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Journal of Aging and Health
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Self-Silencing and Age as Risk Factors for Sexually Acquired HIV in Midlife and Older Women

Robin J. Jacobs

Nova Southeastern University, rjacobs{at}nova.edu

Barbara Thomlison

Florida International University

Objectives: This study explores the contribution of psychosocial factors on sex behaviors of midlife and older women. Methods: A community-based sample of ethnically diverse women (N = 572) between the ages of 50 and 93 completed standardized measures of self-silencing, self-esteem, sensation-seeking behavior, HIV-related stigma behavior, sexual assertiveness, and safer sex behaviors. Results : Results from the regression analysis indicated the model significantly predicted safer sex behaviors (p < .001), with self-silencing (β = —.115, p < .05) and age (β = .173, p < .001) as significant predictors. Bivariate correlation analysis indicated an inverse correlation between HIV stigma (p < .05) and safer sex behaviors. Discussion: Implications for further study and practice are discussed to include considerations for development of age- and gender-appropriate prevention interventions assisting women with interpersonal processes combined with skills for active involvement in addressing high-risk sex behaviors.

Key Words: self-silencing • HIV stigma • age • older women • HIV risk factors • safer sex behaviors

Journal of Aging and Health, Vol. 21, No. 1, 102-128 (2009)
DOI: 10.1177/0898264308328646
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