Structural and social contexts of HIV risk among African Americans

S.R. Friedman, H.L.F. Cooper and A.H. Osborne

American Journal of Public Health, 2009, vol. 99, issue 6, 1002-1008

Abstract: 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,mayhelpshaperisk 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.

Date: 2009
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2008.140327_5

DOI: 10.2105/AJPH.2008.140327

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