Beyond Individual-Level Sexual Risk Behaviors: HIV/AIDS and Racial Health Disparities

Abstract

Purpose – To examine and critique the research on HIV/AIDS health disparities among Black Americans.

Methodology – A selective investigation of quantitative research on HIV/AIDS health disparities from the 1980s to the present. Prevalence and incidence of HIV/AIDS in Black American communities and research targeting individual-level behaviors and their outcomes are presented. The impact of racialized discourses related to Black sexuality and its impact on research are discussed. Future policy and practice directions are offered.

Findings – This chapter notes the preponderance of studies at the individual level even in the face of null findings.

Research limitations/implications – This work is not an exhaustive examination of all the studies on HIV racial health disparity.

Practical implications – This chapter contributes to the literature that redirects HIV/AIDS research from focus on individual behaviors in the face of a population-level epidemic.

Social implications – This chapter demonstrates how research goals may be diverted by unacknowledged racialized assumptions.

Originality/value of chapter – This study is one of the few critiques of HIV/AIDS research on Black Americans.

Citation

Adams, P.E. (2012), "Beyond Individual-Level Sexual Risk Behaviors: HIV/AIDS and Racial Health Disparities", Notaro, S.R. (Ed.) Health Disparities Among Under-served Populations: Implications for Research, Policy and Praxis (Advances in Education in Diverse Communities, Vol. 9), Emerald Group Publishing Limited, Leeds, pp. 227-240. https://doi.org/10.1108/S1479-358X(2012)0000009014