2020
DOI: 10.1007/s10508-019-01609-6
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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

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 provided 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… Show more

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Cited by 24 publications
(42 citation statements)
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“…This study had limitations. Although participants did not discuss the stage of the HCV epidemic in the prison setting, several HIV researchers have demonstrated how the epidemic stage of HIV is reflected through the individual, network and community level of the framework [ 21 , 26 , 66 ]. As expected, there was limited discussion by participants of the policy level implications on HCV transmission as this study only included prisoner participants and did not include other stakeholder participants such as correctional administrators and policymakers.…”
Section: Discussionmentioning
confidence: 99%
“…This study had limitations. Although participants did not discuss the stage of the HCV epidemic in the prison setting, several HIV researchers have demonstrated how the epidemic stage of HIV is reflected through the individual, network and community level of the framework [ 21 , 26 , 66 ]. As expected, there was limited discussion by participants of the policy level implications on HCV transmission as this study only included prisoner participants and did not include other stakeholder participants such as correctional administrators and policymakers.…”
Section: Discussionmentioning
confidence: 99%
“…14 Racial/ethnic disparities in condom use and STI diagnoses continue to persist, which may be at least partially explained by medical mistrust, as well as disparities in access to culturally tailored care and comprehensive sexual health education among AYA of color. 7,1517…”
Section: Introductionmentioning
confidence: 99%
“…14 Racial/ethnic disparities in condom use and STI diagnoses continue to persist, which may be at least partially explained by medical mistrust, as well as disparities in access to culturally tailored care and comprehensive sexual health education among AYA of color. 7,[15][16][17] The goal of the current study was to determine trends over time in demographics, sexual behaviors, condom use, and STIs among AYA presenting to an STI clinic.…”
Section: Introductionmentioning
confidence: 99%
“…Further, examining how distinct risk profiles differ by racial category could inform race-conscious social ecological models (SEMs) of STI risk. 4,5 Importantly, these SEMs highlight the understudied roles of structural, community, and social contextual factors in risk for STI, including structural inequities and racism that disproportionately impact Black individuals in this country.…”
mentioning
confidence: 97%
“…These structural factors can have downstream effects on community-and social-level risk factors, which in turn influence individual-level STI risk. 4,5 At the structural level, socio-economic status (e.g., public assistance use) represents a salient STI risk factor among Black individuals. 4,5,8 Socio-economic disadvantage experienced by certain subgroups might reflect the impact of structural racism on economic opportunities and access to healthcare that increase STI risk.…”
mentioning
confidence: 99%