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2014 ; 9
(2
): 139-150
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The influence of social determinants on sexual risk among out-of-school African
American female adolescents
#MMPMID26692886
Browne FA
; Wechsberg WM
; White VM
; Ellerson RM
; Raiford JL
; Carry MG
; Herbst JH
Vulnerable Child Youth Stud
2014[]; 9
(2
): 139-150
PMID26692886
show ga
Formative research was conducted to understand the social determinants of HIV
risk among African American female adolescents as part of a systematic adaptation
of an evidence-based behavioral HIV prevention intervention, the Women's CoOp.
Semi-structured in-depth interviews were conducted between November 2008 and
April 2009 with 20 African American female adolescents aged 16-18 who reported
engaging in sex, using alcohol or other drugs, and dropping out of school. All
interviews were audio recorded, transcribed, and coded for key themes and
emergent content patterns. The findings indicate that while female adolescents
are knowledgeable about HIV and other sexually transmitted infections (STIs),
myriad social factors relate to their level of risk. Interpersonal relationships,
primarily with older boyfriends and friends, played a pivotal role in their
decision-making regarding sex risk behavior, substance use, and educational
attainment. A lack of viable employment opportunities, exacerbated by the lack of
a high school education, resulted in some young women trading sex to make money.
In addition, violence, victimization, and gang involvement are pervasive in their
communities. Out-of-school African American female adolescents face a plethora of
issues that are directly and indirectly related to their sex risk behaviors and
consequently their HIV/STI risk. To reach a vulnerable population
disproportionately affected by HIV and other STIs, these factors must be
addressed in prevention interventions, when feasible. The findings were
incorporated into the intervention adaptation that is currently being tested in a
randomized controlled trial.