“…Risk environment theory was developed in response to critiques that health research, particularly HIV research among marginalized populations, over-emphasizes individual-level factors, personal responsibility, and rational choice decision making and fails to adequately acknowledge the influence of socially-produced environmental and structural influences to health risk behaviors (Rhodes et al, 2012). HIV risk factors, such as earlier age of sexual debut and violent victimization, among SGD people are shaped not only by individual-level behaviors (e.g., sexual victimization) but by homophobic social, cultural, and political norms (e.g., limited legal protections for SGD victims of violence) (Amnesty International, 2017; Levitanus, 2022; Outlaw et al, 2011; Tomori et al, 2016). The authors theorize that links between earlier age of sexual debut and experiences of victimization among SGD populations are contextualized by anti-gay forms of systemic and structural violence and vulnerability.…”