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However, racism is a probable underlying determinant of these social conditions. This article uses a socioecological model to describe racism and its impact on African American women's sexual and reproductive health. Although similar models have been used for specific infectious and chronic diseases, they have not described how the historical underpinnings of racism affect current sexual and reproductive health outcomes among African American women. We propose a socioecological model that demonstrates how social determinants grounded in racism affect individual behaviors and interpersonal relationships, which may contribute to sexual and reproductive health outcomes. This model provides a perspective to understand how these unique contextual experiences are intertwined with the daily lived experiences of African American women and how they are potentially linked to poor sexual and reproductive health outcomes. The model also presents an opportunity to increase dialog and research among public health practitioners and encourages them to consider the role of these contextual experiences and supportive data when developing prevention interventions. Considerations address the provision of opportunities to promote health equity by reducing the effects of racism and improving African American women's sexual and reproductive health.<\/jats:p>","DOI":"10.1089\/jwh.2015.5637","type":"journal-article","created":{"date-parts":[[2016,5,26]],"date-time":"2016-05-26T16:25:07Z","timestamp":1464279907000},"page":"664-671","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":179,"title":["The Impact of Racism on the Sexual and Reproductive Health of African American Women"],"prefix":"10.1177","volume":"25","author":[{"given":"Cynthia","family":"Prather","sequence":"first","affiliation":[{"name":"National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taleria R.","family":"Fuller","sequence":"additional","affiliation":[{"name":"National Center for Chronic Disease Prevention and Health Promotion","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khiya J.","family":"Marshall","sequence":"additional","affiliation":[{"name":"National Center for Injury Prevention and Control","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"IV","given":"William L.","family":"Jeffries","sequence":"additional","affiliation":[{"name":"National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,5,26]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"S24","article-title":"Health disparities and women's reproductive health","volume":"17","author":"Armstrong A","year":"2007","unstructured":"Armstrong A, , Maddox YT. 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