Listening to the sound of silence: Gender roles and communication about sex in Puerto Rico

Puerto Rican women are at high risk for the heterosexual transmission of HIV. I examined social and interpersonal aspects of communication about sex in regard to safer sex practices within a specific cultural context. Participants in this study were 42 heterosexual Puerto Rican adults living in Puerto Rico, who ranged in age from 18 to 56 years. Participants were interviewed regarding their sexual communication, sexual practices, and their perceptions regarding the roles of culture and gender in the practice of safer sex. Inductive qualitative analysis showed that three factors limit meaningful communication about sex in Puerto Rico: (1) machismo, (2) the changing role of virginity, and (3) the silencing of both men and women. Implications for theory-based inventions informed by an interpersonal communication perspective are discussed.