Black Women Are Getting More STIs Than Any Race, Here's What You Should Know

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.

Justin Lambert/ Getty Images
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.
Let’s make things inbox official! Sign up for the xoNecole newsletter for daily love, wellness, career, and exclusive content delivered straight to your inbox.
Feature image by Maskot/ Getty Images
The Real Reason You Overthink And Crave Reassurance In Love
Over 40 million Americans have an anxiety disorder. However, what if I told you that everyone on the planet experiences situational anxiety - feelings of anxiousness when exposed to certain situations - and this isn't a diagnosis but rather a part of everyday life?
Given the prevalence of anxiety, it's quite possible that symptoms of anxiety will arise not just during the dating phase but even in the relationship phase, and it’s nothing to be ashamed of because it’s simply an effect of being human. Although it's normal to feel anxious, it's important to remember that leaving anxiety untreated can have detrimental side effects that impact our daily lives.
Relationship Anxiety: Signs And How To Overcome It
Anxiety is a common issue many people face, which can significantly impact romantic relationships. Here are several ways that anxiety can show up in romantic relationships and what you can do about them:
Relationship Anxiety Signs #1: Overthinking
The anxious brain can feel difficult to manage. People with anxiety tend to overthink situations, causing them to become anxious and worried about things that may not be a big deal. This can lead to arguments and misunderstandings in a relationship, as the anxious partner may worry about things that the other partner does not find concerning. Challenging irrational thoughts and having conversations about those that feel rational is important. Often, the quick fix to feeling anxious in a relationship is communication.
Relationship Anxiety Signs #2: Need for Reassurance
Individuals with anxiety may need constant reassurance from their partner, which can be draining for the other partner. It is important for the anxious partner to work on building their own self-confidence and trust in their partner.
Relationship Anxiety Signs #3: Fear of Abandonment
Anxious attachment, much? People with anxiety may have a fear of abandonment, causing them to become clingy or too dependent on their partner. This can be difficult for the other partner, who may feel smothered or unable to have their own space. It is important for the anxious partner to learn how to manage their fear of abandonment and trust in their partner's commitment to the relationship.
Going to therapy is often the first step to healing your abandonment wound because it’s much deeper than your partner’s actions, and if you don’t get to the root of the problem, you will continue to watch the problem grow.
Relationship Anxiety Signs #4: Avoidance
Individuals with anxiety may avoid situations or conversations that make them feel anxious or uncomfortable, leading to a lack of communication and intimacy in the relationship. If you want to build a safe and secure relationship, you have to be an active participant in your relationship. Do things like couple experiences or card games to enhance emotional intimacy and build a safe relationship you don’t want to run away from.
Relationship Anxiety Signs #5: Control
Anxiety can lead to a need for control, manifesting in a relationship as controlling behavior. This behavior can come from jealousy and other issues, and it can become destructive and damaging to both partners. It is important for the anxious partner to manage their anxiety and develop healthier coping mechanisms. Remember, being in a relationship does not mean you own your partner. Control is a personal issue that your partner cannot fix for you.
Trying to rob them of their autonomy will cause friction and lead to relationship dissatisfaction based on your inability to be a secure partner. Get the help you need by working through your fear of letting go and discerning where your controlling behavior stems from.
Relationship Anxiety Signs #6: Perfectionism
People with anxiety may have a tendency towards perfectionism, leading to unrealistic expectations and pressure in the relationship. It is important for the anxious partner to learn how to manage their anxiety and develop a more realistic and compassionate view of themselves and their partner.
Anxiety can have a significant impact on romantic relationships. It is important for both partners to work together to manage anxiety, develop healthy coping mechanisms, communicate effectively, and trust each other. However, it is also important to do the inner work, as anxiety can be an internal issue that your partner cannot fix for you.
If you want to build a healthy relationship, you must contribute to it by engaging in healthy behaviors.
Let’s make things inbox official! Sign up for the xoNecole newsletter for love, wellness, career, and exclusive content delivered straight to your inbox.
Featured image by Shutterstock
Originally published on July 14, 2023
- 7 Tips For Anxious Attachment Styles That'll Help You Love More Securely ›
- What Your Attachment Style Says About Your Love Life ›
- What Exactly Is 'Relational Anxious Attachment Style'? ›
- True Life: Dating The Wrong Men Triggered My Anxiety & Depression ›
In The Dominican Republic, I Found Paradise, Presence & Permission To Pause
As I grow deeper into my mindfulness practice, I’m constantly reminded of how essential it is to be present. Our society is filled with so many distractions that we often don’t give our full attention to the things and people that matter most.
That’s why I was eager to learn more about Hyatt’s Inclusive Collection’s “Time Here Is Worth More” campaign. The campaign was designed to create meaningful moments for individuals who crave quality time with loved ones, relaxation, and much more. In other words, it allows you to be present with yourself and others.
I was elated at the opportunity to experience this firsthand at their newest all-inclusive resort, Secrets Playa Esmeralda in Miches, Dominican Republic. It was there that I realized that everything I’ve learned so far on my mindfulness journey had been worth it.
From listening to world-renowned mindfulness expert and author Deepak Chopra, M.D., speak to swinging on top of a mountain. I was able to tap back into who I am and relish in the person I’m becoming. Here are a few takeaways from my three-day trip.

London on the balcony of her suite at Secrets Playa Esmeralda, Miches, DR
Courtesy
Luxury Is My Birthright
There’s nothing like living in the lap of luxury and Secrets Playa Esmeralda provided that and more. Once I arrived at the sprawling resort, I was greeted with champagne. Then I was whisked away to my deluxe suite and it was more than I expected. It was spacious, yet comfortable. It sat right on the beach giving me unobstructed views of the white sand and crystal blue waters.
I could hear the ocean waves in my room, which was really nice during bedtime. I had a butler who assisted me with whatever I needed and I took advantage of the turn down service every night. I spent time in the pool, on the beach, and at the spa. It was magical.

Yoga at Secrets Playa Esmeralda, Miches, DR
Courtesy
Digital Distractions Are Real
Every evening, our group met for dinner with the option to put our phones away. This was in line with the theme of being present and while I didn’t mind giving my phone away, it was odd not having it with me. I know I’m not alone in saying I use my phone a lot. Whether to look something up, to take photos, or to mindlessly scroll in between conversations.
However, it wasn’t until my wrist started buzzing that I realized I was wearing my Apple Watch. Further proving how much we rely on electronics and need a break from it. While my Apple Watch is also considered a digital distraction, I wasn’t as tempted to check it as I would my phone.

London visiting Montaña Redonda in Miches, DR
Courtesy
Being Present Is A Must
It was an honor to sit across from Dr. Chopra, the man who teaches on the very things I’ve been learning about these past few years. His presence was magnetic and I was excited to hear him speak live for the first time.
He joined Hyatt’s Wellbeing Collective Advisory Board and created an exclusive AI, DeepakChopra.ai for the resort. Before our intimate conversation with the author of The Seven Spiritual Laws Of Success, he led us into meditation.
From there, he dropped a lot of gems, particularly as it relates to being present. “Presence is divine,” he told us. He also shared some advice on how to stay present. “Periodically, ask yourself, ‘Am I here?’ When you ask yourself, you will be present,” he said.
I often go on exciting trips, but what made this one special was the emphasis on being present. Thanks to the constant reminder, I was able to really sit back, relax, and soak in the picturesque resort. Not to mention, I also got to explore other parts of the island like a Cacao farm and Montaña Redonda, a mountain with jaw-dropping views.
This trip came at a crucial time in my life where I was trying to figure out what to do next in my career and it allowed me to sit still and embrace the unknown.
Let’s make things inbox official! Sign up for the xoNecole newsletter for love, wellness, career, and exclusive content delivered straight to your inbox.
Feature image courtesy









