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Creating Youth-Supportive Communities: Outcomes from the Connect-to-Protect® (C2P) Structural Change Approach to Youth HIV Prevention
- Source :
- Journal of Youth and Adolescence. 45:301-315
- Publication Year :
- 2015
- Publisher :
- Springer Science and Business Media LLC, 2015.
-
Abstract
- Reducing HIV incidence among adolescents represents an urgent global priority. Structural change approaches to HIV prevention may reduce youth risk by addressing the economic, social, cultural, and political factors that elevate it. We assessed whether achievement of structural changes made by eight Connect-to-Protect (C2P) coalitions were associated with improvements in youth’s views of their community over the first 4 years of coalitions’ mobilization. We recruited annual cross-sectional samples of targeted youth from each C2P community. We sampled youth in neighborhood venues. We interviewed a total of 2461 youth over 4 years. Males (66 %) and youth of color comprised the majority (52 % Hispanic/Latinos; 41 % African Americans) of those interviewed. By year 4, youth reported greater satisfaction with their community as a youth-supportive setting. They reported their needs were better met by available community resources compared with year 1. However, these findings were moderated by risk population such that those from communities where C2P focused on young men who have sex with men (YMSM) reported no changes over time whereas those from communities focused on other at-risk youth reported significant improvements over time in satisfaction and resource needs being met. Internalized HIV stigma increased over time among those from communities serving other at-risk youth and was unchanged among those from YMSM communities. The very different results we observe over time between communities focused on YMSM versus other at-risk youth may suggest it is unreasonable to assume identical chains of structural causality across youth populations who have such different historical relationships to HIV and who encounter very different kinds of entrenched discrimination within their communities.
- Subjects :
- Male
Community-Based Participatory Research
Adolescent
Social Psychology
Social stigma
Cross-sectional study
Sexual Behavior
Social Stigma
Population
Community-based participatory research
HIV Infections
Community Networks
Article
Education
Men who have sex with men
Young Adult
03 medical and health sciences
0302 clinical medicine
Developmental and Educational Psychology
Humans
030212 general & internal medicine
Homosexuality, Male
Young adult
Socioeconomics
education
education.field_of_study
030505 public health
Hispanic or Latino
Black or African American
Health psychology
Cross-Sectional Studies
Female
0305 other medical science
Positive Youth Development
Psychology
Social Sciences (miscellaneous)
Demography
Subjects
Details
- ISSN :
- 15736601 and 00472891
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Journal of Youth and Adolescence
- Accession number :
- edsair.doi.dedup.....3b5d2e0328e6c926e81e9d077452fe0c