qhr.sagepub.com Article The Centers for Disease Control and Prevention (CDC)

out of 32 African American women will be diagnosed with human immunodeficiency virus (HIV), rates much higher than those for White or Latino/Hispanic Americans (CDC, 2013). The male condom remains the most effec-tive means of preventing sexual transmission of HIV, but requires agreement between two people to ensure its use. Increasing effective safer sex communication is crucial to reducing risky sexual behavior, because difficulties in condom negotiation have been cited as a barrier to con-dom use in multiple populations (Boer & Mashamba