STD infection. Additionally, a partner who ap- the context of romantic partners, men emphasized the im- pears to be monogamous and respectful is perceived to have portance of characteristics related to personality and fi- a lower STD risk than others. This evaluation is usually nancial and educational status more than appearance. These based on the reputation of people the sex partner “hangs characteristics include employment (without status des-
134 Perspectives on Sexual and Reproductive Health ignation for certain jobs), financial independence, intelli- blame on other women. One participant described this sce- gence (school- and street-based), a supportive personality nario and the sexual double standard in the following way: and a positive attitude toward the participant and the re- “We don’t hate the guy; we ready to beat the girl up, you lationship (no “fussing” or “nagging”). Most men also de- know? We ready to smack her, and she probably don’t know scribed a desire for a romantic partner who demonstrates nothing about us, or she might do know about us. We ain’t strength and independence in relationships with family ready to beat our boyfriend up ’cause he cheated on us; we and friends. ready to beat her up for sleeping with our boyfriend. But a Additionally, several men suggested that romantic part- guy, he ready to knock our head off ’cause we cheated on ners should have the same physical traits described for sex- him. He could care less about the guy, he just being a guy. only partners. For example, one participant mentioned a It’s okay for men to do this.”—Female, 21 years old desire for a romantic partner who is pretty, and who demon- Within relationships where men have more than one sex strates strength and independence by taking care of her- partner, both women and men said that “main girls” or self and her children without the support of others: “wifeys” (romantic partners) have more status than “girls From men’s “They have to have a good head on their shoulders. They on the side” (sex-only partners). Although none of the perspective, have to be a nice, outgoing person. They have to be very women suggested that they would want a sex partner who pretty [and have] intelligence, the right mind and stuff like has sexual relationships with other women, several sug- there are two that. I mean, they got to know what they want. I don’t like gested that in a context where multiple sex partnerships dumb people. I like people, I mean, I like girls that [are] for men is common, being a “wifey” at least connotes more distinct types of classy, sophisticated, I mean…like taking care of herself and respect and status from others in the community than being her child and stuff like that…making sure her child is going the “girl on the side.” One participant explained: partners, to be okay and get a good job.”—Male, 16 years old “A wifey is like somebody, somebody sticks with. Like if A few men mentioned a desire for a romantic partner who y’all been in a relationship…he might be cheating with an- sex-only and has not had many sex partners. Most also emphasized a other girl, but you’re the main chick. You know what I’m say- desire for a romantic partner who is similar to them edu- ing? You still know that [he’s thinking], ‘That’s my wifey, that’s romantic. cationally as well as financially. These participants described my main girl,’ and [the other girl is] just on the side….So it’s wanting a romantic partner with a high school education, [about keeping your wifey] status.”—Female, 19 years old basic life wisdom or “common sense” and a job. A few women suggested that a sex partner can demon- strate respect simply by maintaining the idea of monogamy Monogamy in the relationship even if he has other partners. One par- Although most women suggested that their ideal sex part- ticipant, who discussed her concern over her current sex ner would be monogamous, the majority reported experi- partner’s fidelity, described this phenomenon in the fol- ence with a nonmonogamous partner. This same disso- lowing way: nance between ideal and real sex partners was not evident “Like as I long as I don’t see nothing, hear nothing, like among men, perhaps in part because men clearly distin- that, then that way I’ll feel like I’m being respected. You guished between sex-only partners and romantic partners. know, if he is out doing other things, then as long I don’t Both women and men said that men commonly have over- know about it, see it or whatever, then I’ll say, ‘Well, he re- lapping sex partners. Many women suggested that “boys spectful as far as I know.’”—Female, 21 years old will be boys,” and that maintaining multiple sex partner- Several women discussed the difficulty they encounter ships is an accepted behavior for men, but not for women. in finding “good guys” who will be monogamous, and sug- (Participants’ reported actions also reflected this double stan- gested that there are more women than men available as dard: Only two women, but almost all of the men, report- sex partners. Among the reasons suggested by participants ed having had overlapping sex partnerships.) Several women for this imbalance is a high prevalence of incarceration also reported that the family or friends of a nonmonogamous among adolescent men, which women linked to drug trade sex partner had collaborated with their partner to conceal involvement in the wake of a lack of opportunities yield- his infidelity. A number of women suggested that male peers ing financial stability and status for men. heavily influence their friends to have more than one sex Many women discussed their concern over the STD im- partner. One woman reported having had a partner whose plications of their sex partner’s infidelity. Several described male friends would arrange for another woman to be present evaluating their sex partner’s STD risk on the basis of their when she was not around. According to this participant, her perception of his preventive behavior with other partners. partner’s friends thought he was too young to be in a “mar- This evaluation was based on the level of maturity, respect ried,” or monogamous, relationship. Several men suggest- for their body and trust within the relationship that par- ed that a man who does not take advantage of the oppor- ticipants perceived a sex partner to have. tunity to have multiple sex partners is “whipped,” and will be perceived as weak and foolish by his peers. Affective Needs However, none of the women condoned men’s having Women, more than men, suggested that they look to ro- more than one sex partner. And rather than blame their part- mantic relationships to fulfill a desire for intimacy and emo- ner for his unfaithful behavior, many women placed the tional support. Several women suggested that being involved
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in a romantic relationship helps them feel good emotion- relationship between emotional dependence and sex for ally and deal with other problems. They also said that hav- adolescent women confronted with a multitude of prob- ing a romantic partner provides them with a sense of emo- lems in different domains of their life in the following way: tional security. For example, one participant described this “Most of them [girls] have problems at home, most of feeling in the following way: them have problems in school, most of them just got prob- “I’m not too fond of cuddling with my pillow, and TV is lems period. Who do they look at for love and attention? only going to do so much, and then it’s just like the notion They deal with the dudes.”—Female, 19 years old that you always know that it’s somebody there for you, that’s In contrast to women, most men described participat- going to be there for you to stand by your side.”—Female, ing in sexual relationships for both physical and emotion- 18 years old al benefit. Several described participating in relationships Another participant described the support she gets from with sex-only partners purely for the benefit of sexual grat- her boyfriend as follows: ification. In the context of romantic partners, many men, Men often “He’s like my best friend, and like I said, we both love like women, described “catching feelings” as a relationship reported look- each other. And sometimes when we argue, I just can’t stand progressed. it, ’cause I just can’t stand to be away from him. So it’s very Rather than saying that they desire intimacy and emo- ing to sexual important that he’s by my side and I feel as though he gives tional support, men often reported looking to sexual rela- me the love and support that I need.”—Female, 21 years old tionships to fulfill a desire to “feel wanted.” A majority also relationships to A number of women described the process of develop- discussed the lack of a strong social support system. Only ing an emotional bond with a romantic partner as “catch- a few men reported having a male role model they look up fulfill a desire to ing feelings,” and suggested that women “catch feelings” to, or having a strong relationship with an older male such more easily than men. One participant described “catch- as their father, their stepfather or an uncle. Several suggested “feel wanted.” ing feelings” this way: that their relationship with their mother is strained because “You can’t just sleep with any guy and think it’s okay. of her partnership with a boyfriend or new husband. Given We [women] catch feelings very quick….We are emotional their lack of relationships with older role models, many men people. Women, no matter how strong and hard they try suggested that they look to males close to their age, in- to be, women tend to have a very soft spot for people that cluding siblings, friends and cousins, for guidance and sup- show us that they care. They might be faking, but we fall port. These adolescents suggested that men seek relation- in love quick.”—Female 21 years old ships with women in part because they need to feel wanted, For several women, the type of emotional support they and both sex-only and romantic partners fulfill this need. gain from a romantic partner is different from the social sup- For example, one participant discussed his disappointment port they experience in relationships with family and friends. over his lack of a relationship with his biological father and These women described strong support systems that con- antagonistic relationship with his mother’s current live-in sist of maternal figures, including mothers, grandmothers, boyfriend. This young man described feeling betrayed by aunts, older siblings and cousins. A few women also sug- his mother, who often sides with her boyfriend when dis- gested that uncles and cousins serve as male role models putes arise between the boyfriend and the participant. Later and provide emotional support. Yet, even women who de- in the interview, this participant described his desire to “feel scribed strong social support systems reported that they wanted” as follows: still look to romantic relationships for the unique type of “I mean, like females, they make me feel like I’m want- intimacy and emotional bond these relationships provide. ed. I don’t think there’s too many people that don’t want Several men and women suggested that women who lack to be wanted. If not one place, then another, you know? So strong social support systems are especially likely to seek females make me feel wanted. They make me feel like they’re emotional support and intimacy in sexual relationships and happy to see me, they’re happy that I’m around, so I like may therefore be more vulnerable in these relationships. that. They can even be superfreaks, as long as they’re nice.” For example, one woman said that because her mother, who —Male, 17 years old suffers from drug addiction, is her only form of social sup- port, she participates in sexual relationships with men for DISCUSSION emotional benefits: Our findings support several aspects of the sexual strate- “Sometimes a woman feels as though if they not getting gies theory of Buss—namely, that men and women approach the care that they need at home, they’ll look for it in a sexual relationships differently, and that whereas women man….They’ll feel as though just because he had sex with typically seek romantic partners, men seek both sex-only me, that made me feel good….[So] you’ll start liking them and romantic partners. However, while Buss argues that and liking them, and then they’ll just blow you off, and then the reason for this difference is evolutionary, and motivat- you’ll be hurt again looking for the next man that’s going ed by reproduction,18 our findings support a more con- to take care of you.”—Female, 18 years old textual approach that links sex partner selection and rela- These participants also recognized dependence on a sex tionship dynamics to social needs, rather than biological partner as a coping mechanism that some adolescents use ones. In response to a lack of socioeconomic and status- to deal with a “stressful life.” One participant described the yielding opportunities, many young men reported partic-
136 Perspectives on Sexual and Reproductive Health ipating in the informal economy such as the drug trade to perceptions of their sex partner’s monogamy and the earn money and gain social status and respect as a man. amount they trust their partner to practice safer sex with This, according to participants, has resulted in an imbal- other partners. Hence, STD prevention programs should ance in the sex ratio, as many young men are incarcerated seek to promote opportunities for ongoing dialogue among and therefore not available as sex partners. Additionally, women regarding the risks associated with basing the need many young men look to multiple sex partnerships as a way for safer sex on such perceptions, and the importance of to gain status among their male peers. partner communication in addressing the risks of multi- At the individual level, efforts should be made to increase ple partnerships. mentoring opportunities for young men so that they do not rely so heavily on their male peers for guidance, support REFERENCES and, ultimately, approval. Our findings also complement 1. Centers for Disease Control and Prevention (CDC), STD Surveillance 2002: STDs in Racial and Ethnic Minorities, Atlanta: CDC, 2002; and CDC, other research conducted among young men in resource- National Overview of Sexually Transmitted Diseases 2002, Atlanta: CDC, poor inner-city environments such as Baltimore that sug- 2002. gests that hypermasculine behavior within sexual rela- 2. CDC, Young People at Risk: HIV/AIDS Among America’s Youth, fact tionships may be a result of young men’s inability to fulfill sheet, Atlanta: CDC, 2002. 19 masculine ideals in terms of financial independence. Thus, 3. AIDS Administration, Maryland Department of Health and Mental at the structural level, efforts should be made to increase Hygiene, The Maryland 2003 HIV/AIDS Annual Report, Baltimore: socioeconomic opportunities for male adolescents in inner Maryland Department of Health and Mental Hygiene, 2003, chapters 3 and 4. cities. Adolescent men in this study also described partic- 4. Ellen JM et al., Socioeconomic differences in the STD morbidity rates ipating in both romantic and sex-only relationships to ful- among black and white adolescents, American Journal of Public Health, fill a desire to “feel wanted,” indicating a need to explore 1995, 85(11):1546–1548; and CDC, HIV/AIDS Among African- ways to facilitate social support for these young men. Americans, fact sheet, Atlanta: CDC, 2004. Although sexual strategies theories assert that women 5. Laumann E and Youm Y, Racial/ethnic group differences in the preva- primarily seek mates who can provide them with economic lence of sexually transmitted diseases in the United States: a network explanation, Sexually Transmitted Diseases, 1999, 26(5):250–261; and resources that will help them achieve reproductive success, Adimora A and Schoenbach V, Contextual factors and the black-white our findings suggest that women in this context are eco- disparity in heterosexual HIV transmission, Epidemiology and Society, nomically independent and are motivated by a desire for 2002, 13(6):707–712. emotional rather than material resources. Within sexual 6. Aral SO et al., Sexual mixing patterns in the spread of gonococcal relationships, women emphasized a desire for a faithful sex and chlamydial infections, American Journal of Public Health, 1999, 89(6):825–833; Ellen JM et al., Sex partner selection, social networks, partner, but expressed a sense of fatalism in their ability to and repeat sexually transmitted infections in young men: a preliminary find a partner who is monogamous. However, economic report, Sexually Transmitted Diseases, 2006, 33(1):18–21; Catania JA, dependency was not suggested as a common reason relat- Binson D and Stone V, Relationship of sexual mixing across age and ed to young women’s tolerance of a nonmonogamous sex ethnic groups to herpes simplex virus-2 among unmarried heterosex- ual adults with multiple sexual partners, Health Psychology, 1996, partner. 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(see reference 5); and Lawrence B et al., 1999, op. cit. appear to outweigh the STD-related risks of an unfaithful (see reference 6). partner. Thus, to more fully understand inner-city black 8. Aral SO et al., 1999, op. cit. (see reference 6); DiClemente RJ et al., women’s motivations for sex partner selection and, in turn, Sexual risk behaviors associated with having older sex partners: a study of black female adolescents, Sexually Transmitted Diseases, 2002, their STD-related risk, it is important to further understand 29(1):20–24; and Ford K, Sohn W and Lepkowski J, American ado- the process of gender role socialization and the psychoso- lescents: sexual mixing patterns, bridge partners, and concurrency, cial status women may feel that they derive from their par- Sexually Transmitted Diseases, 2002, 29(1):13–19. ticipation in heterosexual relationships. 9. Laumann E et al., 1999, op. cit. (reference 5); and Adimora A and Additional findings of importance with regard to STD Schoenbach V, 2002, op. cit. (see reference 5). prevention interventions include the process by which par- 10. Eckland B, Theories of mate selection, Social Biology, 1968, ticipants assess the risk associated with different types of 15(2):71–84; Wilson EO, Sociobiology: The New Synthesis, Cambridge, MA: Belknap Press, 1975; and Buss D, Sex differences in human mate sex partners. For example, both women and men initially preferences: evolutionary hypothesis tested in 37 cultures, Behavioral evaluate sex partners’ STD-related risk on the basis of their and Brain Sciences, 1989, 12(1):1–49. appearance. It is therefore important for prevention pro- 11. Eckland B, 1968, op. cit. (see reference 10); and Murstein BI, grams to emphasize that a “clean” appearance or whom a Stimulus-value-role: a theory of marital choice, Journal of Marriage and person “hangs with” is not an adequate indicator of the STD the Family, 1970, 32(3):465–491. risk that individual poses. After a period of time, women 12. Eckland B, 1968, op. cit. (see reference 10). evaluate STD-related risk more strategically, in terms of their 13. Buss D and Schmitt D, Sexual strategies theory: an evolutionary
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perspective on human mating, Psychological Review, 1993, 100(2):204– 447; and Wade J, African American men’s gender role conflict: the sig- 232. nificance of racial identity, Sex Roles, 1996, 34(1/2):17–35. 14. Ibid.; Cosmides L and Tooby J, Evolutionary Psychology: A Primer, 20. Sobo EJ, Inner-city women and AIDS: the psycho-social benefits of Santa Barbara, CA: Center for Evolutionary Psychology, University of unsafe sex, Culture, Medicine, and Psychiatry, 1993, 17(4):455–485. California, Santa Barbara, 1997,
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138 Perspectives on Sexual and Reproductive Health