Sutherland Marcia Elizabeth
University at Albany, State University of New York, USA.
Health Psychol Open. 2016 Nov 17;3(2):2055102916679349. doi: 10.1177/2055102916679349. eCollection 2016 Jul.
Caribbean youth comprise about 30 percent of the English-speaking Caribbean population, and about 81,000 Caribbean and Latin American youth are HIV infected. AIDS is the leading cause of death for 15- to 24-year-old English-speaking Caribbean youth. This article relies on intersectionality theory in the assessment of the macro-level, or structural variables, and micro-level, or individual level, variables that influence the risk-taking sexual behaviors of heterosexual English-speaking Caribbean youth and increase their vulnerability to HIV/sexually transmitted infections. This article offers macro- and micro-level prevention/intervention strategies for reducing the prevalence of sexually transmitted infections in English-speaking Caribbean youth, including the promotion of condom use, voluntary male circumcision, and HIV testing and counseling. Suggestions are offered for future research investigations to explore the contributing factors to youth's vulnerability to sexually transmitted infections and to empirically verify the relationship between and among variables that account for desired outcomes, including decreases in risky sexual behaviors.
加勒比地区青年约占讲英语的加勒比人口的30%，约有8.1万加勒比和拉丁美洲青年感染了艾滋病毒。艾滋病是15至24岁讲英语的加勒比青年的主要死因。本文运用交叉性理论，评估影响讲英语的加勒比异性恋青年冒险性行为并增加其感染艾滋病毒/性传播感染易感性的宏观层面（即结构变量）和微观层面（即个体层面）变量。本文提供了宏观和微观层面的预防/干预策略，以降低讲英语的加勒比青年性传播感染的流行率，包括推广使用避孕套、自愿男性包皮环切术以及艾滋病毒检测和咨询。文章还为未来的研究调查提供了建议，以探索导致青年易感染性传播感染的因素，并通过实证验证解释预期结果（包括危险性行为减少）的变量之间的关系。
