Adimora A A, Schoenbach V J, Martinson F E, Donaldson K H, Fullilove R E, Aral S O
Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, 27599-7030, USA.
Sex Transm Dis. 2001 Feb;28(2):69-76. doi: 10.1097/00007435-200102000-00002.
Reasons for the strikingly increased rates of HIV and other sexually transmitted infections (STIs) among African Americans in the rural Southeastern United States remain unclear. Investigators have devoted little attention to the potential influence of the social and economic context on sexual behaviors.
To examine the potential influence of these contextual factors on behaviors that promote the transmission of STIs.
Focus group interviews in which African Americans from rural North Carolina discussed life in their communities and contextual factors affecting sexual behavior.
Respondents reported pervasive economic and racial oppression, lack of community recreation, boredom, and resultant substance abuse. Many perceived a shortage of black men because of their higher mortality and incarceration rates compared with whites, and believed this male shortage to be partly responsible for the concurrent sexual partnerships that they perceived as widespread among unmarried persons.
Contextual features including racism, discrimination, limited employment opportunity, and resultant economic and social inequity may promote sexual patterns that transmit STIs.
在美国东南部农村地区，非裔美国人中艾滋病毒及其他性传播感染（STIs）发病率显著上升的原因尚不清楚。研究人员很少关注社会经济背景对性行为的潜在影响。
研究这些背景因素对促进性传播感染传播行为的潜在影响。
焦点小组访谈，来自北卡罗来纳州农村的非裔美国人讨论他们社区的生活以及影响性行为的背景因素。
受访者报告了普遍存在的经济和种族压迫、社区娱乐活动匮乏、无聊以及由此导致的药物滥用。许多人认为，与白人相比，黑人男性死亡率和监禁率较高，导致黑人男性短缺，他们认为这种男性短缺是他们所认为的未婚者中普遍存在的同时存在的性伴侣关系的部分原因。
包括种族主义、歧视、有限的就业机会以及由此导致的经济和社会不平等在内的背景特征可能会促使传播性传播感染的性行为模式的出现。
