Creating Youth-Supportive Communities: Outcomes from the Connect-to-Protect® (C2P) Structural Change Approach to Youth HIV Prevention.

TitleCreating Youth-Supportive Communities: Outcomes from the Connect-to-Protect® (C2P) Structural Change Approach to Youth HIV Prevention.
Publication TypePublication
Year of Publication2016
AuthorsMiller RLin, Janulis PF, Reed SJ, Harper GW, Ellen J, Boyer CB
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalJ Youth Adolesc
Volume45
Issue2
Pagination301-15
Date Published2016 Feb
ISSN1573-6601
KeywordsAdolescent, African Americans, Community Networks, Community-Based Participatory Research, Cross-Sectional Studies, Female, Hispanic Americans, HIV Infections, Homosexuality, Male, Humans, Male, Sexual Behavior, Social Stigma, Young Adult
Abstract

<p>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. </p>

DOI10.1007/s10964-015-0379-9
Alternate JournalJ Youth Adolesc
PubMed ID26534775
PubMed Central IDPMC4714586
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
5 U01 HD040533 / HD / NICHD NIH HHS / United States
T32 MH019985 / MH / NIMH NIH HHS / United States
5 U01 HD 40474 / HD / NICHD NIH HHS / United States