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Method: Talking circles, individual interviews, and event history calendars were used with 20 urban AI 15- to 19-year-old girls to explore influences on sexual risk behavior. Results: The generated theory\u2014framing sexual risk behavior\u2014describes social and structural factors and processes that influenced the girls\u2019 sexual risk behavior. The theory extends Bronfenbrenner\u2019s ecological model by identifying microsystem, mesosystem, and macrosystem influences on sexual risk behavior. Discussion: Urban AI girls reported similar social and structural influences on sexual risk behavior as urban adolescents from other racial and ethnic groups. However, differences were noted in the family structure, cultural heritage, and unique history of AIs. Implications: This theory can be used in culturally responsive practice with urban AI girls.<\/jats:p>","DOI":"10.1177\/1043659614524789","type":"journal-article","created":{"date-parts":[[2014,5,6]],"date-time":"2014-05-06T22:21:53Z","timestamp":1399414913000},"page":"365-375","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Urban American Indian Adolescent Girls"],"prefix":"10.1177","volume":"26","author":[{"given":"Melissa A.","family":"Saftner","sequence":"first","affiliation":[{"name":"University of Minnesota School of Nursing, Minneapolis, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristy K.","family":"Martyn","sequence":"additional","affiliation":[{"name":"Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra L.","family":"Momper","sequence":"additional","affiliation":[{"name":"University of Michigan School of Social Work, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol J.","family":"Loveland-Cherry","sequence":"additional","affiliation":[{"name":"University of Michigan School of Nursing, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa Kane","family":"Low","sequence":"additional","affiliation":[{"name":"University of Michigan School of Nursing, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,5,6]]},"reference":[{"key":"bibr1-1043659614524789","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.2005.10400523"},{"key":"bibr2-1043659614524789","doi-asserted-by":"publisher","DOI":"10.1111\/j.0737-1209.2006.230105.x"},{"key":"bibr3-1043659614524789","volume-title":"Symbolic interactionism: Perspective and method","author":"Blumer H.","year":"1969"},{"key":"bibr4-1043659614524789","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.32.7.513"},{"key":"bibr5-1043659614524789","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2011.0096"},{"key":"bibr6-1043659614524789","unstructured":"Centers for Disease Control and Prevention. 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