AIDS and Behavior Vol. 15; No. 7: P. 1359-1371 (10..11) -
Project PHRESH.comm is a mixed-method, ethnographic study
incorporating data from focus group discussions, semi-
structured interviews, coital diaries, systematic cultural
assessments, and a structured survey designed to explore
concepts of risk and condom use decision-making among at-risk
African Americans and Puerto Ricans ages 18-25 in Hartford,
Conn. Common strategies employed by US youths to prevent
HIV/STI transmission include abstinence, monogamy, and safer
sex; however, these require a high level of vigilance and
responsibility and, the researchers reported, "according to
inner-city participants in Project PHRESH.comm, neither option
is always desirable, available or rational in the context of
their lived experiences."
In the current study, many of the young adults reported
relying on a strategy of using clinic-sponsored STI/AIDS
screening when wanting to discontinue condom use with a
partner. Though the data suggest that screening is commonly
used by couples seeking to move to sex without a condom, it
also showed that most youths do not maintain monogamy even in
long-term, serious relationships.
"Thus, sharing test results may provide a false sense of
security in the sexual culture of inner-city, minority youth,"
the research team concluded.