Sexual Health Interventions for Black Women in the United States: A Systematic Review of
Literature
By: Samuella Ware, Shemeka Thorpe, and Amanda E. Tanner
Ware S, Thorpe S, & Tanner AE. (2019). Sexual Health Interventions for Black Women in the
United States: A Systematic Review of Literature. International Journal of Sexual Health, 31(2),
196-215. https://doi.org/10.1080/19317611.2019.1613278
This is an Accepted Manuscript of an article published by Taylor & Francis in
International Journal of Sexual Health on 24 May 2019, available online:
http://www.tandfonline.com/10.1080/19317611.2019.1613278.
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Abstract:
Objective: The purpose of this systematic review was to identify and evaluate approaches used in
sexual health interventions targeting Black women in the United States. Methods: We conducted
a review of 15 sexual health intervention studies for Black women published between January
2000 and May 2017 in the United States. Results: Each intervention focused on HIV/sexually
transmitted infection prevention, incorporated an asset and deficit-based approach, primarily
used individual-level assets, and was effective in achieving the stated sexual health-related
outcomes. Conclusions: Comprehensive sexual health interventions require further development
and refinement to include more community and institutional-level assets to improve long-term
sustainable change and empower Black women.
Keywords: Sexual health | intervention | Black women | assets
Article:
Introduction
Sexual stereotypes and HIV risk in the United States
Black women have been stereotyped as promiscuous, “Jezebels,” and sexual delinquents (Hicks,
2009). The view that Black women’s sexuality is problematic and they are promiscuous has been
presented by many great philosophers and thinkers (Smedley & Smedley, 2005; West, 2002).
Since slavery, Black women’s sexuality has been policed by Western standards of sexual
behaviors and limited in the ways it could be expressed with the autonomy of their bodies in
others’ control (Staples, 2006). Even religion, an important staple within the Black community,
placed restrictions on women’s sexual expression, labeling it as “sinful” (Staples, 2006). Lorde
supported this by stating that “sexual hostility against Black women is practiced not only by