Let’s Talk About Sex: Five Reasons Why the African American Community Should Talk About Sex

Hi Ladies,

We are starting minority health and health equity month off by discussing a topic that I feel is least talked about in the African American Community. Today we are going to discuss sexual health. I grew up in Tennessee. Tennessee is a part of the “Bible Belt”. For those who don’t know what the Bible Belt is, let me give you a quick geography and cultural lesson. The Bible belt consists of ten southern states that have socially conservative views. The views and beliefs of most people who live in these states are guided by the Bible. One of the first lessons you learn as a young lady in the south, is not to have sex until marriage because it is pleasing to God. For me (and most of my friends), that was the sex talk - nothing more or nothing less. The sex talk that I received did not equip me with the knowledge or the courage to control my own sex life. I am now the mother of two girls, and I struggle with when to start teaching my daughter about sex and what to say. Now, I will be the first to admit, that I am no expert in sex; however, as a Nurse Practitioner I am aware of the devastation not talking about sex can have. I fear not talking about sex, has predisposed the African American Community to a higher occurrence of HIV; sexually transmitted diseases; and sexual trauma.

Below I have listed five reasons why the African American Community should talk about sex: HIV: According to the CDC, African Americans made up 42% of the new HIV diagnosis in 2019 (Centers for Disease Control and Prevention, 2022). Yes, you read that right African Americans make up nearly half of the new HIV cases. African Americans are also less likely to have viral suppression, therefore, leading to a higher probability of transmission. Viral suppression is achieved by taking HIV medications as soon as possible after diagnosis and maintaining treatment. HIV testing and medications can be provided through community and government programs. It is important to know your partners and your status. HIV can be transmitted through vaginal sex, anal sex, and sharing needles.

Sexually Transmitted Diseases: The CDC reported that African American women are about six times more likely to have Gonorrhea and Chlamydia; Congenital Syphilis was six times more likely to occur than whites per live birth (Centers for Disease Control and Prevention [CDC], 2021). These numbers are alarming and should be discussed in the African American Community. Often women do not show symptoms or symptoms can be mistaken for other diseases. Untreated sexual infections can affect fertility. Many STDs can be treated if identified early. If you are sexually active, it is recommended that you be tested at least once a year (if you have multiple partners every three to six months).

Sexual Assault: African Americans have the highest sexual assault rates. In the African American Community, it is not uncommon for sexual assault to not be reported. When sexual assault is reported, it can be dismissed, or the victim can be made to believe that they somehow are responsible for the abuse. If you are a victim of sexual abuse, I encourage you to report the abuse and seek medical treatment immediately. It is important to discuss inappropriate verbal, physical, and visual harassment with other women, men, and children. It is important to create a safe space for open communication in our community.

Sexual Protection: Condoms traditionally have been thought of as protection for pregnancy only. Growing up, pregnancy was the greatest fear most adults warned about if you were sexually active. Condoms are the best way (other than abstinence); to decrease the transmission of HIV and other sexually transmitted diseases. If you are sexually active, discuss with your partner your desire to use protection and take control of your health by having condoms readily available. Be prepared to put your health first (not all partners will willingly want to wear condoms). Safe sex is the best sex.

Sexual Knowledge: Knowledge is power. Sex is all around us. It is on every television show and in most songs; we listen to on the radio. Sex is unavoidable. Knowing that our thoughts and our children’s thoughts on sex can be influenced by what is seen and heard, we must be transparent and intentional in educating ourselves and others we love about sex. It is important to know your sexual health status. Learn the signs and symptoms of sexually transmitted diseases. I may not be able to change the culture of how sex is viewed in the African American Community. My hope is to start the conversation. African American Women are suffering in silence and are unaware of their sexual status and the status of their partner. We must talk about it. Not talking is leading to poor health outcomes for the African American Community. Remember to always make wellness your best accessory!

Your Sister in Wellness,

Lauren References:

Centers for Disease Control and Prevention. (2021, December 14). African Americans/blacks. https://www.cdc.gov/nchhstp/healthdisparities/africanamericans.html Centers for Disease Control and Prevention. (2022). HIV and African American people [PDF]. https://www.cdc.gov/hiv/pdf/group/racialethnic/africanamericans/cdc-hiv-africanamericans.pdf