Using community-based participatory research to understand the social and community context of African American adolescents' HIV vulnerability

HIV prevention programs targeting the social determinants of HIV are receiving greater attention and support as a means to reduce HIV disparities. This presentation describes the experiences and perceptions of 12 African American adolescents regarding the social and community context of HIV vulnerability among African American youth in their community and identifies important targets for intervention. This presentation describes using photovoice methodology to engage adolescents in a critical analysis of their experiences to better understand HIV risk and identify specific action steps to reduce HIV vulnerability among African American adolescents. The results suggest that a variety of social and environmental factors impact the lives of African American adolescents including: racial stereotypes, violence, poverty, deteriorating neighborhoods, high exposure to risk behaviors, low social support, and limited opportunities. These factors result in hopelessness and low motivation to avoid risk behavior, which in turn puts them at greater risk for HIV. The findings indicate the importance of mobilizing community action through raising awareness and advocating for increased resources and institutional support for African American youth. The presentation concludes with research and practice implications for HIV prevention among African American youth and a description of the advocacy initiatives that grew from this photovoice project.