Structural Interventions with an Emphasis on Poverty and Racism

  • Renata Arrington Sanders
  • Jonathan M. Ellen


HIV/AIDS continues to disproportionately affect African Americans. While African Americans represent 13% of the U.S. population, they account for nearly 50% of new HIV/AIDS infections (Centers for Disease Control and Prevention (CDC), 2008; McKinnon, 2003). Disproportionate rates are seen most among African American men who have sex with men (MSM) and women. Many African Americans at risk for acquiring HIV or other STIs disproportionately live in poverty and are plagued by communities with high rates of homelessness, unemployment, incarceration and substance abuse/dependence (Adimora & Schoenbach, 2005). How such factors increase the probability of exposure is very complex.


Sexual Minority Residential Segregation African American Community African American Adolescent Kaiser Family Foundation 
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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Division of General Pediatrics & Adolescent MedicineJohns Hopkins School of MedicineBaltimoreUSA

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