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Gendered Powerlessness in at-risk adolescent and young adult women: An examination of condom use behavior Danielle Chiaramonte, MA Michigan State University,

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Presentation on theme: "Gendered Powerlessness in at-risk adolescent and young adult women: An examination of condom use behavior Danielle Chiaramonte, MA Michigan State University,"— Presentation transcript:

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2 Gendered Powerlessness in at-risk adolescent and young adult women: An examination of condom use behavior Danielle Chiaramonte, MA Michigan State University, USA Robin Lin Miller, PhD, Kyung-Sook Lee, PhD, Cherrie B. Boyer, PhD, Trevor Strzyzykowski, Ignacio Acevedo-Polakovich, PhD, Jonathan M. Ellen, MD & the Adolescent Medicine Trials Network for HIV/AIDS Interventions

3 HIV infections occurs among youth (12-24)
HIV among US Youth 1 in 4 HIV infections occurs among youth (12-24) 60% Don’t know they are HIV infected

4 HIV among US Youth Source: CDC, 2018

5 Theory of Gender and Power
Sexual Division of Labor Sexual Division of Power Cathexis

6 Model gendered powerlessness in young women
Current Study 1 Model gendered powerlessness in young women Explore association between gendered powerlessness and condom use 2

7 Methods Procedures Participants
Adolescent Medicine Trials Network for HIV/AIDS Interventions 14 US cities Venue-based sampling Procedures High-risk youth of color Ages 12-24 Over 2,000 youth Participants

8 Analysis Step 1 Step 2 Step 3 Step 4 EFA – Calibration Sample
SEM – Female Sample Step 3 Sensitivity Analysis – Male Sample Step 2 CFA – Validation Sample Step 1 EFA – Calibration Sample

9 Results Step 1 EFA – Calibration Sample (n=551) 23 indicators
Sexual Division of Labor Sexual Division of Power Cathexis 23 indicators 3-factor solution Good model fit

10 Results Step 2 CFA – Validation Sample (n=550) 22 indictors
Sexual Division of Labor Sexual Division of Power Cathexis 22 indictors 3-factor solution Excellent model fit

11 Results Step 3 Sensitivity Analysis – (n=906 males) Poor model fit
Sexual Division of Labor Sexual Division of Power Cathexis Poor model fit

12 Results Step 4 SEM – Full Female Sample Condom Use
Sexual Division of Labor Sexual Division of Power Cathexis Condom Use

13 Results Step 4 SEM – Full Female Sample Condom Use NS
Sexual Division of Labor Sexual Division of Power Cathexis NS Condom Use

14 Discussion 1 Empirically established gendered powerlessness model for young women 2 Confirmed gendered nature of HIV risk 3 Increased powerlessness predicted decreased condom use

15 Implications and Future Directions
Research Implications Specific needs of young women IPV x HIV risk Transgender and gender non-conforming youth Practice Implications Need youth-informed programming for girls Need structural change

16 Danielle Chiaramonte chiaram1@msu.edu
Thank you! Danielle Chiaramonte

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