Sex is a popular topic that we see discussed in TV shows, movies, podcasts, or just conversations with friends. What's usually highlighted is the excitement and intimacy that sex can bring, and what seems to be left out is the reality of STIs and STDs.
According to Sage Journal, more Black women are getting STIs than anyone else due to many contributing factors, "such as lack of access to healthcare and preventive measures, mistrust of the healthcare system, the stigma and lack of awareness of STIs, and gender inequality in intimate relationships."
"An article by Sage Journal examined data from 564 African American women who cited reasons such as the limited pool of eligible African American men, which led many to date men who were married, older, had sex with other men, had multiple sexual partners, and/or had been incarcerated, all of which increase the risk of STIs," Dr. Maxine Owusu tells xoNecole.
Dr. Owusu is a board-certified emergency physician, healthcare advocate, and children's book author, and in our Q&A, she dishes on the racial disparities in healthcare, safe sex, and more.
Dr. Maxine Owusu
xoNecole: You are a healthcare advocate. Why is it important for you to give back to the community and what are some ways you do that?
Dr. Maxine Owusu: I understand the significance of being an advocate for each patient, especially as one of the first doctors they encounter upon entering the hospital. I take the time to listen to my patients, educate them on their conditions, and offer resources, with the help of our social worker, to help them navigate the healthcare system and its pitfalls. I give back to the community by participating in health fairs and panels with my local church, Manifest Church, in Jonesboro, GA.
Additionally, I engage with students interested in medicine through mentorship and talks that highlight the need for diversity in healthcare. I also educate children about anatomy using my STEM KIDDOS sensory anatomy toys and children's book as a tool to capture their interest and pursue medicine. My impact extends globally through my involvement in medical missions in Ghana and the Dominican Republic.
xoN: You are also passionate about Black women's health and speak out about STDs. What do people get wrong about STDs?
Dr. Owusu: Most people think you can only get an STI (sexually transmitted infection) when you're symptomatic or only through vaginal intercourse. In many cases, both men/women (especially men) might not have symptoms or have mild symptoms, thus delaying evaluation appropriate/treatment while increasing the risk of transmission. You can also get an STI with just one through oral & anal sex. Many people also don't know that repeated STIs can lead to infertility in women.
Most people think you can only get an STI (sexually transmitted infection) when you're symptomatic or only through vaginal intercourse. In many cases, both men/women (especially men) might not have symptoms or have mild symptoms, thus delaying evaluation appropriate/treatment while increasing the risk of transmission. You can also get an STI with just one through oral & anal sex. Many people also don't know that repeated STIs can lead to infertility in women.
xoN: From my experience as a single woman who dates men, safe sex isn't something that some men make a priority. Do you see a decline in safe sex? If so, why?
Dr. Owusu: According to a study by the Guttmacher Institute, condom use among adolescent males has decreased significantly as the use of birth control has increased. With the increased use of birth control, many people falsely feel secure and forget that they aren't being protected against sexually transmitted infections. Some reasons for the lack of safe sex practices include forgetting due to the spontaneity of sex, not wanting to spoil the moment, women being forced into high-risk sexual behaviors, and male partners not wanting to use a barrier as an excuse for it not being pleasurable.
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xoN: How can we change the conversation about safe sex so that more people take it seriously?
Dr. Owusu: We need to have these conversations in a non-judgmental fashion where people feel empowered to make the best choices for their sexual health and future. Educating our community with free health talks and fairs in schools, campuses, community centers, and churches would be instrumental in bringing positive change. I believe targeted social media campaigns on the benefits of safe sex practices, along with sharing statistics and facts on STIs and collaborating with organizations and leaders to spearhead such conversations, would help eliminate the stigma of having an STI and encourage more open discussions.
xoN: What are some preventative measures Black women can take besides using a condom?
Dr. Owusu: Besides using a condom to prevent STIs, other practices to lower risks include being abstinent, using internal/female condoms, dental dams, getting vaccinated against HPV, advocating for a healthy monogamous partnership with open communication, and getting tested regularly.
For more information about Dr. Owusu, visit her website drmaxo.com.
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