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Geography should not be destiny: Focusing HIV/AIDS implementation research and programs on microepidemics in US neighborhoods

Author

Listed:
  • Nunn, A.
  • Yolken, A.
  • Cutler, B.
  • Trooskin, S.
  • Wilson, P.
  • Little, S.
  • Mayer, K.

Abstract

African Americans and Hispanics are disproportionately affected by the HIV/AIDS epidemic. Within the most heavily affected cities, a fewneighborhoods account for a large share of new HIV infections. Addressing racial and economic disparities in HIV infection requires an implementation program and research agenda that assess the impact of HIV prevention interventions focused on increasing HIV testing, treatment, and retention in care in the most heavily affected neighborhoods in urban areas of the United States. Neighborhood-based implementation research should evaluate programs that focus on community mobilization, media campaigns, routine testing, linkage to and retention in care, and block-byblock outreach strategies.

Suggested Citation

  • Nunn, A. & Yolken, A. & Cutler, B. & Trooskin, S. & Wilson, P. & Little, S. & Mayer, K., 2014. "Geography should not be destiny: Focusing HIV/AIDS implementation research and programs on microepidemics in US neighborhoods," American Journal of Public Health, American Public Health Association, vol. 104(5), pages 775-780.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301864_5
    DOI: 10.2105/AJPH.2013.301864
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    Cited by:

    1. Dustin T. Duncan & Farzana Kapadia & Perry N. Halkitis, 2014. "Examination of Spatial Polygamy among Young Gay, Bisexual, and Other Men Who Have Sex with Men in New York City: The P18 Cohort Study," IJERPH, MDPI, vol. 11(9), pages 1-22, August.
    2. Woodgate, Roberta L. & Zurba, Melanie & Tennent, Pauline & Cochrane, Carla & Payne, Mike & Mignone, Javier, 2017. "“People try and label me as someone I'm not”: The social ecology of Indigenous people living with HIV, stigma, and discrimination in Manitoba, Canada," Social Science & Medicine, Elsevier, vol. 194(C), pages 17-24.
    3. Vaughan, Adam S. & Kramer, Michael R. & Cooper, Hannah L.F. & Rosenberg, Eli S. & Sullivan, Patrick S., 2017. "Activity spaces of men who have sex with men: An initial exploration of geographic variation in locations of routine, potential sexual risk, and prevention behaviors," Social Science & Medicine, Elsevier, vol. 175(C), pages 1-10.

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