University of California, San Diego, San Diego, CA 92093, USA.
Am J Mens Health. 2012 May;6(3):178-81. doi: 10.1177/1557988311416496. Epub 2011 Aug 10.
Recent data from the Centers for Disease Control and Prevention demonstrate that 1 in 16 Black men in the United States will be infected with HIV in their lifetime. Furthermore, the long-standing HIV disparity in Black communities is actually increasing for Black men. National efforts to curb the epidemic among U.S. Black men focus primarily on men who have sex with men and injection drug users. Black men at heterosexual risk for HIV have largely been neglected by research, program, and policy. This article presents epidemiologic data documenting that heterosexual risk for HIV among Black men is a major concern for Black communities and is likely additional evidence among growing indications of a generalized epidemic in low-income and urban Black communities. The authors offer a call to action to increase support for research, program, and policies that can improve HIV prevention and testing among heterosexual Black men in the United States, as part of the national agenda to reduce rates of HIV in Black communities.
美国疾病控制与预防中心最近的数据显示,美国每 16 名黑人男性中就有 1 人在其一生中会感染艾滋病毒。此外,黑人社区长期存在的艾滋病毒差距实际上正在扩大,尤其是黑人男性。美国遏制黑人男性中艾滋病流行的国家努力主要集中在男男性行为者和注射吸毒者身上。异性恋风险的黑人男性在很大程度上被研究、计划和政策所忽视。本文提供的流行病学数据表明,黑人男性中的异性恋艾滋病毒风险是黑人社区的一个主要关注点,而且这可能是在不断增加的迹象中,表明在低收入和城市黑人社区中,艾滋病毒已呈普遍流行态势。作者呼吁加大对研究、计划和政策的支持,以改善美国异性恋黑人男性的艾滋病毒预防和检测,这是减少黑人社区艾滋病毒发病率的国家议程的一部分。