ReviewArchives of sexual behavior2020
Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model.
Review in Archives of sexual behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Results from Project GOLD: A pilot randomized controlled trial of a psychoeducational HIV/STI prevention intervention for black youth.AIDS care · 2021Trial
- Piloting a brief intervention plus mobile boosters for drug use among emerging adults receiving emergency department care.Drug and alcohol dependence · 2021Trial
- Trial
- Barriers and facilitators to STI and HIV testing among African and Caribbean heritage communities in high-income countries mapped to the behaviour change wheel: a scoping review.BMC public health · 2026Article
- Assessing the Risk of Sexually Transmitted Infections among Men who have Sex with Men in San Francisco during COVID-19: A Socio-ecological Analysis.AIDS and behavior · 2025Article
- Ending the HIV Epidemic in Black America: Qualitative Insights Following COVID-19.Journal of racial and ethnic health disparities · 2025Article
- A Geospatial Analysis of Social and Structural Determinants of Health and High HIV Prevalence in Alabama, USA.Journal of community health · 2024Article
- Neighborhood-level characteristics as effect modifiers on the efficacy of the MyPEEPS mobile intervention in same-sex attracted adolescent men.Preventive medicine reports · 2024Article
- Exploring the Use of Customized Links to Improve Electronic Engagement With Sexual and Reproductive Health Care Among Young African American Male Individuals: Web-Based Survey Study.JMIR formative research · 2024Article
- Socio-ecologic Correlates of HIV/AIDS-Related Sexual Risk Behavior of African American Emerging Adults.AIDS and behavior · 2023Article
- The Role of the Strong Black Woman in Black Female Sexual Development.Archives of sexual behavior · 2023Article
- Article
- Disparities in the Incidence of Ectopic Pregnancy in a Large Health Care System in California, 2010-2019.The Permanente journal · 2022Article
- Culturally responsive sexual health interventions for black adolescent females in the United States: A systematic review of the literature, 2010-2020.Children and youth services review · 2022Article
- Trends in risk behaviors and sexually transmitted infections among youth presenting to a sexually transmitted infection clinic in the United States, 2013-2017.International journal of STD & AIDS · 2022Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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 provides 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 health disparities faced by this group; instead, structural disadvantage, interpersonal risk, and community dysfunction contribute to the disparity in HIV/STI outcomes directly and indirectly through individual psychological factors. The conceptual model presented suggests that for African American youth, (1) HIV/STI risk commonly begins at the structural level and trickles down to the community, social, and individual levels, (2) risk works in a positive feedback system such that downstream effects compound the influence of structural risks, and (3) contextual and individual risk factors must be considered within the advanced stage of the epidemic facing this population. Despite advanced HIV and STI epidemics among heterosexual African American youth, multisystemic interventions that target structural risk factors and their downstream effects are posited to reduce the disparity among this high-risk population.
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