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Low Prospects and High Risk: Structural Determinants of Health Associated with Sexual Risk Among Young African American Women Residing in Resource-Poor Communities in the South

机译：低前景和高风险：南部资源贫乏社区中的年轻非洲裔美国妇女中与性风险相关的健康结构决定因素

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摘要

African American women at increased risk of HIV/sexually transmitted infection (STI) may engage in risky sex as a coping mechanism for depressed economic conditions. This study examines the association between high-risk sexual behavior and structural determinants of sexual health among a sample of young African American women. 237 young African American women (16–19 years old) from economically disadvantaged neighborhoods in North Carolina were enrolled into a randomized trial testing the efficacy of an adapted HIV/STI prevention intervention. Logistic regression analyses predicted the likelihood that young women reporting lack of food at home, homelessness and low future prospects would also report sexual risk behaviors. Young women reporting a lack of food at home (22 %), homelessness (27 %), and low perceived education/employment prospects(19 %)hadbetween2.2and4.7times the odds as those not reporting these risk factors of reporting multiple sex partners, risky sex partners including older men and partners involved in gangs, substance use prior to sex, and exchange sex. Self-reported structural determinants of sexual health were associated with myriad sexual risk behaviors. Diminished economic conditions among these young women may lead to sexual risk due to hopelessness, the need for survival or other factors.
机译：罹患艾滋病毒/性传播感染（STI）风险增加的非洲裔美国妇女可能会从事危险的性行为，作为应对经济不景气的应对机制。这项研究在一个年轻的非洲裔美国女性样本中检验了高风险的性行为与性健康的结构决定因素之间的关联。来自北卡罗来纳州经济弱势社区的237名年轻的非洲裔美国妇女（16-19岁）被纳入一项随机试验，测试经过调整的HIV / STI预防干预措施的有效性。 Logistic回归分析预测，年轻妇女报告家庭缺乏食物，无家可归和未来前景低下的可能性也将报告性危险行为。报告在家中缺乏食物（22％），无家可归者（27％），感知的教育/就业前景低（19％）的年轻妇女的机率是未报告这些报告多个性伴侣风险因素的妇女的2.2至4.7倍，有风险的性伴侣，包括年长的男人和参与帮派，性生活前使用毒品以及性交的伴侣。自我报告的性健康结构决定因素与无数性风险行为相关。这些年轻妇女的经济状况下降可能由于绝望，生存需要或其他因素而导致性风险。

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