@article{ref1,
title="The relationship between violence syndemics and sexual risk behaviors among African American adolescents: implications for future research",
journal="Journal of Adolescent Health",
year="2021",
author="Takahashi, Lois M. and Voisin, Dexter R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: We present a conceptual framework based on a review of the literature to highlight the interconnecting and reinforcing elements of a violence syndemic and  how this syndemic influences sexual risk behaviors among African American  heterosexual adolescents. <br><br>METHODS: We review existing peer-reviewed published  research from 2000 to 2020 that links a violence syndemic (i.e., racism and  race-related stress, neighborhood and police violence, peer violence, and family  violence and disruptions) to adolescent sexual risk behaviors. Empirical findings  and theoretical underpinnings are used to document this relationship and illuminate  the factors that mediate this relationship. <br><br>RESULTS: Empirical studies support the  links between specific types of violence and sexual risk behaviors among African  American adolescents. Further, existing studies point to the important relationships  among the specific types of violence, supporting a violence syndemic approach. <br><br>CONCLUSIONS: While more researchers are examining socio-ecological contextual  factors as important predictors for sexual risk behaviors, there remains inadequate  understanding about how violence types reinforce one another to heighten sexual risk  behaviors among African American heterosexual adolescents. This article presents new  directions for adolescent research, especially how a violence syndemic approach can  be used to explain sexual risk, but also to refocus intervention design on the  complex burdens experienced by this population.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2020.11.015",
url="http://dx.doi.org/10.1016/j.jadohealth.2020.11.015"
}