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Structural and social contexts of HIV risk among African Americans

Author

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

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.

Suggested Citation

  • Friedman, S.R. & Cooper, H.L.F. & Osborne, A.H., 2009. "Structural and social contexts of HIV risk among African Americans," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 1002-1008.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.140327_5
    DOI: 10.2105/AJPH.2008.140327
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    Cited by:

    1. Bogart, Laura M. & Wagner, Glenn J. & Green, Harold D. & Mutchler, Matt G. & Klein, David J. & McDavitt, Bryce & Lawrence, Sean J. & Hilliard, Charles L., 2016. "Medical mistrust among social network members may contribute to antiretroviral treatment nonadherence in African Americans living with HIV," Social Science & Medicine, Elsevier, vol. 164(C), pages 133-140.
    2. Tyler D. Harvey & Ijeoma Opara & Emily A. Wang, 2022. "Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Crimi," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    3. Meena Mahadevan & John Ruzsilla, 2012. "Assessing the Nutritional Health Outcomes of African American Women with HIV and Substance Abuse Disorders Using a Socioecological Approach," SAGE Open, , vol. 2(3), pages 21582440124, September.
    4. Factor, Roni & Kawachi, Ichiro & Williams, David R., 2011. "Understanding high-risk behavior among non-dominant minorities: A social resistance framework," Social Science & Medicine, Elsevier, vol. 73(9), pages 1292-1301.
    5. Samuel R. Friedman & Leslie D. Williams & Ashly E. Jordan & Suzan Walters & David C. Perlman & Pedro Mateu-Gelabert & Georgios K. Nikolopoulos & Maria R. Khan & Emmanuel Peprah & Jerel Ezell, 2022. "Toward a Theory of the Underpinnings and Vulnerabilities of Structural Racism: Looking Upstream from Disease Inequities among People Who Use Drugs," IJERPH, MDPI, vol. 19(12), pages 1-19, June.
    6. Angela Wangari Walter & Cesar Morocho, 2021. "HIV Related Knowledge, HIV Testing Decision-Making, and Perceptions of Alcohol Use as a Risk Factor for HIV among Black and African American Women," IJERPH, MDPI, vol. 18(9), pages 1-19, April.
    7. Quinn, Katherine & Bowleg, Lisa & Dickson-Gomez, Julia, 2019. "“The fear of being Black plus the fear of being gay”: The effects of intersectional stigma on PrEP use among young Black gay, bisexual, and other men who have sex with men," Social Science & Medicine, Elsevier, vol. 232(C), pages 86-93.

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