Date of Conferral

2022

Degree

Ph.D.

School

Health Education and Promotion

Advisor

Cheri N. Langley

Abstract

The human immunodeficiency virus (HIV) risk that exists among women who have sex with women and men (WSWM) is influenced by behavioral factors related to condom use and penetrative sex with sex toys and body parts. Although women represent a large percentage in HIV diagnoses, research has lacked in determining the sexual behaviors that exist behind health-related risks of young women who have sex with women (WSW) and HIV. This study fills the gap in literature in HIV prevention and testing interventions for WSWM by representing Black young adult WSWM in behavioral research, identifying how their lived experiences in relationships may have influence on HIV risk. This was accomplished by using a phenomenological qualitative approach to explore the lived experiences of these women, examining the connection between their relationship dynamics and sexual practices, in relation to HIV risk. Data were collected via structured interviews with 25 Black young adult participants, ages 18 to 35, who live in the United States. Data were analyzed using an interpretative phenomenological analysis (IPA) to furnish detailed examinations of these lived experiences. The data revealed that WSWM may be at increased risk for HIV based off the sexual practices that exist within their behaviorally bisexual relationships. The results of this study highlight the perceived lack of provider and patient education currently existing in the healthcare system, the need for appropriate healthcare services for LGBTQ+ patients, and the need for healthcare resources within WSWM populations. These highlights help to inform future culturally competent LGBTQ+ trainings that will provide education to health care providers on delivering culturally competent services to all LGBGTQ+ populations.

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