A State of the Science on HIV Prevention Over 40 Years Among Black and Hispanic/Latinx Communities

J Assoc Nurses AIDS Care. 2021 May-Jun;32(3):253-263. doi: 10.1097/JNC.0000000000000266.

Abstract

We present a state of the science on HIV behavioral prevention interventions in Black and Hispanic/Latinx communities. The purpose of this article is threefold: (a) highlight the early documented underlying social and political barriers that constrained interventions to prevent new HIV infections; (b) address the structural inequities in HIV prevention and treatment; and (c) describe the need for increasing HIV multilevel prevention interventions that support greater HIV testing and pre-exposure prophylaxis uptake. To address HIV prevention, multilevel interventions that address individual, structural, and social level components have demonstrated more sustainable outcomes. Implications for research and clinical practice include (a) updating antiquated curricula in nursing, medicine, and public health that perpetuate racial, structural-level inequities and (b) increasing the pipeline for Black and Hispanic/Latinx persons to pursue research or clinical-focused doctorate degrees.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Adult
  • Black or African American*
  • Cultural Competency
  • Culturally Competent Care*
  • Delivery of Health Care / ethnology*
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility
  • Healthcare Disparities / ethnology*
  • Hispanic or Latino*
  • Humans
  • Male
  • Pre-Exposure Prophylaxis
  • Social Class
  • Trust