Center for AIDS Prevention Studies, University of California-San Francisco, CA, USA.
Cult Health Sex. 2009 Oct;11(7):731-42. doi: 10.1080/13691050903078824.
African American youth continue to be disproportionately represented in the incidence and prevalence of HIV despite numerous prevention efforts that target adolescent populations and declines in sexual risk behaviour among youth in general during the last decade. Several studies examining individual-level behavioural factors have failed to explain the health disparity in HIV prevalence. African American youth experience higher rates of HIV and other STIs, even when their sexual behaviour is normative. These findings suggest the need to expand beyond the examination of individual-level factors and to consider contextual issues such as economic, geographic and cultural influences. This paper reviews the relationship between contextual factors and HIV risk and prevalence and the implication for prevention for African American youth.
尽管过去十年中针对青少年群体开展了众多预防艾滋病的工作，青少年的性风险行为也有所减少，但非洲裔美国青年在艾滋病发病率和患病率方面仍不成比例。多项研究检查了个体行为因素，却未能解释艾滋病流行率方面的健康差异。即使非洲裔美国青年的性行为符合规范，他们也面临更高的艾滋病和其他性传播感染率。这些发现表明，需要超越对个体因素的检查，考虑经济、地理和文化等方面的背景因素。本文回顾了背景因素与艾滋病风险和流行率之间的关系及其对非洲裔美国青年预防工作的意义。
