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Enhancing cultural and contextual intervention strategies to reduce HIV/AIDS among African Americans

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  • Wyatt, G.E.

Abstract

I describe 4 protective strategies that African Americans employ that may challenge current HIV prevention efforts: (1) an adaptive duality that protects identity, (2) personal control influenced by external factors, (3) long-established indirect communication patterns, and (4) a mistrust of "outsiders." I propose the Sexual Health Model as a conceptual framework for HIV prevention interventions because it incorporates established adaptive coping strategies into new HIV-related protective skills. The Sexual Health Model promotes interconnectedness, sexual ownership, and body awareness, 3 concepts that represent the context of the African American historical and cultural experience and that enhance rather than contradict future prevention efforts.

Suggested Citation

  • Wyatt, G.E., 2009. "Enhancing cultural and contextual intervention strategies to reduce HIV/AIDS among African Americans," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 1941-1945.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.152181_8
    DOI: 10.2105/AJPH.2008.152181
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    Cited by:

    1. Tiffany Zellner & Jennie Trotter & Shelia Lenoir & Kelvin Walston & L’dia Men-Na’a & Tabia Henry-Akintobi & Assia Miller, 2015. "Color It Real: A Program to Increase Condom Use and Reduce Substance Abuse and Perceived Stress," IJERPH, MDPI, vol. 13(1), pages 1-11, December.
    2. Sun, Shufang & Crooks, Natasha & Kemnitz, Rebecca & Westergaard, Ryan P., 2018. "Re-entry experiences of Black men living with HIV/AIDS after release from prison: Intersectionality and implications for care," Social Science & Medicine, Elsevier, vol. 211(C), pages 78-86.
    3. Lazare Manirankunda & Aletha Wallace & Charles Ddungu & Christiana Nöstlinger, 2021. "Stigma Mechanisms and Outcomes among Sub-Saharan African Descendants in Belgium—Contextualizing the HIV Stigma Framework," IJERPH, MDPI, vol. 18(16), pages 1-17, August.
    4. Reid, Allecia E. & Dovidio, John F. & Ballester, Estrellita & Johnson, Blair T., 2014. "HIV prevention interventions to reduce sexual risk for African Americans: The influence of community-level stigma and psychological processes," Social Science & Medicine, Elsevier, vol. 103(C), pages 118-125.

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