Incidence among African Americans is estimated to be approximately 8 times that of European Americans.
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To intervene effectively, public health professionals must understand the context in which high-risk behavior occurs, and have access to relevant and current prevention strategies. Table of contents Dedication. Context: Interactions among violence, substance use and HIV. ISBN: Autori: McCree. Editore: Springer Verlag.
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Edizione: Lingua: Inglese. Finitura: Copertina rigida. Pagine: Per inviare la segnalazione inserisci il tuo nome e l'indirizzo email del destinatario. And there are disparities within the disparities: African American men were less likely to be consistently retained in care than African American women.
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And retention in care was highest among African American heterosexuals and lowest for African American gay and bisexual men, for whom homophobia, stigma, and discrimination remain as prevention challenges to HIV care. Past research has shown that African Americans do not engage in risky behaviors any more or less than members of other racial and ethnic groups. We know that social and economic factors, such as poverty and limited access to high-quality health care, housing, and HIV prevention education can directly and indirectly contribute to a higher prevalence of HIV among African American communities.
Therefore, to stop the HIV epidemic among African Americans, we must tackle the social inequities influencing HIV health outcomes and the disparities that persist at every stage of the continuum of HIV care, including identifying approaches to promote early linkage to and retention in care. CDC collaborates continually with state and local health departments, community-based organizations, and stakeholders to break down barriers to diagnosis, care, and treatment for African Americans.
Leading an investment to support health departments to collaborate with CBOs, clinics, behavioral health and social service providers to plan, implement, and sustain comprehensive prevention, care, behavioral health, and social services for African American gay and bisexual men living with or at risk for HIV. Funding demonstration projects, such as the Care and Prevention in the United States project, to support increased testing and to optimize linkage to care, retention in care, and re-engagement with care and prevention services for African Americans diagnosed with HIV.
It is my hope that in the near future, new HIV infections in African American communities will be rare, and that effective and timely treatment will be standard practice.
To keep driving down new diagnoses, we must ensure that everyone at risk for HIV infection is provided access to effective prevention tools and that people who are living with HIV have unfettered access to quality health care regardless of who they are or where they live.
I firmly believe that if we all continue to push efforts in this direction, we can help end the HIV epidemic for everyone in the United States. Sign up to receive email updates of HIV.
These factors include:. In addition, stigma, transportation challenges, and access to illicit substances impacted health-seeking behavior and decision-making, and the ability to engage in HIV care. Put simply, to fight HIV, we need to address poverty and social inequity. This approach is the vital game-changer needed to eradicate the HIV epidemic in the U.
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Whenever feasible, social determinants need to be incorporated into behavioral and biomedical strategies to increase their likelihood of success. There is growing scientific evidence documenting that interventions that address poverty and inequities in social and living conditions can be effective in reducing risks of HIV infection.
I believe Americans must commit to making it clear to our leaders and to all Americans that all sectors of society gain when we invest in tackling inequities in the most vulnerable areas. Skip to main content.
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