Ending the HIV epidemic for all, not just some: structural racism as a fundamental but overlooked social-structural determinant of the US HIV epidemic.

IF 4.5 3区 医学 Q2 IMMUNOLOGY Current Opinion in HIV and AIDS Pub Date : 2022-03-01 DOI:10.1097/COH.0000000000000724
Lisa Bowleg, Arianne N Malekzadeh, Mary Mbaba, Cheriko A Boone
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引用次数: 26

Abstract

Purpose of review: We review the recent theoretical and empirical literature on structural racism, social determinants of health frameworks within the context of HIV prevention and treatment, and criticism of the national responses to the US epidemic.

Recent findings: In line with growing mainstream attention to the role of structural racism and health inequities, recent editorials and studies cite ending structural racism as an essential step to ending the US HIV epidemic. Recent studies demonstrate that barriers rooted in structural racism such as incarceration, housing instability, police discrimination, neighborhood disadvantage, health service utilization and community violence, and poor or no access to social services, transportation, and childcare, are barriers to HIV prevention. Recent articles also criticize national responses to HIV such as the ending the HIV epidemic (EHE) and National HIV/AIDS Strategy plans for failing to address structural racism and prioritize community engagement in EHE efforts.

Summary: Collectively, the articles in this review highlight a growing consensus that the US has no real chance of EHE for all, absent a meaningful and measurable commitment to addressing structural racism and intersectional discrimination as core determinants of HIV, and without more equitable engagement with community-based organizations and communities disproportionately affected by HIV.

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终结所有人(而不仅仅是一部分人)的艾滋病毒流行:结构性种族主义是美国艾滋病毒流行的一个基本但被忽视的社会结构决定因素。
回顾的目的:我们回顾了最近关于结构性种族主义的理论和实证文献,艾滋病毒预防和治疗背景下健康框架的社会决定因素,以及对美国国家应对这一流行病的批评。最近的发现:随着越来越多的主流关注结构性种族主义和卫生不平等的作用,最近的社论和研究指出,结束结构性种族主义是结束美国艾滋病毒流行的重要一步。最近的研究表明,植根于结构性种族主义的障碍,如监禁、住房不稳定、警察歧视、邻里不利、保健服务利用和社区暴力,以及难以或无法获得社会服务、交通和儿童保育,都是预防艾滋病毒的障碍。最近的一些文章还批评国家对艾滋病毒的应对措施,如结束艾滋病毒流行和国家艾滋病毒/艾滋病战略计划,未能解决结构性种族主义问题,并优先考虑社区参与艾滋病毒/艾滋病的努力。总结:总的来说,本综述中的文章强调了一个日益增长的共识,即美国没有真正实现全民EHE的机会,缺乏有意义和可衡量的承诺,以解决结构性种族主义和交叉歧视作为艾滋病毒的核心决定因素,没有更公平地参与社区组织和受艾滋病毒影响严重的社区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Opinion in HIV and AIDS
Current Opinion in HIV and AIDS IMMUNOLOGY-INFECTIOUS DISEASES
CiteScore
7.40
自引率
7.30%
发文量
115
审稿时长
6-12 weeks
期刊介绍: Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in HIV and AIDS features hand-picked review articles from our team of expert editors. With six disciplines published across the year – including HIV and ageing, a HIV vaccine, and epidemiology – every issue also contains annotated reference detailing the merits of the most important papers.
期刊最新文献
Recent data on the role of antiretroviral therapy in weight gain and obesity in persons living with HIV. Anticipating HIV viral escape - resistance to active and passive immunization. Accelerating HIV vaccine development through meaningful engagement of local scientists and communities. Guiding HIV-1 vaccine development with preclinical nonhuman primate research. Discovery medicine - the HVTN's iterative approach to developing an HIV-1 broadly neutralizing vaccine.
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