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Low prospects and high risk: structural determinants of health associated with sexual risk among young African American women residing in resource-poor communities in the south.
- Source :
-
American journal of community psychology [Am J Community Psychol] 2014 Dec; Vol. 54 (3-4), pp. 243-50. - Publication Year :
- 2014
-
Abstract
- African American women at increased risk of HIV/sexually transmitted infection (STI) may engage in risky sex as a coping mechanism for depressed economic conditions. This study examines the association between high-risk sexual behavior and structural determinants of sexual health among a sample of young African American women. 237 young African American women (16-19 years old) from economically disadvantaged neighborhoods in North Carolina were enrolled into a randomized trial testing the efficacy of an adapted HIV/STI prevention intervention. Logistic regression analyses predicted the likelihood that young women reporting lack of food at home, homelessness and low future prospects would also report sexual risk behaviors. Young women reporting a lack of food at home (22 %), homelessness (27 %), and low perceived education/employment prospects (19 %) had between 2.2 and 4.7 times the odds as those not reporting these risk factors of reporting multiple sex partners, risky sex partners including older men and partners involved in gangs, substance use prior to sex, and exchange sex. Self-reported structural determinants of sexual health were associated with myriad sexual risk behaviors. Diminished economic conditions among these young women may lead to sexual risk due to hopelessness, the need for survival or other factors.
- Subjects :
- Adolescent
Educational Status
Employment statistics & numerical data
Female
Humans
Logistic Models
North Carolina epidemiology
Sexual Partners
Sexually Transmitted Diseases prevention & control
Substance-Related Disorders epidemiology
Young Adult
Black or African American statistics & numerical data
Food Supply statistics & numerical data
Ill-Housed Persons statistics & numerical data
Poverty Areas
Risk-Taking
Social Determinants of Health statistics & numerical data
Unsafe Sex statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1573-2770
- Volume :
- 54
- Issue :
- 3-4
- Database :
- MEDLINE
- Journal :
- American journal of community psychology
- Publication Type :
- Academic Journal
- Accession number :
- 25134798
- Full Text :
- https://doi.org/10.1007/s10464-014-9668-9