title: Urban American Indian Adolescent Girls: Framing Sexual Risk Behavior.
abstract: OBJECTIVE
  The purpose of this study was to explore factors that influence urban adolescent American Indian (AI) girls' sexual risk behavior.
  
  
  METHODS
  A qualitative study was conducted with grounded theory methodology to reveal factors and processes that influence sexual risk behavior.
  
  
  METHODS
  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-framing sexual risk behavior-describes social and structural factors and processes that influenced the girls' sexual risk behavior. The theory extends Bronfenbrenner's ecological model by identifying microsystem, mesosystem, and macrosystem influences on sexual risk behavior.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  This theory can be used in culturally responsive practice with urban AI girls.
authors.affiliation: University of Minnesota School of Nursing, Minneapolis, MN, USA msaftner@umn.edu.
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Saftner
authors.affiliation: Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
authors.forename: Kristy K
authors.initials: KK
authors.lastname: Martyn
authors.affiliation: University of Michigan School of Social Work, Ann Arbor, MI, USA.
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Momper
authors.affiliation: University of Michigan School of Nursing, Ann Arbor, MI, USA.
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Loveland-Cherry
authors.affiliation: University of Michigan School of Nursing, Ann Arbor, MI, USA.
authors.forename: Lisa Kane
authors.initials: LK
authors.lastname: Low
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D005260:Female; D006801:Humans; D007198:Indians, North American; D015146:Midwestern United States; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000208:ethnology / Q000451:nursing / Q000517:prevention & control*; D016746:Transcultural Nursing; D014505:Urban Population; D055815:Young Adult
keywords: clinical areas; cultural groups; grounded theory; research methods; women’s health