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AIDS and Behavior
Published in: AIDS and Behavior 11/2018

01-11-2018 | Original Paper

Structural Effects on HIV Risk Among Youth: A Multi-level Analysis

Authors: Robin Lin Miller, Trevor Strzyzykowski, Kyung-Sook Lee, Danielle Chiaramonte, Ignacio Acevedo-Polakovich, Hannah Spring, Olga Santiago-Rivera, Cherrie B. Boyer, Jonathan M. Ellen

Published in: AIDS and Behavior | Issue 11/2018

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Abstract

We proposed a multilevel model of structural influences on HIV-risky sexual partnerships in a diverse sample of 1793 youth residing in 23 states and the District of Columbia. We examined the influence of concentrated disadvantage, HIV stigma, and sexual and gender minority stigma on engagement in HIV risky sexual partnerships and whether youth’s participation in opportunity structures, anticipation of HIV stigma, and perceptions of their community as youth-supportive settings mediated structural effects. After controlling for age, HIV status, and race, we found structural HIV stigma had deleterious indirect effects on youth’s participation in HIV-risky sexual partnerships. Concentrated disadvantage and structural sexual and gender minority stigma had direct negative effects on youth’s perceptions of their communities as supportive and on their participation in prosocial activity. Support perceptions had direct, protective effects on avoidance of HIV-risky sexual partnerships. Structural stigma undermines youth’s belief that their communities invest in their safety and well-being.
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Metadata
Title
Structural Effects on HIV Risk Among Youth: A Multi-level Analysis
Authors
Robin Lin Miller
Trevor Strzyzykowski
Kyung-Sook Lee
Danielle Chiaramonte
Ignacio Acevedo-Polakovich
Hannah Spring
Olga Santiago-Rivera
Cherrie B. Boyer
Jonathan M. Ellen
Publication date
01-11-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 11/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2031-7

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