Abstract
Sexual communication for expressing sexual desires and gathering HIV risk information were examined as interpersonal constructs related to HIV risk reduction. Community women (n = 816) with at least one heterosexual HIV risk factor (79% Euro-American, 86% some college) completed surveys assessing assertive communication with a sexual partner, HIV risk, and demographic, sexual history, interpersonal negative, and cognitive/attitudinal constructs which formed a hierarchical predictor model. In relationship context comparisons, women with a known partner HIV risk responded more negatively on most measures. Multiple regressions suggested communication is part of an overall cognitive/attitudinal approach to HIV risk, although specific predictors differ by type of communication and partner risk level. Implications for interventions considering relational context, interpersonal power, and counteracting silence are discussed.
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