Structural and Social Contexts of HIV Risk Among African Americans
Structural and Social Contexts of HIV Risk Among African Americans
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DOI：
10.2105/ajph.2008.140327
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发表时间：
2009-06-01
影响因子：
12.7
通讯作者：
Osborne, Andrew H.
中科院分区：
文献类型：
--
作者：
Friedman, Samuel R.;Cooper, Hannah L. F.;Osborne, Andrew H.
艾滋病毒在非裔美国人中的传播率继续高得令人无法接受，大多数艾滋病毒预防干预措施都集中在行为改变上。为了对非裔美国人中艾滋病毒预防的其他方法进行理论分析，我们讨论性网络和注射毒品网络如何与艾滋病毒传播行为一样重要。我们还描述了更高秩序的社会结构和过程，如居住种族隔离和种族主义治安，可能有助于形成风险网络和行为。然后，我们讨论了非裔美国人文化中的三个主题--生存、得体和奋斗--这三个主题也有助于塑造网络和行为。最后，我们讨论了这些观点如何有助于减少非裔美国人中的艾滋病毒传播。(我是J公共卫生。2009；99：1002-1008。DOI：10.2105/AJPH.2008.140327)
HIV continues to be transmitted at unacceptably high rates among African Americans, and most HIV-prevention interventions have focused on behavioral change.To theorize additional approaches to HIV prevention among African Americans, we discuss how sexual networks and drug-injection networks are as important as behavior for HIV transmission. We also describe how higher-order social structures and processes, such as residential racial segregation and racialized policing, may help shape risk networks and behaviors. We then discuss 3 themes in African American culture-survival, propriety, and struggle-that also help shape networks and behaviors.Finally, we conclude with a discussion of how these perspectives might help reduce HIV transmission among African Americans. (Am J Public Health. 2009; 99:1002-1008. doi:10.2105/AJPH.2008.140327)