Heterosexual anal intercourse is associated with increased risk for HIV and other sexually transmitted infections. Research on the social and psychological risk factors associated with heterosexual unprotected anal intercourse among Hispanic women in the USA is limited. We examined demographic, mental health, relationship power, sexual self-efficacy, self-esteem, acculturation and HIV knowledge as correlates of unprotected anal intercourse among HIV-negative Hispanic women, 18 to 59 years of age, residing in one urban county in southern Florida. Interventions aimed at reducing heterosexual unprotected anal intercourse risk for HIV infection among Hispanic women may benefit by addressing socioeconomic and interpersonal issues, and assessing HIV knowledge and comprehension. Although unprotected penile-anal intercourse presents the greatest sexual risk for sexually transmitted infections, including HIV infection, less attention has been given to identifying determinants of this high-risk behaviour among heterosexual women than among men who have sex with men and among transgendered persons. Factors that influence sexual risk behaviour among adult women in the USA, such as relationship power and sexual self-efficacy, are well represented in the literature; however, these and other social and psychological risk factors associated specifically with unprotected anal intercourse remain understudied.
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