Relationship dynamics play an important role in young women's ability to protect themselves from HIV and other sexually transmitted infections STIs and can often impede their ability to negotiate for safe sex. Furthermore, we describe several common sexual gender norms that decrease young women's sexual relationships power SRP and foster a social climate supportive of condom coercion. This study drawns attention to the concern that conventional descriptions of physical, sexual, and psychological violence do not fully recognize the prevalence of coercion in the lives of young urban women. Policies and prevention programs are needed to address this issue, especially among the poor urban women most affected by these epidemics. In the United States, adolescents and young women, particularly those of racial and ethnic minority groups, are disproportionately affected by STIs, including gonorrhea, chlamydia, human papillomavirus HPV , and herpes simplex virus HSV, or genital herpes Centers for Disease Control and Prevention, a. Consequently, relationship dynamics including intimate partner violence IPV can influence young women's ability to enact safer sex practices.
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The majority of research on risky sexual behavior in African American women has examined global associations between individual-level predictors and behavior. However, this method obscures the potentially significant impact of the specific relationship or relationship partner on risky sexual behavior. To address this gap, we conducted partnership-level analysis of risky sexual behavior among African-American women recruited from HIV counseling, testing, and referral sites in four states.