Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model

摘要: Heterosexual African American youth face substantial disparities in sexual health consequences such as HIV and STI. Based on the social ecological framework, current paper provides a comprehensive, narrative review of past 14 years literature examining HIV/STI risk, including risky behavior, among heterosexual conceptual model risk this population. The found that individual psychological biological factors are insufficient to explain faced by group; instead, structural disadvantage, interpersonal community dysfunction contribute disparity outcomes directly indirectly through factors. presented suggests for youth, (1) commonly begins at level trickles down community, social, levels, (2) works positive feedback system downstream effects compound influence risks, (3) contextual must be considered within advanced stage epidemic facing Despite STI epidemics multisystemic interventions target their posited reduce high-risk