Macro-level Approaches to HIV Prevention Among Ethnic Minority Youth: State of the Science, Opportunities, and Challenges

Overview

Journal Am Psychol

Publisher American Psychological Association

Specialty Psychology

Date 2013 May 22

PMID 23688095

Citations 29

Authors

Guillermo Prado

Marguerita Lightfoot

C Hendricks Brown

Affiliations

Soon will be listed here.

Abstract

The HIV epidemic continues to disproportionately affect ethnic minority youth. These disconcerting health disparities indicate that although existing HIV preventive strategies for ethnic minority youth have been efficacious, they have not significantly reduced the impact of the epidemic in this population. Macro-level interventions, such as structural or policy interventions, have the potential to impact the HIV epidemic at a population level, and thus reduce the HIV health disparities that exist among ethnic minority youth and other segments of the U.S. population. This article calls for a paradigm shift to develop, evaluate, and disseminate interventions that target upstream/macro-level factors or that, at a minimum, integrate both a macro and individual level perspective. The article also discusses the challenges in developing and evaluating such interventions. Psychologists and other behavioral scientists can play a critical role in reducing the impact of HIV on ethnic minority youth by integrating macro-level approaches to future HIV prevention strategies.

Citing Articles

Improve the Quality of Life Related to HIV and the Black Community: HIV and AIDS Inequity in the Black Community: Proximal Solutions to Distal Determinants.

Best A, Wynn A, Ogbu C, Nixon S J Healthc Sci Humanit. 2023; 11(1):25-33.

PMID: 36818206 PMC: 9930518.

Sexual health research among youth representing minority populations: To waive or not to waive parental consent.

Brawner B, Sutton M Ethics Behav. 2022; 28(7):544-559.

PMID: 35979388 PMC: 9380446. DOI: 10.1080/10508422.2017.1365303.

Predictors of Stigma and Health-Related Quality of Life Among People Living with HIV in Northern Thailand.

Rayanakorn A, Ong-Artborirak P, Ademi Z, Chariyalertsak S AIDS Patient Care STDS. 2022; 36(5):186-193.

PMID: 35507323 PMC: 9125577. DOI: 10.1089/apc.2022.0035.

Using an Intersectional Framework to Understand the Challenges of Adopting Pre-exposure Prophylaxis (PrEP) Among Young Adult Black Women.

Bond K, Gunn A, Williams P, Leonard N Sex Res Social Policy. 2022; 19(1):180-193.

PMID: 35401855 PMC: 8992539. DOI: 10.1007/s13178-021-00533-6.

What Racism Has to Do with It: Understanding and Reducing Sexually Transmitted Diseases in Youth of Color.

Boutrin M, Williams D Healthcare (Basel). 2021; 9(6).

PMID: 34199974 PMC: 8227416. DOI: 10.3390/healthcare9060673.

References

Brown C, Mohr D, Gallo C, Mader C, Palinkas L, Wingood G . A computational future for preventing HIV in minority communities: how advanced technology can improve implementation of effective programs. J Acquir Immune Defic Syndr. 2013; 63 Suppl 1:S72-84. PMC: 3746769. DOI: 10.1097/QAI.0b013e31829372bd. View

Boily M, Baggaley R, Wang L, Masse B, White R, Hayes R . Heterosexual risk of HIV-1 infection per sexual act: systematic review and meta-analysis of observational studies. Lancet Infect Dis. 2009; 9(2):118-29. PMC: 4467783. DOI: 10.1016/S1473-3099(09)70021-0. View

Pantin H, Schwartz S, Sullivan S, Prado G, Szapocznik J . Ecodevelopmental HIV prevention programs for Hispanic adolescents. Am J Orthopsychiatry. 2004; 74(4):545-58. PMC: 1480366. DOI: 10.1037/0002-9432.74.4.545. View

Traube D, Holloway I, Smith L . Theory development for HIV behavioral health: empirical validation of behavior health models specific to HIV risk. AIDS Care. 2011; 23(6):663-70. PMC: 3109986. DOI: 10.1080/09540121.2010.532532. View

Ahrold T, Meston C . Ethnic differences in sexual attitudes of U.S. college students: gender, acculturation, and religiosity factors. Arch Sex Behav. 2008; 39(1):190-202. PMC: 4426857. DOI: 10.1007/s10508-008-9406-1. View

Ellen J, Aral S, Madger L . Do differences in sexual behaviors account for the racial/ethnic differences in adolescents' self-reported history of a sexually transmitted disease?. Sex Transm Dis. 1998; 25(3):125-9. DOI: 10.1097/00007435-199803000-00002. View

Valdiserri R . HIV/AIDS stigma: an impediment to public health. Am J Public Health. 2002; 92(3):341-2. PMC: 1447072. DOI: 10.2105/ajph.92.3.341. View

Blake S, Ledsky R, Lehman T, Goodenow C, Sawyer R, Hack T . Preventing sexual risk behaviors among gay, lesbian, and bisexual adolescents: the benefits of gay-sensitive HIV instruction in schools. Am J Public Health. 2001; 91(6):940-6. PMC: 1446472. DOI: 10.2105/ajph.91.6.940. View

Das M, Chu P, Santos G, Scheer S, Vittinghoff E, McFarland W . Decreases in community viral load are accompanied by reductions in new HIV infections in San Francisco. PLoS One. 2010; 5(6):e11068. PMC: 2883572. DOI: 10.1371/journal.pone.0011068. View

10.

Mechanic D . Seizing opportunities under the Affordable Care Act for transforming the mental and behavioral health system. Health Aff (Millwood). 2012; 31(2):376-82. DOI: 10.1377/hlthaff.2011.0623. View

11.

Tinsley B, Lees N, Sumartojo E . Child and adolescent HIV risk: familial and cultural perspectives. J Fam Psychol. 2004; 18(1):208-24. DOI: 10.1037/0893-3200.18.1.208. View

12.

McBride Murry V, Berkel C, Brody G, Gerrard M, Gibbons M, Gibbons F . The Strong African American Families program: longitudinal pathways to sexual risk reduction. J Adolesc Health. 2007; 41(4):333-42. DOI: 10.1016/j.jadohealth.2007.04.003. View

13.

Auerbach J, Parkhurst J, Caceres C . Addressing social drivers of HIV/AIDS for the long-term response: conceptual and methodological considerations. Glob Public Health. 2011; 6 Suppl 3:S293-309. DOI: 10.1080/17441692.2011.594451. View

14.

Kellam S, Wang W, Mackenzie A, Brown C, Ompad D, Or F . The impact of the Good Behavior Game, a universal classroom-based preventive intervention in first and second grades, on high-risk sexual behaviors and drug abuse and dependence disorders into young adulthood. Prev Sci. 2012; 15 Suppl 1:S6-18. PMC: 3808514. DOI: 10.1007/s11121-012-0296-z. View

15.

Sutton M, Jones R, Wolitski R, Cleveland J, Dean H, Fenton K . A review of the Centers for Disease Control and Prevention's response to the HIV/AIDS crisis among Blacks in the United States, 1981-2009. Am J Public Health. 2009; 99 Suppl 2:S351-9. PMC: 4504363. DOI: 10.2105/AJPH.2008.157958. View

16.

Fisher J, Fisher W . Changing AIDS-risk behavior. Psychol Bull. 1992; 111(3):455-74. DOI: 10.1037/0033-2909.111.3.455. View

17.

Kegeles S, Hays R, Coates T . The Mpowerment Project: a community-level HIV prevention intervention for young gay men. Am J Public Health. 1996; 86(8):1129-36. PMC: 1380625. DOI: 10.2105/ajph.86.8_pt_1.1129. View

18.

Ku L, Louis M, Farshy C, Aral S, Turner C, Lindberg L . Risk behaviors, medical care, and chlamydial infection among young men in the United States. Am J Public Health. 2002; 92(7):1140-3. PMC: 1447204. DOI: 10.2105/ajph.92.7.1140. View

19.

Ross M, Rosser B, Neumaier E . The relationship of internalized homonegativity to unsafe sexual behavior in HIV-seropositive men who have sex with men. AIDS Educ Prev. 2008; 20(6):547-57. PMC: 2605286. DOI: 10.1521/aeap.2008.20.6.547. View

20.

Blake S, Ledsky R, Sawyer R, Goodenow C, Banspach S, Lohrmann D . Local school district adoption of state-recommended policies on HIV prevention education. Prev Med. 2004; 40(2):239-48. DOI: 10.1016/j.ypmed.2004.05.028. View