Abstract
Black women who have sex with women and men (BWSWM) are at risk for unplanned pregnancies, human immunodeficiency virus (HIV), and other sexually transmitted infections (STIs). However, there is a paucity of studies assessing psychosocial factors related to sexual risk in this population. This study investigated the relationship among condom use; contraceptive self-efficacy; lesbian, gay, and bisexual (LGB) identity; sexuality-religious conflict; parent support for participants’ attraction to women; and LGB community support within a sample of 162 participants who responded to an online survey. Participants were cisgender women (n = 152) and genderqueer or gender-nonbinary participants who were assigned female at birth (n = 10) aged 18 to 35. Hierarchical linear regression analyses indicated that LGB identity, low sexuality-religious conflict, and greater parent support predicted contraceptive self-efficacy and, in turn, greater contraceptive self-efficacy mediated the relationship between these factors and increased condom use. Implications for work with this population in research and clinical contexts are considered.
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