Black girls and women are disproportionately impacted by sexual health disparities, including an increased risk of HIV and sexually transmitted infections (STI). Early sexual development among Black females heightens their risk of HIV/STI. Utilizing the Becoming a Sexual Black Woman (SBW) framework, this study sought to understand how early sexual development and stereotype messages may underpin HIV/STI risk, building on and furthering the discussion of the consequences of the SBW schema. To better understand this phenomenon, we conducted a secondary thematic data analysis from two previously completed grounded theory studies with Black girls and women ranging in age from 11 to 62 (N = 40). Findings revealed that Black women have been socialized to be strong and independent and yet are highly vulnerable to HIV/STI. This clash between Black girl's and women's ideals of strength and heightened vulnerability to HIV/STI presents a paradox that may help explain disparities in HIV/STI risk. Four themes emerged among both Black girls and women: complex construction of the SBW schema, burden and consequences of strength, pressure to be strong, and being strong and sexual. Findings also highlight how becoming both a strong and sexual Black woman occurs over the life course and is inherent to Black female sexual development. We discuss the implications of these findings for parents, healthcare providers, educators, and researchers with the aim to improve sexual health outcomes for Black females across the life course.

黑人女孩和妇女受到性健康差异的影响尤为严重，包括艾滋病毒和性传播感染 (STI) 的风险增加。黑人女性性发育过早会增加感染艾滋病毒/性传播感染的风险。本研究利用成为性黑人女性 (SBW) 框架，试图了解早期性发育和刻板印象信息如何支撑 HIV/STI 风险，建立并进一步讨论 SBW 模式的后果。为了更好地理解这一现象，我们对之前完成的两项扎根理论研究进行了二次主题数据分析，研究对象为年龄在 11 岁至 62 岁之间的黑人女孩和妇女 ( N = 40）。调查结果显示，黑人女性在社会中已经被要求坚强和独立，但她们却极易感染艾滋病毒/性传播感染。黑人女孩和妇女的力量理想与艾滋病毒/性传播感染的高度脆弱性之间的冲突呈现出一个悖论，可能有助于解释艾滋病毒/性传播感染风险的差异。黑人女孩和妇女中出现了四个主题：SBW 模式的复杂构建、力量的负担和后果、坚强的压力以及坚强和性。研究结果还强调了如何在生命历程中成为一名坚强而性感的黑人女性，并且是黑人女性性发育所固有的。我们讨论这些发现对父母、医疗保健提供者、教育工作者和研究人员的影响，旨在改善黑人女性一生中的性健康结果。