Reducing the toll of HIV on communities that are disproportionately affected requires confronting the complex social, economic, and environmental factors that fuel the epidemic in these communities.
1. Poverty can limit access to health care, HIV testing, and medications that can lower levels of HIV in the blood and help prevent transmission. In addition, those who cannot afford the basics in life may end up in circumstances that increase their HIV risk.
2. Discrimination, stigma and homophobia: Far too prevalent in many communities, these factors may discourage individuals from seeking testing, prevention, and treatment services.
3. Prevalence of HIV and other STDs in a community: More people living with HIV or infected with STDs can increase an individual’s risk of infection with every sexual encounter, especially if, within those communities, people select partners who are from the same ethnicity.
4. Higher rates of undiagnosed/untreated STDs can increase the risk of both acquiring and transmitting HIV.
5. Higher rates of incarceration among men can disrupt social and sexual networks in the broader community and decrease the number of available partners for women, which can fuel the spread of HIV.
6. Language barriers and concerns about immigration status present additional prevention challenges.