Structural and Social Contexts of HIV Risk Among African Americans.

• Autores: Samuel R. Friedman, Hannah Cooper, Andrew H. Osborne
• Localización: American journal of public health, ISSN 0090-0036, Vol. 99, Nº. 6, 2009, págs. 1002-1009
• Idioma: inglés
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• Resumen

  • 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. [ABSTRACT FROM AUTHOR]