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HIV/AIDS in African Americans


African Americans have been influenced more seriously by HIV in various ways than some other racial or ethnic gathering in the United States. HIV-related mortality and AIDS analysis sway a more prominent level of this gathering than the general populace conceded by Coleman et al. (2016). The overall endurance pace of African Americans with AIDS is more unfortunate than other ethnic gatherings, as indicated by the CDC. As an outcome, the HIV/AIDS infection is a significant reason for mortality among African Americans, especially among young ladies. Individuals of color are multiple times more probable than white ladies and almost certain than Spanish ladies to be determined to have HIV by 2018 as per the Centers for Disease Control and Prevention (CDC) (2020).

Cases of HIV/AIDS among African Americans as per research conducted in 2019

In 2019, black and African Americans represented 42.1% of all HIV diseases in the United States instead of their extent in the US populace. As indicated by the 2019 proof given by the U.S. Minority Health Department and Human Services Bureau, the number and paces of HIV contamination in grown-ups. According to Mandsager et al. (2018), African American males contributed to 11 489 cases with a rate of 71.7 alongside a ratio of 8.1 comparing to the white males who had 7,498 cases and a rate of 8.9. Besides, African American females contributed to 3,810 cases with a rate of 21.3 and a ratio of 12.5 compared to White females who had 1,508 cases and a rate of 1.7. Additionally, when it comes to the children who are infected by HIV cases still is high in African Americans compared to the Whites as affirmed by Mandsager et al. (2018), African American cases are 35 and a rate of 0.5 compared to that of Whites contributing 7 cases and a rate of 0.0. Finally, comparing the death rate resulting from HIV/AIDS in African Americans, it is still high with 28.4 in men of all ages and 11.6 in women of all ages.

What is said to contribute to these high cases of HIV/AIDS among African Americans?

Lack of awareness, distrust, and fear

Many black individuals may be HIV-positive and do not know about it. Thus, they transmit the virus and get more ill. In 2018, just about half of 100 Black individuals living with HIV were virally suppressed. Some Afro-Americans still think that HIV is a white, homosexual illness in error, as Freeman et al. (2017) confirmed. This makes it difficult to educate children about HIV or speak about their HIV status. The issue may be a persistent mistrust of official information and research sources among the black community. The historical Tuskegee Syphilis study has carried out damaging medical tests on Afro-Americans for 40 years, without their consent, according to (Reif, Wilson & McAllaster, (2018). Besides, homosexuality stigma may also silence guys who have sex with men. Black males have sex with men “on the bottom,” but they cannot inform their women sex partners.

Unprotected sex and STDS

Most men and women in the African American community get infected with HIV if they do not use a condom or other protection for sexual contact with a male. A black guy is less likely to get HIV from a female partner than a white man. As verified by Marcus & Snowden, a black guy is more likely than a white man to get HIV, as verified by Marcus & Snowden, via sexual intercourse with other males (2020). Anyone with a different sexually transmitted illness, such as gonorrhea, may become or develop HIV more easily, and STD infections are more prevalent among African Americans than whites and Asians (Friedman, Dean & Duffus, 2018).


African-Americans are more likely than whites to be uninsured or covered by public health insurance as a group. They may not have as much access to information or as many choices for HIV testing and treatment as those in more developed countries, according to Prather et al. (2018). It may be more difficult to locate assistance and resources to manage HIV or AIDS and associated diseases. Female partners who rely on their partners for financial support may believe that they cannot defend themselves in a sexual connection.

Injecting Drugs

According to Adams et al. (2018), sharing medicine needles and syringes with HIV-positive is the second most common way for African Americans to acquire the virus. It spreads HIV via direct contact with blood. Highness may lead to potentially dangerous sexual behavior. Drug addiction or drug dependence may aggravate financial problems. Individuals may also be willing to trade unknown drug sex in return for a monetary reward.

The U.S government took measures to ensure that the rate at which HIV/ AIDS among African Americans gets condoled.

The federal government is researching to improve HIV prevention, care, and treatment efficiency and efficacy. Aside from that, the federal government funds initiatives that help reduce risky behavior and keep HIV patients in medical care (Rueda et al., 2016). Care includes the treatment of substance addiction, mental health services, housing, transport, and others that have shown decreasing or preventing the spread of HIV or hindering the ability of HIV-positive persons to achieve viral suppression. Rueda et al. have revised the National HIV/AIDS Strategy to include the most up-to-date scientific information available (2016). The strategy’s main goal is to reduce new HIV infections. Various federal agencies are engaged in preventing HIV acquisition and transmission. The results show a reduction in new HIV infections across all categories and states for which data is presently available. Some male groupings who have intercourse with other men are exceptions.


All in all, African American people group keeps on being violated by HIV/AIDS disease regardless of the stamped uses used to decrease occurrence among this partner. This is because the endeavors to deliver socially suitable projects that work keep on escaping authorities and HIV/AIDS has turned into a scourge among explicit subgroups in this companion where people of color have intercourse with men.


Adams, J. W., Lurie, M. N., King, M. R., Brady, K. A., Galea, S., Friedman, S. R., … & Marshall, B. D. (2018). Potential drivers of HIV acquisition in African-American women related to mass incarceration: an agent-based modelling study. BMC public health18(1), 1-11.

Coleman, J. D., Tate, A. D., Gaddist, B., & White, J. (2016). Social determinants of HIV-related stigma in faith-based organizations. American journal of public health106(3), 492-496.

Essuon, A. D., Zhao, H., Wang, G., Collins, N., Karch, D., & Rao, S. (2020). HIV testing outcomes among Blacks or African Americans—50 Local US Jurisdictions accounting for the majority of new HIV diagnoses and seven states with disproportionate occurrences of HIV in rural areas, 2017. Morbidity and Mortality Weekly Report69(4), 97.

Freeman, R., Gwadz, M. V., Silverman, E., Kutnick, A., Leonard, N. R., Ritchie, A. S., … & Martinez, B. Y. (2017). Critical race theory as a tool for understanding poor engagement along the HIV care continuum among African American/Black and Hispanic persons living with HIV in the United States: a qualitative exploration. International journal for equity in health16(1), 1-14.

Friedman, E. E., Dean, H. D., & Duffus, W. A. (2018). Incorporation of social determinants of health in the peer-reviewed literature: a systematic review of articles authored by the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Public Health Reports133(4), 392-412.

Mandsager, P., Marier, A., Cohen, S., Fanning, M., Hauck, H., & Cheever, L. W. (2018).

Reducing HIV-related health disparities in the health resources and services administration’s Ryan White HIV/AIDS Program. American journal of public health108(S4), S246-S250.

Marcus, J. L., & Snowden, J. M. (2020). Words matter: putting an end to “unsafe” and “risky” sex. Sexually transmitted diseases47(1), 1.

Prather, C., Fuller, T. R., Jeffries IV, W. L., Marshall, K. J., Howell, A. V., Belyue-Umole, A., &

King, W. (2018). Racism, African American women, and their sexual and reproductive health: a review of historical and contemporary evidence and implications for health equity. Health equity2(1), 249-259.

Reif, S., Wilson, E., & McAllaster, C. (2018). Perceptions and impact of HIV stigma among high risk populations in the US Deep South. J HIV AIDS4(2).

Rueda, S., Mitra, S., Chen, S., Gogolishvili, D., Globerman, J., Chambers, L., … & Rourke, S. B. (2016). Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: a series of meta-analyses. BMJ open6(7), e011453.


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