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Fenway Health and Other Experts Say That to End HIV Epidemic, Address Health Disparities
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Despite coordinated national efforts to implement HIV services, the epidemic persists, especially in the South. It also disproportionately impacts marginalized groups, such as Black/African-American, and Latinx communities, women, people who use drugs, men who have sex with men (MSM), and other sexual and gender minorities. Recommendations to overcoming barriers to implementing HIV services include counseling, testing, treatment, pre-exposure prophylaxis (PrEP), and syringe services programs. These services are critical to preventing new HIV transmissions and helping people living with HIV.
“We have an increasing array of biological interventions to improve people’s lives and to limit HIV spread, but the failure to attend to the social and structural factors that potentiate risk have limited the impact of new prevention modalities.” said Kenneth Mayer, MD of The Fenway Inst
E-Mail People who are racial, sexual, and gender minorities continue to be affected by HIV at significantly higher rates than white people, a disparity also reflected in the COVID-19 pandemic. The US HIV epidemic has shifted from coastal, urban settings to the South and rural areas. Despite its role as the largest funder for HIV research and global AIDS programs worldwide, the USA has higher rates of new HIV infections and a more severe HIV epidemic than any other G-7 nation. Series authors call for a unified effort to curb the HIV epidemic in the USA, including universal health coverage, programs to address disparities in HIV services, and actions to end discrimination and racism in health care.