2014
DOI: 10.1016/j.socscimed.2013.06.028
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HIV prevention interventions to reduce sexual risk for African Americans: The influence of community-level stigma and psychological processes

Abstract: Interventions to improve public health may benefit from consideration of how environmental contexts can facilitate or hinder their success. We examined the extent to which efficacy of interventions to improve African Americans’ condom use practices was moderated by two indicators of structural stigma—Whites’ attitudes toward African Americans and residential segregation in the communities where interventions occurred. A previously published meta-analytic database was re-analyzed to examine the interplay of com… Show more

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Cited by 85 publications
(88 citation statements)
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“…Members of racial/ethnic minority groups have been found to cope with racism-related stressors like internalized racial stigma with substance use 20,31 . Racial stigma specifically has been found to affect condom use via the influence on decreased levels of self-control and subsequent substance use as has been demonstrated among African American adolescents 32,33 . Trans*female youth who experience racial stigma may use substances to cope and be less inclined to use condoms while under the influence 9,13,17,34 .…”
Section: Discussionmentioning
confidence: 96%
“…Members of racial/ethnic minority groups have been found to cope with racism-related stressors like internalized racial stigma with substance use 20,31 . Racial stigma specifically has been found to affect condom use via the influence on decreased levels of self-control and subsequent substance use as has been demonstrated among African American adolescents 32,33 . Trans*female youth who experience racial stigma may use substances to cope and be less inclined to use condoms while under the influence 9,13,17,34 .…”
Section: Discussionmentioning
confidence: 96%
“…Similar results have been found in other studies in the USA and UK. 13,16,26 Projecting current rates of HIV infection, it has been estimated that~50% of black GMSM and 25% of Latino GMSM in the US will be diagnosed with HIV during their lifetime. 27 There is substantial evidence of the association between HIV stigma and downstream, negative impacts on the physical and mental health of people living with HIV, including delayed testing, reduced access to care, lower adherence to treatments and less social support, 20,22,28,29 resulting in both individual and social consequences.…”
Section: Impact Of Hiv and Gmsm Sexuality Stigma On Hiv Preventionmentioning
confidence: 99%
“…The ways in which stigma may impact on the policy and health systems intended to support HIV responses has also been raised by several reviewers. 16,25,26,[32][33][34][35] For example, does stigma within policy circuits influence the focus of funded research into GMSM communities, the availability and sustainability of such services to meet the needs of GMSM in the first place, or the trust that community and policy have in GMSM community-led responses? Does HIV stigma within health services, such as excessive infection control measures, accentuate already existing race-related discrimination?…”
Section: Impact Of Hiv and Gmsm Sexuality Stigma On Hiv Preventionmentioning
confidence: 99%
“…Despite these efforts developed to address disparities in sexual and reproductive health, HIV and other STIs continue to be significant national health problems, particularly among specific subpopulations or social groups (Reid, Dovidio, Ballester, & Johnson, 2014). Although African American women (AAW) have experienced a 21% decline in HIV infection rates since 2008, this group continues to represent the highest proportion of infected women with rates 20 times higher than that of white women and nearly 5 times that of Latina women (Carter et al, 2013; Centers for Disease Control and Prevention, 2014c).…”
Section: Overviewmentioning
confidence: 99%
“…The identification of patterns of sexual risk behaviors and development of interventions to reduce or eliminate those behaviors has long since been the focus of research studies examining the sexual and reproductive health of AAW (McLellan-Lemal et al, 2012;Neblett et al, 2011;Reid et al, 2014). With heterosexual contact being attributed to most new HIV infections and other STIs in AAW, behavioral factors frequently identified in the examination of sexual risk for these women include: inconsistent condom use, having multiple or concurrent sexual partners, and the use of illicit drugs (Centers for Disease Control and Prevention, 2014b;McLellan-Lemal et al, 2013;Perkins, Stennis, Taylor Spriggs, Kwegyir-Afful, & Prather, 2014).…”
Section: Sexual Risk Behaviormentioning
confidence: 99%