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Structural Effects on HIV Risk Among Youth: A Multi-level Analysis.
Robin Lin Miller1, Trevor Strzyzykowski2, Kyung-Sook Lee3
1Department of Psychology, Michigan State University, 316 Physics Road, Psychology Building, East Lansing, MI, 48824, USA. mill1493@msu.edu.
AIDS and Behavior
|January 18, 2018
Summary
Structural stigma negatively impacts youth
Area of Science:
- Public Health
- Sociology
- Psychology
Background:
- Adolescent engagement in HIV-risky sexual partnerships is a significant public health concern.
- Structural factors, including stigma and socioeconomic disadvantage, are implicated in adolescent sexual health outcomes.
Purpose of the Study:
- To investigate the multilevel structural influences on HIV-risky sexual partnerships among diverse youth.
- To examine the mediating roles of opportunity structures, stigma anticipation, and community support perceptions.
Main Methods:
- A multilevel model was applied to data from 1793 diverse youth across 23 states and D.C.
- Analyses controlled for age, HIV status, and race.
Main Results:
- Structural HIV stigma indirectly increased participation in HIV-risky sexual partnerships.
- Concentrated disadvantage and sexual and gender minority stigma directly reduced community support perceptions and prosocial activity.
- Perceived community support directly protected against HIV-risky sexual partnerships.
Conclusions:
- Structural stigma, including HIV and sexual/gender minority stigma, erodes youth's sense of community investment and safety.
- Interventions addressing concentrated disadvantage and stigma are crucial for promoting adolescent sexual health and well-being.
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