Exploring the lived context of black youth sexual decision-making Dana Prince University of Pennsylvania, Philadelphia USA Masters in Public Health Candidate Abstract: Public health research relies on particular mobilizations of the terms risk and risky behavior to categorize black youth. Such naming often reinforces taken for granted representational and linguistic conventions surrounding black youth that betray entrenched racism and oppressive power dynamics between health researchers their ‘target population’. Marrying public health frameworks for behavioral intervention with critical race theory and feminist studies can move us in a much-needed direction. This research uses qualitative tools—free listing, semi-structured interview and observation to explore the implications of internalized antagonistic beliefs about one’s race for intra-race adolescent romantic relationships for eight black youth in West Philadelphia. Implications of internalized racism for long-term health outcomes are discussed. Implications for effective intervention for this group are detailed. Keywords: black youth; internalized racism; sexual health; critical race theory; feminism