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Article ; Online: Attitudes Toward and Willingness to Engage in Consensual Non-Monogamy (CNM) Among African Americans Who Have Never Engaged in CNM.

St Vil, Noelle M / Giles, Kelly N

2022 Volume 51, Issue 3, Page(s) 1823–1831

Abstract: Research on consensual non-monogamy (CNM) has largely focused on CNM behavior, while less attention has been given to attitudes toward and willingness to engage in CNM. Additionally, the study of CNM among African Americans is underexplored. Through an ... ...

Abstract	Research on consensual non-monogamy (CNM) has largely focused on CNM behavior, while less attention has been given to attitudes toward and willingness to engage in CNM. Additionally, the study of CNM among African Americans is underexplored. Through an online survey study, we examined the correlates of attitudes toward and willingness to engage in CNM among African Americans who have never engaged in CNM, as attitudes and willingness provide insight into future behavior and stigmatization of CNM. We also assessed open-ended responses of reasons given for considering or not considering CNM engagement. A total of 904 African Americans between the ages of 18-40 participated in this study. Regressions were utilized to determine the correlates of attitudes toward and willingness to engage in CNM. Sexual orientation and gender were significant predictors of attitudes toward CNM. Age, sexual orientation, and gender were significant predictors of willingness to engage in CNM. Qualitative analyses revealed three themes among those who have considered engaging in CNM: (1) always been curious or had fantasies about trying a threesome, swinging, or open relationship, (2) thinks it would be fun, provides excitement, and can improve the relationship, and (3) would consider it under the right circumstances. Most participants reported never considering CNM engagement for the following reasons: (1) CNM is inconsistent with religious beliefs, morals, or values, (2) is just not for me, (3) it's the same as cheating, (4) committed to partner, (5) the belief that CNM increases risk of HIV/STIs, and (6) that CNM causes drama.
MeSH term(s)	Adolescent ; Adult ; African Americans ; Attitude ; Female ; Humans ; Male ; Sexual Behavior ; Sexual Partners ; Sexually Transmitted Diseases ; Young Adult
Language	English
Publishing date	2022-03-01
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-021-02268-2
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Zs.A 1106: Show issues

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Article ; Online: An Exploration of Geographic Access to Substance Use Treatment Programs and Violence Against Women.

St Vil, Noelle M / Haley, Danielle F / Montgomery, Brooke / Williams, Michael / Watson, Lakeshia / Zhang, Shuaiqi / Wingood, Gina M

Journal of interpersonal violence

2024 , Page(s) 8862605241246000

Abstract: Violence against women (VAW) is a significant public health and human rights issue, with an estimated 736 million women globally experiencing VAW. Consistent evidence demonstrates that substance use is associated with VAW and that participation in ... ...

Abstract	Violence against women (VAW) is a significant public health and human rights issue, with an estimated 736 million women globally experiencing VAW. Consistent evidence demonstrates that substance use is associated with VAW and that participation in substance use treatment programs is associated with reduction in substance use-related violence. While evidence demonstrates the ability to address VAW through substance use treatment programs, less attention has been paid to geographic access to substance use programs. If these programs are geographically inaccessible, particularly to marginalized populations, many people will not get the help they need. This study seeks to explore the relationship between geographic access to substance use treatment programs on VAW. Using data from the HIV Prevention Trials Network (HPTN) 064 study, longitudinal multilevel models were used to assess the relationship between neighborhood-level social determinants, with a specific focus on geographic access to Substance Abuse and Mental Health Services Administration (SAMHSA) certified drug and alcohol treatment programs and VAW. The study included 1910 women, ages 18 to 44, living in select geographic areas with high-ranked prevalence of HIV and poverty. The findings of this study indicate that among women who reside in census tracts with high prevalence rates of HIV: (1) substance use increases VAW; (2) VAW decreases as geographic access to SAMHSA-certified drug and alcohol treatment facilities increases; and (3) when looking at specific types of VAW, emotional and physical abuse decreases as geographic access to substance use treatment increases. Policies and programs to increase access to substance use treatment should be explored and evaluated, and more programs are needed that address the intersectionality of substance use and VAW.
Language	English
Publishing date	2024-04-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/08862605241246000
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Article ; Online: Factors correlated with pre-exposure prophylaxis (PrEP) awareness and use among black adults in the United States: implications for improving HIV prevention.

Wilson, Kennethea / Przybyla, Sarahmona / Bleasdale, Jacob / Gabriel, Steven / Leblanc, Natalie / St Vil, Noelle

AIDS care

2022 Volume 34, Issue 11, Page(s) 1481–1488

Abstract: HIV remains a significant public health concern for Black adults (BA) in the United States. Pre-exposure prophylaxis (PrEP) is a highly effective prevention tool prescribed to protect the health of HIV-uninfected individuals. Yet, low rates of PrEP ... ...

Abstract	HIV remains a significant public health concern for Black adults (BA) in the United States. Pre-exposure prophylaxis (PrEP) is a highly effective prevention tool prescribed to protect the health of HIV-uninfected individuals. Yet, low rates of PrEP awareness and utilization persist among BA. Less is understood about the pathways that may promote PrEP uptake. The present study explored factors associated with PrEP awareness and use among BA. Using a cross-sectional sample of 666 BA, we employed multivariable logistic regression models to examine the relationship between PrEP and several covariates. Most participants were unaware of PrEP (71%). Reporting history of incarceration and lifetime sexually transmitted infection testing [aOR 1.76 (1.19, 2.59),
MeSH term(s)	Adult ; Humans ; United States/epidemiology ; Male ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Pre-Exposure Prophylaxis ; Cross-Sectional Studies ; Sexually Transmitted Diseases ; Sexual Partners ; Homosexuality, Male ; Health Knowledge, Attitudes, Practice
Language	English
Publishing date	2022-08-18
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1012651-x
ISSN	1360-0451 ; 0954-0121
ISSN (online)	1360-0451
ISSN	0954-0121
DOI	10.1080/09540121.2022.2113027
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Zs.A 2799: Show issues

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Article: A Culture of Mutual Support: The Impact of Giving and Receiving of Practical and Emotional Support on African American Marital Satisfaction.

St Vil, Noelle M

Journal of family social work

2015 Volume 18, Issue 2, Page(s) 78–89

Abstract: While the literature has discussed the extensive family network ties of African Americans and its implications for marital satisfaction, few studies incorporate primarily African American samples in studies of marital satisfaction and social networks. ... ...

Abstract	While the literature has discussed the extensive family network ties of African Americans and its implications for marital satisfaction, few studies incorporate primarily African American samples in studies of marital satisfaction and social networks. This study draws on a sample of African American married couples from the National Survey of American Life and explores the impact of mutual support, giving and receiving of practical and emotional support, on the marital satisfaction of husbands and wives. Results from the ordinal logistic regression analyses reveal that emotional support received from family and support given to friends are significantly related to husbands' marital satisfaction while emotional support received from family and negative interaction with family contributes to wives' marital satisfaction. Research and practice implications with African American married couples are discussed.
Language	English
Publishing date	2015-04-20
Publishing country	England
Document type	Journal Article
ZDB-ID	1194471-7
ISSN	1052-2158
ISSN	1052-2158
DOI	10.1080/10522158.2014.981909
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Zs.A 4005: Show issues

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Article ; Online: Centring the health of women across the HIV research continuum.

Barr, Elizabeth / Marshall, Leslie J / Collins, Lauren F / Godfrey, Catherine / St Vil, Noelle / Stockman, Jamila K / Davey, Dvora L Joseph / Dong, Krista / Temkin, Sarah M / Glenshaw, Mary T / Byrd, Corette / Clayton, Janine A / Goodenow, Maureen M

The lancet. HIV

2024 Volume 11, Issue 3, Page(s) e186–e194

Abstract: Despite tremendous advances in HIV research, women and gender diverse people-particularly women from racial and ethnic groups under-represented in research, transgender women, and young women-remain disproportionately affected by HIV. Women and gender ... ...

Abstract	Despite tremendous advances in HIV research, women and gender diverse people-particularly women from racial and ethnic groups under-represented in research, transgender women, and young women-remain disproportionately affected by HIV. Women and gender diverse people face unique challenges and have been under-represented in HIV research. The National Institutes of Health (NIH) is tasked to apply fundamental knowledge about the nature and behaviour of living systems to enhance health, lengthen life, and reduce disability. Rigorous exploration of-and interventions for-the individual, social, biological, structural, and environmental factors that influence HIV prevention, transmission, treatment, and cure is crucial to advance research for women, girls, and gender diverse people across the lifespan. In this Position Paper, we introduce a framework for an intersectional, equity-informed, data-driven approach to research on HIV and women and highlight selected issues for women and gender diverse people, including HIV prevention, HIV cure, ageing with HIV, substance use and misuse, violence, pregnancy, and breastfeeding or chestfeeding. This framework underlines a new HIV and Women Signature Programme from the NIH Office of AIDS Research and Office of Research on Women's Health that advances the NIH vision for women's health, in which all women receive evidence-based HIV prevention, treatment, and care across their lifespan tailored to their unique needs, circumstances, and goals. The time is now to centre the health of women, girls, and gender diverse people across the HIV research continuum.
MeSH term(s)	Humans ; Female ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Acquired Immunodeficiency Syndrome ; Women's Health ; Gender Identity ; Violence
Language	English
Publishing date	2024-02-28
Publishing country	Netherlands
Document type	Journal Article ; Review
ISSN	2352-3018
ISSN (online)	2352-3018
DOI	10.1016/S2352-3018(24)00004-3
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Article ; Online: Preference, knowledge and utilization of midwives, childbirth education classes and doulas among U.S. black and white women: implications for pregnancy and childbirth outcomes.

Sperlich, Mickey / Gabriel, Cynthia / St Vil, Noelle M

Social work in health care

2019 Volume 58, Issue 10, Page(s) 988–1001

Abstract: This secondary analysis explored preference, knowledge and utilization of midwifery care, childbirth education and doula care among 627 black and white women at three Midwestern U.S. health clinics. Women who were white, more educated, not living in a ... ...

Abstract	This secondary analysis explored preference, knowledge and utilization of midwifery care, childbirth education and doula care among 627 black and white women at three Midwestern U.S. health clinics. Women who were white, more educated, not living in a high crime neighborhood, and privately insured were more likely to attend childbirth classes. Sociodemographic factors that predicted having heard about doula care included being more educated and having a partner. None of the sociodemographic variables predicted midwifery care. Education about existing childbearing resources and availability of low-cost options should be expanded, particularly for black women and those with low resources.
MeSH term(s)	African Americans ; Delivery, Obstetric ; Doulas ; European Continental Ancestry Group ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Interviews as Topic ; Logistic Models ; Midwestern United States ; Midwifery ; Patient Preference ; Pregnancy ; Prenatal Education ; Qualitative Research ; United States
Language	English
Publishing date	2019-11-04
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	197616-3
ISSN	1541-034X ; 0098-1389
ISSN (online)	1541-034X
ISSN	0098-1389
DOI	10.1080/00981389.2019.1686679
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Zs.B 1772: Show issues

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Article ; Online: Health Care Provider Perspectives on Pre-exposure Prophylaxis: A Qualitative Study.

Przybyla, Sarahmona / LaValley, Susan / St Vil, Noelle

The Journal of the Association of Nurses in AIDS Care : JANAC

2019 Volume 30, Issue 6, Page(s) 630–638

Abstract: Although pre-exposure prophylaxis (PrEP) requires a prescription from a health care provider, we lack unanimity in guidelines for the identification of the ideal provider type to prescribe PrEP. The purpose of our study was to understand clinician ... ...

Abstract	Although pre-exposure prophylaxis (PrEP) requires a prescription from a health care provider, we lack unanimity in guidelines for the identification of the ideal provider type to prescribe PrEP. The purpose of our study was to understand clinician perspectives on provider categories to determine who is best suited to prescribe this medication to HIV-uninfected patients. We conducted 28 in-depth interviews between September 2017 and January 2018 with current prescribers of PrEP. Qualitative findings indicated that providers were split on recommended PrEP prescriber type. Five themes emerged that centered on the explicit identification of the issue of opportunity for providers to educate their patients on PrEP and offer this medication to at-risk populations. To effectively maximize presentation for care and subsequently amplify uptake of PrEP, growing the base of providers who offer PrEP to eligible patients can provide a meaningful public health impact on reducing HIV incidence.
MeSH term(s)	Adult ; Anti-HIV Agents/administration & dosage ; Anti-HIV Agents/therapeutic use ; Attitude of Health Personnel ; Female ; HIV Infections/drug therapy ; HIV Infections/prevention & control ; Health Knowledge, Attitudes, Practice ; Health Personnel/psychology ; Humans ; Interviews as Topic ; Male ; Middle Aged ; New York ; Practice Patterns, Physicians' ; Pre-Exposure Prophylaxis ; Primary Health Care ; Primary Prevention ; Qualitative Research ; Surveys and Questionnaires
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2019-04-17
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1159376-3
ISSN	1552-6917 ; 1055-3290
ISSN (online)	1552-6917
ISSN	1055-3290
DOI	10.1097/JNC.0000000000000073
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Zs.A 3748: Show issues

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Article ; Online: The Who and Why of Consensual Nonmonogamy Among African Americans.

St Vil, Noelle M / Leblanc, Natalie M / Giles, Kelly N

Archives of sexual behavior

2020 Volume 50, Issue 3, Page(s) 1143–1150

Abstract: Prevalence rates of consensual nonmonogamy (CNM) demonstrate little difference across race. Yet, not much is known about CNM among African Americans. Through an online survey study, we examined the correlates of CNM among African Americans as well as the ...

Abstract	Prevalence rates of consensual nonmonogamy (CNM) demonstrate little difference across race. Yet, not much is known about CNM among African Americans. Through an online survey study, we examined the correlates of CNM among African Americans as well as the reasons why they engage. A total of 1050 African Americans between the ages of 18-40 years participated in this study. Binomial logistic regression was utilized to determine the correlates of CNM. Sexual orientation was the only significant predictor of CNM. The following variables were nonsignificant predictors of CNM: age, gender, household income, religiosity, and education. Qualitative analysis revealed several reasons for CNM engagement: (1) belief that it is natural; (2) excitement; (3) not meant for each other; (4) scared of losing partner; (5) bisexuality; (6) does not want commitment; and (7) maintain honesty, trust, and integrity. This study adds to the sparse knowledge base of CNM among African Americans.
MeSH term(s)	Adolescent ; Adult ; African Americans ; Female ; Humans ; Male ; Sexual Partners/psychology ; Young Adult
Language	English
Publishing date	2020-11-25
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-020-01835-3
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Article ; Online: An Analysis of Sex Practices and Behaviors Among African Americans in Sexually Concurrent and Sexually Exclusive Relationships.

St Vil, Noelle M / Leblanc, Natalie / Bleasdale, Jacob / Wilson, Kennethea / Przybyla, Sarahmona

Journal of racial and ethnic health disparities

2021 Volume 9, Issue 5, Page(s) 1923–1931

Abstract: Historically, sexually concurrent relationships have been associated with increased risk for sexually transmitted infections (STIs), including HIV. Due to socio-structural factors, African Americans (AAs) have higher rates of STIs compared to other ... ...

Abstract	Historically, sexually concurrent relationships have been associated with increased risk for sexually transmitted infections (STIs), including HIV. Due to socio-structural factors, African Americans (AAs) have higher rates of STIs compared to other racial groups and are more likely to engage in sexually concurrent (SC) relationships. Current research has challenged the assumption that SC is the only risky relationship type, suggesting that both SC and sexually exclusive (SE) relationships are at equal risk of STI and HIV acquisition and that both relationship types should engage in safer sex practices. This study aimed to compare sex practices and behaviors among AA men and women in SC and SE relationships (N = 652). Results demonstrate differences in sexual practices and behaviors between SC and SE men and women. Overall, SC and SE women report condom use with male partners less frequently than SC and SE men. SC men were more likely to report substance use during sex compared to SC and SE women. Pre-exposure prophylaxis (PrEP) use did not differ across groups. SE men were less likely to report STI testing and diagnosis compared to SC women. Findings support the need to focus on culturally and gender-specific safer sex interventions among AAs.
MeSH term(s)	African Americans ; Female ; HIV Infections/prevention & control ; Humans ; Male ; Pre-Exposure Prophylaxis ; Sexual Behavior ; Sexually Transmitted Diseases/prevention & control
Language	English
Publishing date	2021-08-17
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-021-01130-4
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Article ; Online: Betrayal Trauma and Barriers to Forming New Intimate Relationships Among Survivors of Intimate Partner Violence.

St Vil, Noelle M / Carter, Takisha / Johnson, Susan

Journal of interpersonal violence

2018 Volume 36, Issue 7-8, Page(s) NP3495–NP3509

Abstract: Many survivors of intimate partner violence (IPV) experience betrayal trauma, which affects future intimate relationships. Yet many services extended to victims of IPV focus on keeping the victim safe, not helping survivors establish new healthy intimate ...

Abstract	Many survivors of intimate partner violence (IPV) experience betrayal trauma, which affects future intimate relationships. Yet many services extended to victims of IPV focus on keeping the victim safe, not helping survivors establish new healthy intimate relationships. Using betrayal trauma as a lens, this phenomenological study incorporates semistructured interviews to explore the various ways betrayal trauma manifests itself and acts as barriers to forming new healthy intimate relationships among survivors of IPV. Thematic analysis with nine survivors of IPV revealed four ways betrayal trauma manifests and acts as barriers to establishing new healthy intimate relationships: (a) vulnerability/fear, (b) relationship expectations, (c) shame/low self-esteem, and (d) communications issues. This article has implications for those working with survivors of IPV.
MeSH term(s)	Betrayal ; Humans ; Interpersonal Relations ; Intimate Partner Violence ; Sexual Partners ; Survivors
Language	English
Publishing date	2018-06-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/0886260518779596
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