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This study examines the association between high\u2010risk sexual behavior and structural determinants of sexual health among a sample of young African American women. 237 young African American women (16\u201319 years old) from economically disadvantaged neighborhoods in North Carolina were enrolled into a randomized trial testing the efficacy of an adapted HIV\/STI prevention intervention. Logistic regression analyses predicted the likelihood that young women reporting lack of food at home, homelessness and low future prospects would also report sexual risk behaviors. Young women reporting a lack of food at home (22 %), homelessness (27 %), and low perceived education\/employment prospects (19 %) had between 2.2 and 4.7 times the odds as those not reporting these risk factors of reporting multiple sex partners, risky sex partners including older men and partners involved in gangs, substance use prior to sex, and exchange sex. Self\u2010reported structural determinants of sexual health were associated with myriad sexual risk behaviors. Diminished economic conditions among these young women may lead to sexual risk due to hopelessness, the need for survival or other factors.<\/jats:p>","DOI":"10.1007\/s10464-014-9668-9","type":"journal-article","created":{"date-parts":[[2014,8,18]],"date-time":"2014-08-18T08:51:07Z","timestamp":1408351867000},"page":"243-250","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Low Prospects and High Risk: Structural Determinants of Health Associated with Sexual Risk Among Young African American Women Residing in Resource\u2010Poor Communities in the South"],"prefix":"10.1002","volume":"54","author":[{"given":"Jerris L.","family":"Raiford","sequence":"first","affiliation":[{"name":"Division of HIV\/AIDS Prevention Centers for Disease Control and Prevention 1600 Clifton Road NE, Mailstop E-37 30333 Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey H.","family":"Herbst","sequence":"additional","affiliation":[{"name":"Division of HIV\/AIDS Prevention Centers for Disease Control and Prevention 1600 Clifton Road NE, Mailstop E-37 30333 Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Carry","sequence":"additional","affiliation":[{"name":"Division of HIV\/AIDS Prevention Centers for Disease Control and Prevention 1600 Clifton Road NE, Mailstop E-37 30333 Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicia A.","family":"Browne","sequence":"additional","affiliation":[{"name":"Harvard School of Public Health Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Doherty","sequence":"additional","affiliation":[{"name":"Substance Abuse Treatment Evaluations and Interventions Research Triangle Institute International Research Triangle Park NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendee M.","family":"Wechsberg","sequence":"additional","affiliation":[{"name":"Substance Abuse Treatment Evaluations and Interventions Research Triangle Institute International Research Triangle Park NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318298a166"},{"key":"e_1_2_6_3_1","volume-title":"Code of the streets: Decency, violence, and the moral life of the inner city","author":"Anderson E","year":"1999"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61709-1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-1971(02)00136-7"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1013028805470"},{"key":"e_1_2_6_7_1","volume-title":"National Center for HIV\/AIDS, Viral Hepatitis, STD and TB Prevention strategic plan, 2010\u20132015","year":"2010"},{"issue":"4","key":"e_1_2_6_8_1","first-page":"1","article-title":"Youth risk behavior surveillance\u2014United States","volume":"61","author":"Centers for Disease Control and Prevention","year":"2012","journal-title":"MMWR"},{"key":"e_1_2_6_9_1","unstructured":"Centers for Disease Control and Prevention. 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