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Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model.
- Source :
-
Archives of Sexual Behavior . Aug2020, Vol. 49 Issue 6, p1939-1964. 26p. 1 Diagram, 2 Charts. - Publication Year :
- 2020
-
Abstract
- Heterosexual African American youth face substantial disparities in sexual health consequences such as HIV and STI. Based on the social ecological framework, the current paper provides a comprehensive, narrative review of the past 14 years of literature examining HIV/STI risk, including risky sexual behavior, among heterosexual African American youth and a conceptual model of risk among this population. The review found that individual psychological and biological factors are insufficient to explain the sexual health disparities faced by this group; instead, structural disadvantage, interpersonal risk, and community dysfunction contribute to the disparity in HIV/STI outcomes directly and indirectly through individual psychological factors. The conceptual model presented suggests that for African American youth, (1) HIV/STI risk commonly begins at the structural level and trickles down to the community, social, and individual levels, (2) risk works in a positive feedback system such that downstream effects compound the influence of structural risks, and (3) contextual and individual risk factors must be considered within the advanced stage of the epidemic facing this population. Despite advanced HIV and STI epidemics among heterosexual African American youth, multisystemic interventions that target structural risk factors and their downstream effects are posited to reduce the disparity among this high-risk population. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIV infection risk factors
*SEXUALLY transmitted disease risk factors
*AFRICAN American youth
*YOUTHS' sexual behavior
*SEXUAL health
*HIV infection epidemiology
*EPIDEMIOLOGY of sexually transmitted diseases
*HETEROSEXUALITY
*SYSTEMATIC reviews
*SOCIAL context
*RESEARCH funding
*HEALTH equity
*AFRICAN Americans
Subjects
Details
- Language :
- English
- ISSN :
- 00040002
- Volume :
- 49
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Archives of Sexual Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 144236982
- Full Text :
- https://doi.org/10.1007/s10508-019-01609-6