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Journal of Black Psychology, Vol. 30, No. 1, 124-137 (2004)
DOI: 10.1177/0095798403259248

The STD and HIV Epidemics in African American Youth: Reconceptualizing Approaches to Risk Reduction

Kim S. Miller

Centers for Disease Control and Prevention

Cherrie B. Boyer

University of California, San Francisco

Garnette Cotton

University of Georgia

Sexually transmitted infections, including human immunodeficiency virus (HIV), disproportionately affect African American adolescents and young adults. Many of our current strategies and approaches have been inadequate in the promotion of risk reduction among youth and need to be reconceptualized. This article identifies issues that may guide researchers to better address the risks faced by African American youth. Some of these issues include tailoring of intervention messages and programs, timing of intervention delivery, consideration of contextual factors that influence risk behaviors, and increasing the breadth of our intervention focus. Discussions of how these strategies and approaches may enhance intervention effectiveness are highlighted.

Key Words: African American • adolescence • HIV • sexually transmitted diseases • prevention


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