AIDS and Behavior

, Volume 23, Supplement 3, pp 313–318 | Cite as

U.S. Centers for Disease Control and Prevention and Health Resources and Services Administration Initiatives to Address Disparate Rates of HIV Infection in the South

  • Donna Hubbard McCreeEmail author
  • Steven R. YoungEmail author
  • Kirk D. Henny
  • Laura Cheever
  • Eugene McCray
Original Paper


The US South accounted for 51% of annual new HIV infections, 50% of undiagnosed infections and 45% of persons with HIV infection in 2016 while comprising 38% of the population. Myriad structural and contextual factors are associated with HIV-related disparities. This paper describes initiatives and strategies conducted by the Centers for Disease Control and Prevention and Health Resources and Services Administration to identify opportunities and activities addressing the disparity of HIV diagnoses in the South. Targeted HIV prevention and care efforts can change the trajectory of outcomes along the HIV care continuum and reduce HIV-related disparities in the South.


HIV infection Disparities Southern US CDC HRSA 


El Sur de los EE. UU. representó el 51% de las nuevas infecciones anuales por el VIH, el 50% de las infecciones no diagnosticadas y el 45% de las personas con infecciones por VIH en 2016, mientras que representa el 38% de la población. Innumerables factores estructurales y contextuales están asociados con las disparidades relacionadas con el VIH. Este artículo describe las iniciativas y estrategias llevadas a cabo por los Centros para el Control y Prevención de Enfermedades y la Administración de Recursos y Servicios de Salud, para identificar oportunidades y actividades que dirijan sus esfuerzos a la disparidad de los diagnósticos de VIH en el Sur. La prevención y el tratamiento dirigidos contra el VIH pueden cambiar la trayectoria de los resultados a lo largo del continuo de la atención del VIH, y pueden así, reducir las disparidades relacionadas con el VIH en el Sur.

Palabras clave

Infección por VIH disparidades sur de los Estados Unidos CDC HRSA 



The findings and conclusions in this report are those of the authors and do not necessarily represent the official positions of the Centers for Disease Control and Prevention or Health Resources and Services Administration.

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.


  1. 1.
    Centers for Disease Control and Prevention. Estimated HIV incidence and prevalence in the United States, 2010–2016. HIV Surveillance Supplemental Report 2019; vol. 24(No. 1). Published February 2019. Accessed 15 May 2019.
  2. 2.
    Centers for Disease Control and Prevention. HIV Surveillance Report, 2017, vol. 29. Published November 2018. Accessed 15 May 2019.
  3. 3.
    Reif S, Safley D, McAllaster C, Wilson E, Whetten K. State of HIV in the US Deep South. J Community Health. 2017;43(5):844–53. Scholar
  4. 4.
    Li Z, Purcell DW, Sansom SL, Hayes D, Hall HI. Vital signs: HIV transmission along the continuum of care—United States, 2016. Morb Mortal Wkly Rep. 2019;68:267–72. Scholar
  5. 5.
    Centers for Disease Control and Prevention. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2016. HIV Surveillance Supplemental Report 2018; vol. 23(No. 4). Published June 2018. Accessed 23 Aug 2018.
  6. 6.
    Doshi RK, Milberg J, Jumento T, Matthews T, Dempsey A, Cheever LW. For many served by the Ryan White HIV/AIDS Program, disparities in viral suppression decreased, 2010–2014. Health Aff (Millwood). 2017;36(1):116–23. Scholar
  7. 7.
    Williams KM, Taylor RD, Painter T, Jeffries IV WL, Prather C, Spikes P, Mulatu MS, Henny K, Hoyte T, Flores SA. Learning by doing: lessons from the care and prevention in the United States Demonstration Project. Public Health Rep. 2018;133(Supplement 2):18S–27S. Accessed 15 May 2019.CrossRefGoogle Scholar

Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2019

Authors and Affiliations

  1. 1.Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB PreventionCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Division of Metropolitan HIV/AIDS Programs, HIV/AIDS BureauHealth Resources and Services AdministrationRockvilleUSA

Personalised recommendations