Taking Positive Steps to Address STD Disparities for African-American Communities

Barrow, Roxanne Y.; Newman, Lori M.; Douglas, John M.

doi:10.1097/olq.0b013e31818fbc92

Cited by 12 publications

(14 citation statements)

References 8 publications

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“…Other individual and social factors include, but are not limited to, inconsistent condom use, drug and alcohol use, several lifetime partners (Corneille et al 2008; Cornelius et al 2000), and lack of disclosure of bisexuality (McNair and Prather 2004). Environmental factors are primarily associated with low-income communities and include lack of access to health care (Elifson et al 2003), unstable housing or homelessness, limited access to HIV prevention education, and high density of STI and HIV infections in many communities of color (Barrow et al 2008; McNair and Prather 2004). …”

Section: Introductionmentioning

confidence: 99%

Religiosity and Risky Sexual Behaviors among an African American Church-based Population

Hawes

Berkley‐Patton

2012

J Relig Health

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African Americans are disproportionately burdened by STDs and HIV in the US. This study examined the relationships between demographics, religiosity, and sexual risk behaviors among 255 adult African American church-based participants. Although participants were highly religious, they reported an average of seven lifetime sex partners and most inconsistently used condoms. Several demographic variables and religiosity significantly predicted lifetime HIV-related risk factors. Taken together, findings indicated that this population is at risk for HIV. Future research should continue to identify correlates of risky sexual behavior among African American parishioners to facilitate the development of HIV risk reduction interventions in their church settings.

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Section: Introductionmentioning

confidence: 99%

Religiosity and Risky Sexual Behaviors among an African American Church-based Population

Hawes

Berkley‐Patton

2012

J Relig Health

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“…They suffer from high rates of HIV/AIDS and other sexually transmitted infections (STIs) and disproportionately experience teenage pregnancies [5,39,50]. The morbidity and mortality associated with early parenting and STIs contribute greatly to racial disparities in health [10,16,17,39].…”

Section: Introductionmentioning

confidence: 99%

Developmental Patterns of Adolescent Marijuana and Alcohol Use and Their Joint Association with Sexual Risk Behavior and Outcomes in Young Adulthood

Green

Musci

Matson³

et al. 2017

J Urban Health

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Urban populations disproportionately experience poor sexual outcomes, including high rates of teenage pregnancy and sexually transmitted infections. However, the contribution of substance use across adolescence to poor sexual outcomes in young adulthood has not been investigated in depth, despite offering opportunities for more targeted prevention. This study aimed to estimate joint trajectories of adolescent alcohol and marijuana use to determine if they relate differently to four sexual outcomes: multiple sexual partners, sex without a condom, teenage pregnancy, and contraction of a sexually transmitted infection in young adulthood (by age 25). Data came from a longitudinal study of urban youth followed from age 6 to age 25, with annual assessments during adolescence and young adulthood (n = 608). The sample showed high levels of sexual risk, with young adults on average having sex without a condom once in the past month, 28.5% having multiple sexual partners in the past month, one quarter having contracted a sexually transmitted infection, and over 60% of the women being pregnant as a teenager and 36% of the men having gotten a partner pregnant. Applying longitudinal latent profile analysis to estimate joint trajectories of alcohol and marijuana use from grades 8-12, we identified four classes representing high dual use, moderate alcohol use, moderate alcohol use with increasing marijuana use, and nonuse. Class membership differently predicted all four outcomes investigated with high dual users having the highest level of teenage pregnancy and the increasing marijuana trajectory having the highest risk of engaging with multiple sexual partners in the past month. Results suggest implications for both sexual risk and substance use prevention for urban youth.

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“…[1][2][3][4][5][6][7][8] Rates of Chlamydia, gonorrhea, syphilis, and human immunodeficiency virus/acquired immunodeficiency syndrome among black people range from 5.4 to 17.8 times the rates among white people. 9 Lack of resources and inequity of resource distribution are associated with risky sexual behavior, lack of health care, and rising STD rates. 10 High STD rates have also been associated with deteriorated neighborhoods and alcohol outlet density.…”

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confidence: 99%

Using a Health in All Policies Approach to Address Social Determinants of Sexually Transmitted Disease Inequities in the Context of Community Change and Redevelopment

et al. 2013

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Objectives. We used a Health in All Policies (HiAP) framework to determine what data, policy, and community efficacy opportunities exist for improving sexual health and reducing sexually transmitted diseases (STDs) in an area surrounding an Army base undergoing redevelopment in Atlanta, Georgia .Methods. We conducted a literature review, consulted with experts, mapped social determinants in the community, conducted key informant interviews with community leaders to explore policy solutions, used Photovoice with community members to identify neighborhood assets, and shared data with all stakeholder groups to solicit engagement for next steps .Results. We identified the following HiAP-relevant determinants of STD inequities in the literature: education, employment, male incarceration, drug and alcohol marketing, and social capital . Quantitative data confirmed challenges in education, employment, and male incarceration in the area . Interviews identified policy opportunities such as educational funding ratios, Community Hire Agreements, code and law enforcement, addiction and mental health resources, lighting for safety, and a nonemergency public safety number . Photovoice participants identified community assets to protect including family-owned businesses, green spaces, gathering places, public transportation resources, historical sites, and architectural elements . Stakeholder feedback provided numerous opportunities for next steps .Conclusions. This study contributes to the HiAP literature by providing an innovative mixed-methods design that locates social determinants of STDs within a geographic context, identifies policy solutions from local leaders, highlights community assets through the lens of place attachment, and engages stakeholders in identifying next steps . Findings from this study could inform other redevelopments, community-based studies of STDs, and HiAP efforts .

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Taking Positive Steps to Address STD Disparities for African-American Communities

Cited by 12 publications

References 8 publications

Religiosity and Risky Sexual Behaviors among an African American Church-based Population

Religiosity and Risky Sexual Behaviors among an African American Church-based Population

Developmental Patterns of Adolescent Marijuana and Alcohol Use and Their Joint Association with Sexual Risk Behavior and Outcomes in Young Adulthood

Using a Health in All Policies Approach to Address Social Determinants of Sexually Transmitted Disease Inequities in the Context of Community Change and Redevelopment

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