{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T21:30:37Z","timestamp":1782163837817,"version":"3.54.5"},"reference-count":27,"publisher":"SAGE Publications","issue":"2_suppl1","license":[{"start":{"date-parts":[[2013,3,1]],"date-time":"2013-03-01T00:00:00Z","timestamp":1362096000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective.<\/jats:title>\n                    <jats:p>We assessed young African American women's understanding of \u201cdual protection\u201d (DP) (i.e., strategies that simultaneously protect against unintended pregnancies and sexually transmitted diseases [STDs]) and how relationship factors influence their use of DP methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>We conducted 10 focus groups with African American women ( n=51) aged 15\u201324 years in Atlanta, Georgia, to identify barriers to and facilitators of their DP use. Focus group participants also completed a brief self-administered questionnaire that assessed demographics and sexual behaviors. We analyzed focus group data by theme: relationships, planning for sex, pregnancy intentions, STD worries, the trade-off between pregnancy and STDs, attitudes toward condoms and contraceptives, and understanding of DP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>From the questionnaire, 51% of participants reported that an STD would be the \u201cworst thing that could happen,\u201d and 26% reported that being pregnant would be \u201cterrible.\u201d Focus group data suggested that most participants understood what DP was but thought it was not always feasible. Relationship factors (e.g., trust, intimacy, length of relationship, and centrality) affected pregnancy intentions, STD concerns, and use of DP. Social influences (e.g., parents) and pregnancy and STD history also affected attitudes about pregnancy, STDs, and relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>Although participants identified risks associated with sex, a complex web of social and relationship factors influenced the extent to which they engaged in protective behavior The extent to which relationship factors influence DP may reflect developmental tasks of adolescence and should be considered in any program promoting sexual health among young African American women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549131282s104","type":"journal-article","created":{"date-parts":[[2017,1,7]],"date-time":"2017-01-07T04:29:46Z","timestamp":1483763386000},"page":"33-42","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["In Their Own Words: Romantic Relationships and the Sexual Health of Young African American Women"],"prefix":"10.1177","volume":"128","author":[{"given":"Colleen Crittenden","family":"Murray","sequence":"first","affiliation":[{"name":"Emory University, Rollins School of Public Health, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendra","family":"Hatfield-Timajchy","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan Marie","family":"Kraft","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna R.","family":"Bergdall","sequence":"additional","affiliation":[{"name":"Oak Ridge Institute for Science and Education, Oak Ridge, TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Habel","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Kottke","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph J.","family":"Diclemente","sequence":"additional","affiliation":[{"name":"Emory University, Rollins School of Public Health, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,3,1]]},"reference":[{"key":"bibr1-00333549131282S104","volume-title":"Our voices, our lives, our futures: youth and sexually transmitted diseases","author":"Cates JR","year":"2004"},{"key":"bibr2-00333549131282S104","volume-title":"Sexually transmitted disease surveillance 2010","author":"Centers for Disease Control and Prevention (US)","year":"2011"},{"key":"bibr3-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2003.11.097"},{"key":"bibr4-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.157.4.381"},{"key":"bibr5-00333549131282S104","unstructured":"Kirby D. Laris BA, Rolleri L. Impact of sex and HIV education programs on sexual behaviors of youth in developing and developed countries. Family Health International youth research working paper no. 2 [cited 2012 Feb 29]. Available from: URL: http:\/\/www.fhi.org\/NR\/rdonlyres\/e4al5tcjjlldpzwcaxy7ou23nqowdd2xwiznkarhhnptxto4252pgco54yf4cw7j5acujorebfvpug\/sexedworkingpaperfinalenyt.pdf"},{"key":"bibr6-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.4135\/9781452233611.n31"},{"key":"bibr7-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2009.267"},{"key":"bibr8-00333549131282S104","doi-asserted-by":"crossref","unstructured":"O'Leary A. Are dual-method messages undermining STI\/HIV prevention? Infect Dis Obstet Gynecol 2011:691210. Epub 2011 Nov 15.","DOI":"10.1155\/2011\/691210"},{"key":"bibr9-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2007.01.012"},{"key":"bibr10-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2010.516335"},{"key":"bibr11-00333549131282S104","doi-asserted-by":"crossref","unstructured":"Mosher WD, Martinez GM, Chandra A, Abma JC, Willson SJ. Use of contraception and use of family planning services in the United States: 1982\u20132002. Adv Data 2004;(350):1-36.","DOI":"10.1037\/e609122007-001"},{"key":"bibr12-00333549131282S104","unstructured":"Abma JC, Martinez GM, Copen CE. Teenagers in the United States: sexual activity, contraceptive use, and childbearing, national survey of family growth 2006\u20132008. Vital Health Stat 23 2010 (30)."},{"key":"bibr13-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200203000-00007"},{"key":"bibr14-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(06)28262-4"},{"key":"bibr15-00333549131282S104","volume-title":"A public health approach for advancing sexual health in the United States: rationale and options for implementation. Meeting report of an external consultation","author":"Centers for Disease Control and Prevention (US)","year":"2010"},{"key":"bibr16-00333549131282S104","unstructured":"Department of Health and Human Services (US), Office of the Surgeon General. The Surgeon General's call to action to promote sexual health and responsible sexual behavior. Washington: HHS, Office of the Surgeon General; 2001. Also available from: URL: http:\/\/www.surgeongeneral.gov\/library\/calls\/sexualhealth\/call.pdf [cited 2012 Feb 29]."},{"key":"bibr17-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1093\/her\/17.1.43"},{"key":"bibr18-00333549131282S104","unstructured":"Runeborg A. Sexuality: a missing dimension in development. Stockholm: Swedish International Development Cooperation Agency; 2008. Also available from: URL: http:\/\/hivaidsclearing-house.unesco.org\/search\/format_long.php?lang=en&ret=topics.php&fiche=4608 [cited 2012 Feb 29]."},{"key":"bibr19-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1300\/J013v42n01_04"},{"key":"bibr20-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1080\/00224490009552022"},{"key":"bibr21-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-7795.2010.00661.x"},{"key":"bibr22-00333549131282S104","unstructured":"Kirby D. Emerging answers 2007: research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington: The National Campaign to Prevent Teen and Unplanned Pregnancy; 2007."},{"key":"bibr23-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.2307\/3030227"},{"key":"bibr24-00333549131282S104","unstructured":"Kusunoki Y, Upchurch D. Contraceptive method choice among youth in the United States: the importance of relationship context. Population Studies Center Research Report 08-655. Ann Arbor (MI): University of Michigan Institute for Social Research; 2008."},{"key":"bibr25-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.4135\/9781452233611.n3"},{"key":"bibr26-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.1177\/1090198108322821"},{"key":"bibr27-00333549131282S104","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.6.963"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549131282S104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549131282S104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:31:07Z","timestamp":1777627867000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00333549131282S104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3]]},"references-count":27,"journal-issue":{"issue":"2_suppl1","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1177\/00333549131282S104"],"URL":"https:\/\/doi.org\/10.1177\/00333549131282s104","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3]]}}}