Division of HIV/AIDS Prevention, Centers for Disease Control & Prevention, 1600 Clifton Rd, NE Mailstop US8-5, Atlanta, GA, 30329, USA.
AIDS Behav. 2019 Oct;23(Suppl 3):331-339. doi: 10.1007/s10461-019-02671-w.
Black men who have sex with men (MSM) in the South have the highest rates of HIV diagnosis in the country adding to the persistent racial disparities in HIV experienced by this population. The current HIV prevention and care landscape is heavily driven by individual-level clinical and biomedical approaches that have shown progress in reducing HIV diagnoses, but yield less than adequate results in reducing the HIV racial disparities for Black MSM in the South. In efforts to enhance focus on reducing the racial HIV disparities and more completely address the needs of Black MSM in the South, we offer insight on comprehensive approaches that can complement our current HIV prevention and care portfolio. There are five domains we discuss which include: (1) leveraging and integrating resources; (2) building upon existing program models designed to reduce disparities; (3) workforce development and cultural sensitivity; (4) social determinants of health data utilization; and 5) policy considerations. We urge public health practitioners and healthcare providers to consider and incorporate the outlined approaches to improve HIV outcomes along the continuum of care and ultimately reduce disparities in HIV affecting the quality of life of Black MSM living in the South.
在南方与男性发生性关系的黑人男性（MSM）的 HIV 诊断率居全国之首，这加剧了该人群中 HIV 持续存在的种族差异。当前的 HIV 预防和护理格局主要由以个体为基础的临床和生物医学方法驱动，这些方法在减少 HIV 诊断方面取得了进展，但在减少南方黑人 MSM 的 HIV 种族差异方面的效果并不理想。为了加强对减少 HIV 种族差异的关注，并更全面地满足南方黑人 MSM 的需求，我们提供了有关综合方法的见解，这些方法可以补充我们当前的 HIV 预防和护理组合。我们讨论了五个领域，包括：（1）利用和整合资源；（2）在旨在减少差异的现有计划模型基础上进行建设；（3）劳动力发展和文化敏感性；（4）健康数据利用的社会决定因素；和 5）政策考虑。我们敦促公共卫生从业人员和医疗保健提供者考虑并采用所概述的方法，以改善整个护理过程中的 HIV 结果，并最终减少影响南方黑人 MSM 生活质量的 HIV 差异。
