Creating Youth-Supportive Communities: Outcomes from the Connect-to-Protect (C2P) Structural Change Approach to Youth HIV Prevention.
Reducing HIV incidence among adolescents represents an urgent global priority. Structural change approaches to HIV prevention may reduce youth risk by addressing the economic, social, cultural, and political factors that elevate it. We assessed whether achievement of structural changes made by eight...
| Published in: | Journal of Youth & Adolescence Vol. 45; no. 2; pp. 301 - 316 |
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| Main Authors: | , , , , , |
| Format: | Article |
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Springer Nature
Feb2016
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=112261905&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 112261905 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00472891 JYA jtl: Journal of Youth & Adolescence issn: 00472891 maglogo: N pubinfo: dt: Feb2016 vid: 45 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 112261905 10.1007/s10964-015-0379-9 ppf: 301 ppct: 15 formats: fmt: @attributes: type: P size: 508KB tig: atl: Creating Youth-Supportive Communities: Outcomes from the Connect-to-Protect (C2P) Structural Change Approach to Youth HIV Prevention. aug: au: Miller, Robin Janulis, Patrick Reed, Sarah Harper, Gary Ellen, Jonathan Boyer, Cherrie affil: Michigan State University, East Lansing USA University of Michigan, Ann Arbor USA Johns Hopkins University, Baltimore USA University of California, San Francisco USA su: United States Coalitions Diseases Social stigma Community support Psychology HIV prevention Young gay men sug: subj: Coalitions Diseases Social stigma Community support Psychology United States HIV prevention Young gay men keyword: High-risk youth Structural change Young MSM High-risk youth Structural change Young MSM ab: Reducing HIV incidence among adolescents represents an urgent global priority. Structural change approaches to HIV prevention may reduce youth risk by addressing the economic, social, cultural, and political factors that elevate it. We assessed whether achievement of structural changes made by eight Connect-to-Protect (C2P) coalitions were associated with improvements in youth's views of their community over the first 4 years of coalitions' mobilization. We recruited annual cross-sectional samples of targeted youth from each C2P community. We sampled youth in neighborhood venues. We interviewed a total of 2461 youth over 4 years. Males (66 %) and youth of color comprised the majority (52 % Hispanic/Latinos; 41 % African Americans) of those interviewed. By year 4, youth reported greater satisfaction with their community as a youth-supportive setting. They reported their needs were better met by available community resources compared with year 1. However, these findings were moderated by risk population such that those from communities where C2P focused on young men who have sex with men (YMSM) reported no changes over time whereas those from communities focused on other at-risk youth reported significant improvements over time in satisfaction and resource needs being met. Internalized HIV stigma increased over time among those from communities serving other at-risk youth and was unchanged among those from YMSM communities. The very different results we observe over time between communities focused on YMSM versus other at-risk youth may suggest it is unreasonable to assume identical chains of structural causality across youth populations who have such different historical relationships to HIV and who encounter very different kinds of entrenched discrimination within their communities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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