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Achieving Health Equity Among US Communities of Color at Risk for or Living with HIV

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HIV in US Communities of Color

Abstract

Achieving health equity and reaching the goals of the federal initiative, Ending the HIV Epidemic, among Black and Latinx individuals will require the development of interventions that address the root causes of racial and ethnic disparities in access to HIV prevention, care, and treatment. This chapter proposes three strategies to accomplish these goals: (1) acknowledge and address structural racism, (2) improve patient-provider relationships, and (3) diversify the HIV workforce.

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References

  1. Centers for Disease Control and Prevention. HIV surveillance report, 2018 (Preliminary); vol. 30. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Published November 2019. Accessed 4 Apr 2020.

  2. Dailey AF, Johnson AS, Wu B. HIV care outcomes among blacks with diagnosed HIV – United States, 2014. MMWR Morb Mortal Wkly Rep. 2017;66(4):97–103.

    PubMed  PubMed Central  Google Scholar 

  3. Hoover KW, Hu X, Porter SE, Buchacz K, Bond MD, Siddiqi AE, Haynes SG. HIV diagnoses and the HIV care continuum among women and girls aged ≥13 years-39 states and the District of Columbia, 2015–2016. J Acquir Immune Defic Syndr. 2019;81(3):251–6.

    PubMed  Google Scholar 

  4. Gant Z, Bradley H, Hu X, Skarbinski J, Hall HI, Lansky A, Centers for Disease Control and Prevention (CDC). Hispanics or Latinos living with diagnosed HIV: progress along the continuum of HIV care – United States, 2010. MMWR Morb Mortal Wkly Rep. 2014;63(40):886–90.

    PubMed  PubMed Central  Google Scholar 

  5. Chapin-Bardales J, Rosenberg ES, Sullivan PS. Trends in racial/ethnic disparities of new AIDS diagnoses in the United States. Ann Epidemiol. 2017;27(5):329–334.e2.

    PubMed  PubMed Central  Google Scholar 

  6. Kanny D, Jeffries WL 4th, Chapin-Bardales J, Denning P, Cha S, Finlayson T, Wejnert C, National HIV Behavioral Surveillance Study Group. Racial/ethnic disparities in HIV pre-exposure prophylaxis among men who have sex with men – 23 urban areas, 2017. MMWR Morb Mortal Wkly Rep. 2019;68(37):801–6.

    PubMed  PubMed Central  Google Scholar 

  7. Ojikutu BO, Bogart LM, Higgins-Biddle M, Dale SK, Allen W, Dominique T, Mayer KH. Facilitators and barriers to pre-exposure prophylaxis (PrEP) use among Black individuals in the United States: results from the National Survey on HIV in the Black Community (NSHBC). AIDS Behav. 2018 Nov;22(11):3576–87.

    PubMed  PubMed Central  Google Scholar 

  8. Raifman J, Dean LT, Montgomery MC, Almonte A, Arrington-Sanders R, Stein MD, Nunn AS, Sosnowy CD, Chan PA. Racial and ethnic disparities in HIV pre-exposure prophylaxis awareness among men who have sex with men. AIDS Behav. 2019;23(10):2706–9.

    PubMed  PubMed Central  Google Scholar 

  9. Huang YA, Zhu W, Smith DK, Harris N, Hoover KW. HIV pre-exposure prophylaxis, by race and ethnicity - United States, 2014-2016. MMWR Morb Mortal Wkly Rep. 2018;67(41):1147–50.

    PubMed  PubMed Central  Google Scholar 

  10. Braveman P. What are health disparities and health equity? We need to be clear. Public Health Rep. 2014;129(Suppl 2):5–8.

    PubMed  PubMed Central  Google Scholar 

  11. Center for Disease Control and Prevention. Ending the HIV epidemic: a plan for America. Available at: https://www.cdc.gov/endhiv/index.html.

  12. Nosyk B, Krebs E, Zang X, et al. 'Ending the Epidemic' will not happen without addressing racial/ethnic disparities in the US HIV epidemic [published online ahead of print, 2020 May 19]. Clin Infect Dis. 2020;ciaa566

    Google Scholar 

  13. Buot ML, Docena JP, Ratemo BK, Bittner MJ, Burlew JT, Nuritdinov AR, Robbins JR. Beyond race and place: distal sociological determinants of HIV disparities. PLoS One. 2014;9:e91711.

    PubMed  PubMed Central  Google Scholar 

  14. Ransome Y, Kawachi I, Braunstein S, Nash D. Structural inequalities drive late HIV diagnosis: the role of black racial concentration, income inequality, socioeconomic deprivation, and HIV testing. Health Place. 2016;42:148–58.

    PubMed  PubMed Central  Google Scholar 

  15. Foley JD, Vanable PA, Brown LK, Carey MP, DiClemente RJ, Romer D, Valois RF. Depressive symptoms as a longitudinal predictor of sexual risk behaviors among African-American adolescents. Health Psychol. 2019;38(11):1001–9.

    PubMed  PubMed Central  Google Scholar 

  16. Mimiaga MJ, Reisner SL, Grasso C, Crane HM, Safren SA, Kitahata MM, Schumacher JE, Mathews WC, Mayer KH. Substance use among HIV-infected patients engaged in primary care in the United States: findings from the Centers for AIDS Research Network of Integrated Clinical Systems cohort. Am J Public Health. 2013;103(8):1457–67.

    PubMed  PubMed Central  Google Scholar 

  17. Bogart LM, Wagner G, Galvan FH, Banks D. Conspiracy beliefs about HIV are related to antiretroviral treatment nonadherence among African-American men with HIV. J Acquir Immune Defic Syndr. 2010;53(5):648–55.

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Singer M, Clair S. Syndemics and public health: reconceptualizing disease in bio-social context. Med Anthropol Q. 2003;17:423–41.

    PubMed  Google Scholar 

  19. Powell JA. Structural racism: building upon the insights of John Calmore. North Carolina Law Review. 2008;86:791–816.

    Google Scholar 

  20. Structural Racism. Available at: https://www.racialequitytools.org/resourcefiles/Definitions-of%20Racism.pdf. Accessed on: 4 Apr 2020.

  21. Freeman R, Gwadz MV, Silverman E, Kutnick A, Leonard NR, Ritchie AS, Reed J, Martinez BY. 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. Int J Equity Health. 2017;16(1):54.

    PubMed  PubMed Central  Google Scholar 

  22. Williams DR, Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep. 2001;116(5):404–16.

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Ibragimov U, Beane S, Adimora AA, Friedman SR, Williams L, Tempalski B, Stall R, Wingood G, Hall HI, Johnson AS, Cooper HLF. Relationship of racial residential segregation to newly diagnosed cases of HIV among Black heterosexuals in US metropolitan areas, 2008–2015. J Urban Health. 2019;96(6):856–67.

    PubMed  Google Scholar 

  24. Ojikutu BO, Bogart LM, Mayer KH, Stopka TJ, Sullivan PS, Ransome Y. Spatial access and willingness to use pre-exposure prophylaxis among Black/African American individuals in the United States: cross-sectional survey. JMIR Public Health Surveill. 2019;5(1):e12405.

    PubMed  PubMed Central  Google Scholar 

  25. Fennie KP, Lutfi K, Maddox LM, Lieb S, Trepka MJ. Influence of residential segregation on survival after AIDS diagnosis among non-Hispanic blacks. Ann Epidemiol. 2015;25(2):113–9, 119.e1.

    PubMed  Google Scholar 

  26. Dunlap E, Johnson BD. The setting for the crack era: macro forces, micro consequences (1960–1992). J Psychoactive Drugs. 1992;24(4):307–21.

    CAS  PubMed  PubMed Central  Google Scholar 

  27. Walker LS, Mezuk B. Mandatory minimum sentencing policies and cocaine use in the U.S., 1985–2013. BMC Int Health Hum Rights. 2018;18(1):43.

    PubMed  PubMed Central  Google Scholar 

  28. Ojikutu BO, Srinivasan S, Bogart LM, Subramanian SV, Mayer KH. Mass incarceration and the impact of prison release on HIV diagnoses in the US South. PLoS One. 2018;13(6):e0198258.

    PubMed  PubMed Central  Google Scholar 

  29. Wohl DA. HIV and mass incarceration: where infectious diseases and social justice meet. N C Med J. 2016;77(5):359–64.

    PubMed  Google Scholar 

  30. Nijhawan AE. Infectious diseases and the criminal justice system. Am J Med Sci. 2016;352(4):399–407.

    PubMed  PubMed Central  Google Scholar 

  31. Wise A, Finlayson T, Nerlander L, Sionean C, Paz-Bailey G, NHBS Study Group. Incarceration, sexual risk-related behaviors, and HIV infection among women at increased risk of HIV infection, 20 United States cities. J Acquir Immune Defic Syndr. 2017;75(Suppl 3):S261–7.

    PubMed  Google Scholar 

  32. Khan MR, Doherty IA, Schoenbach VJ, Taylor EM, Epperson MW, Adimora AA. Incarceration and high-risk sex partnerships among men in the United States. J Urban Health. 2009;86(4):584–601.

    PubMed  PubMed Central  Google Scholar 

  33. Philbin MM, Kinnard EN, Tanner AE, Ware S, Chambers BD, Ma A, Fortenberry JD. The association between incarceration and transactional sex among HIV-infected young men who have sex with men in the United States. J Urban Health. 2018;95(4):576–83.

    PubMed  PubMed Central  Google Scholar 

  34. Wingood GM, DiClemente RJ. The influence of psychosocial factors, alcohol, drug use on African-American women’s high-risk sexual behavior. Am J Prev Med. 1998;15:54–9.

    CAS  PubMed  Google Scholar 

  35. Baseman J, Ross M, Williams M. Sale of sex for drugs and drugs for sex: an economic context of sexual risk behavior for STDs. Sex Transm Dis. 1999;26:444–9.

    CAS  PubMed  Google Scholar 

  36. Tortu S, McCoy HV, Beardsley M, Deren S, McCoy CB. Predictors of HIV infection among women drug users in New York and Miami. Women Health. 1998;27:191–204.

    CAS  PubMed  Google Scholar 

  37. Falck RS, Wang J, Carlson RG, Siegal HA. Factors influencing condom use among heterosexual users of injection drugs and crack cocaine. Sex Transm Dis. 1997;24:204–10.

    CAS  PubMed  Google Scholar 

  38. Metzl JM, Hansen H. Structural competency: theorizing a new medical engagement with stigma and inequality. Soc Sci Med. 2014;103:126–33.

    PubMed  PubMed Central  Google Scholar 

  39. Hansen H, Metzl J. Structural competency in the U.S. healthcare crisis: putting social and policy interventions into clinical practice. J Bioeth Inq. 2016;13(2):179–83.

    CAS  PubMed  PubMed Central  Google Scholar 

  40. Hardeman RR, Medina EM, Kozhimannil KB. Structural racism and supporting Black lives – the role of health professionals. N Engl J Med. 2016;375(22):2113–5.

    PubMed  PubMed Central  Google Scholar 

  41. 2017 Consumer Health Care Priorities Study: what patients and doctors want from the Health Care System. Available at: http://accountablecaredoctors.org/wp-content/uploads/2017/11/capp-research_what-patients-and-doctors-want.pdf. Accessed on 8 Apr 2020.

  42. Clever SL, Jin L, Levinson W, Meltzer DO. Does doctor–patient communication affect patient satisfaction with hospital care? Results of an analysis with a novel instrumental variable. Health Serv Res. 2008;43(5 Pt 1):1505–19.

    PubMed  PubMed Central  Google Scholar 

  43. Chang CS, Chen SY, Lan YT. Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters. BMC Health Serv Res. 2013;13:22.

    PubMed  PubMed Central  Google Scholar 

  44. Haskard Zolnierek KB, DiMatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care. 2009;47(8):826–34.

    PubMed Central  Google Scholar 

  45. Stone VE, Weissman JS, Cleary P. Satisfaction with ambulatory care of persons with AIDS: predictors of patient ratings of quality. J Gen Intern Med. 1995;10:239–45.

    CAS  PubMed  Google Scholar 

  46. Cargill VA, Stone VE. HIV/AIDS: a minority health issue. Med Clin North Am. 2005;89:895–912.

    PubMed  Google Scholar 

  47. Ingersoll KS, Heckman CJ. Patient-clinician relationships and treatment system effects on HIV medication adherence. AIDS Behav. 2005;9(1):89–101.

    PubMed  PubMed Central  Google Scholar 

  48. Dang BN, Westbrook RA, Black WC, Rodriguez-Barradas MC, Giordano TP. Examining the link between patient satisfaction and adherence to HIV care: a structural equation model. PLoS One. 2013;8(1):e54729.

    CAS  PubMed  PubMed Central  Google Scholar 

  49. Zhang C, McMahon J, Leblanc N, Braksmajer A, Crean HF, Alcena-Stiner D. Association of medical mistrust and poor communication with HIV-related health outcomes and psychosocial wellbeing among heterosexual men living with HIV. AIDS Patient Care STDs. 2020;34(1):27–37.

    PubMed  PubMed Central  Google Scholar 

  50. Carey JW, Carnes N, Schoua-Glusberg A, Kenward K, Gelaude D, Denson D, Gall E, Randall LA, Frew PM. Barriers and facilitators for clinical care engagement among HIV-positive African-American and Latino men who have sex with men. AIDS Patient Care STDs. 2018;32(5):191–201.

    PubMed  Google Scholar 

  51. Squires KE, Hodder SL, Feinberg J, Bridge DA, Abrams S, Storfer SP, Aberg JA. Health needs of HIV-infected women in the United States: insights from the women living positive survey. AIDS Patient Care STDs. 2011;25(5):279–85.

    PubMed  PubMed Central  Google Scholar 

  52. Quinn K, Dickson-Gomez J, Zarwell M, Pearson B, Lewis M. “A gay man and a doctor are just like, a recipe for destruction”: how racism and Homonegativity in healthcare settings influence PrEP uptake among young Black MSM. AIDS Behav. 2019;23(7):1951–63.

    PubMed  PubMed Central  Google Scholar 

  53. Calabrese SK, Earnshaw VA, Krakower DS, Underhill K, Vincent W, Magnus M, Hansen NB, Kershaw TS, Mayer KH, Betancourt JR, Dovidio JF. A closer look at racism and heterosexism in medical students’ clinical decision-making related to HIV pre-exposure prophylaxis (PrEP): implications for PrEP education. AIDS Behav. 2018;22(4):1122–38.

    PubMed  PubMed Central  Google Scholar 

  54. Ayhan CHB, Bilgin H, Uluman OT, Sukut O, Yilmaz S, Buzlu S. A systematic review of the discrimination against sexual and gender minority in health care settings. Int J Health Serv. 2020;50(1):44–61.

    PubMed  Google Scholar 

  55. Poteat T, Wirtz AL, Reisner S. Strategies for engaging transgender populations in HIV prevention and care. Curr Opin HIV AIDS. 2019;14(5):393–400.

    PubMed  Google Scholar 

  56. Rutledge R, Madden L, Ogbuagu O, Meyer JP. HIV risk perception and eligibility for pre-exposure prophylaxis in women involved in the criminal justice system. AIDS Care. 2018;30(10):1282–9.

    PubMed  PubMed Central  Google Scholar 

  57. Flash CA, Stone VE, Mitty JA, et al. Perspectives on HIV prevention among urban black women: a potential role for HIV pre-exposure prophylaxis. AIDS Patient Care STDS. 2014;28(12):635–642.

    Google Scholar 

  58. Tekeste M, Hull S, Dovidio JF, Safon CB, Blackstock O, Taggart T, Kershaw TS, Kaplan C, Caldwell A, Lane SB, Calabrese SK. Differences in medical mistrust between black and white women: implications for patient-provider communication about PrEP. AIDS Behav. 2019;23(7):1737–48.

    PubMed  PubMed Central  Google Scholar 

  59. US Census Bureau. Language spoken at home: 2018 American community survey 1-year estimates. Accessed 9 Apr 2020. https://data.census.gov/cedsci/table?q=B16&d=ACS%201-Year%20Estimates%20Detailed%20Tables&tid=ACSDT1Y2018.B16002

  60. Kerani RP, Johnson AS, Buskin S, Rao D, Golden MR, Hu X, Hall I. The epidemiology of HIV in people born outside the United States, 2010–2014. CROI. 2017. Abstract #851.

    Google Scholar 

  61. Centers for Disease Control and Prevention. HIV surveillance supplemental report: estimated HIV incidence and prevalence in the United States 2010–2016. 2019;24(1). Available at: https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hivsurveillance-supplemental-report-vol24-1.pdf. Accessed 8 Apr 2020.

  62. Guilamo-Ramos V, Thimm-Kaiser M, Benzekri A, Chacón G, López OR, Scaccabarrozzi L, Rios E. The invisible US Hispanic/Latino HIV crisis: addressing gaps in the national response. Am J Public Health. 2020;110(1):27–31.

    PubMed  PubMed Central  Google Scholar 

  63. Ojikutu BO, Mazzola E, Fullem A, Vega R, Landers S, Gelman RS, Bogart LM. HIV testing among Black and Hispanic immigrants in the United States. AIDS Patient Care STDs. 2016;30(7):307–14.

    PubMed  PubMed Central  Google Scholar 

  64. Demeke HB, Johnson AS, Wu B, Nwangwu-Ike N, King H, Dean HD. Differences between U.S.-Born and Non-U.S.-born Black adults reported with diagnosed HIV infection: United States, 2008–2014. J Immigr Minor Health. 2019;21(1):30–8.

    PubMed  PubMed Central  Google Scholar 

  65. Okoro ON, Whitson SO. Sexual health, HIV care and pre-exposure prophylaxis in the African immigrant population: a needs assessment. J Immigr Minor Health. 2020;22(1):134–44.

    PubMed  Google Scholar 

  66. DeRigne L, Choi JJ, Barsky AE, Albertini V. Reaching Haitian Americans living with HIV/AIDS: met and unmet health care needs. J HIV AIDS Soc Serv. 2012;11(4):388–405.

    Google Scholar 

  67. Hashim MJ. Patient-centered communication: basic skills. Am Fam Physician. 2017;95(1):29–34.

    PubMed  Google Scholar 

  68. Stacey D, Hill S, McCaffery K, Boland L, Lewis KB, Horvat L. Shared decision-making interventions: theoretical and empirical evidence with implications for health literacy. Stud Health Technol Inform. 2017;240:263–83.

    PubMed  Google Scholar 

  69. Yen PH, Leasure AR. Use and effectiveness of the teach-back method in patient education and health outcomes. Fed Pract. 2019;36(6):284–9.

    PubMed  PubMed Central  Google Scholar 

  70. Wilson IB, Laws MB, Safren SA, Lee Y, Lu M, Coady W, Skolnik PR, Rogers WH. Provider-focused intervention increases adherence-related dialogue but does not improve antiretroviral therapy adherence in persons with HIV. J Acquir Immune Defic Syndr. 2010;53(3):338–47.

    PubMed  PubMed Central  Google Scholar 

  71. Barfod TS, Hecht FM, Rubow C, Gerstoft J. Physicians’ communication with patients about adherence to HIV medication in San Francisco and Copenhagen: a qualitative study using grounded theory. BMC Health Serv Res. 2006;6:154.

    PubMed  PubMed Central  Google Scholar 

  72. Beach MC, Roter DL, Saha S, Korthuis PT, Eggly S, Cohn J, Sharp V, Moore RD, Wilson IB. Impact of a brief patient and provider intervention to improve the quality of communication about medication adherence among HIV patients. Patient Educ Couns. 2015;98(9):1078–83.

    PubMed  PubMed Central  Google Scholar 

  73. Effect of case managers on the care of patients with HIV infection. Ann Intern Med. 2001;135(8 Pt 1):S-46.

    Google Scholar 

  74. Senn TE, Braksmajer A, Coury-Doniger P, Urban MA, Rossi A, Carey MP. Development and preliminary pilot testing of a peer support text messaging intervention for HIV-infected Black men who have sex with men. J Acquir Immune Defic Syndr. 2017;74 Suppl 2:S121–7.

    PubMed  Google Scholar 

  75. Cabral HJ, Davis-Plourde K, Sarango M, Fox J, Palmisano J, Rajabiun S. Peer support and the HIV continuum of care: results from a multi-site randomized clinical trial in three urban clinics in the United States. AIDS Behav. 2018;22(8):2627–39.

    PubMed  Google Scholar 

  76. Rolfe A, Cash-Gibson L, Car J, Sheikh A, McKinstry B. Interventions for improving patients' trust in doctors and groups of doctors. Cochrane Database Syst Rev. 2014;3:CD004134.

    Google Scholar 

  77. Clement ME, Okeke NL, Munn T, Hunter M, Alexis K, Corneli A, Seña AC, McGee K, McKellar MS. Partnerships between a university-affiliated clinic and community based organizations to reach Black men who have sex with men for PrEP care. J Acquir Immune Defic Syndr. 2018;77(2):e25–7.

    PubMed  PubMed Central  Google Scholar 

  78. Shapatava E, Rios A, Shelley G, Milan J Jr, Smith S, Uhl G. Community-based organization adaptations to the changing HIV prevention and care landscape in the Southern United States. AIDS Educ Prev. 2018;30(6):516–27.

    PubMed  Google Scholar 

  79. Smedley BD, Stith AY, Nelson AR, editors. Institute of Medicine, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, Board on Health Sciences Policy. Unequal treatment: confronting racial and ethnic disparities in health care. Washington: National Academies Press; 2003.

    Google Scholar 

  80. U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. Sex, race, and ethnic diversity of U.S, Health Occupations (2011–2015). Rockville; 2017.

    Google Scholar 

  81. Cohen JJ, Gabriel BA, Terrell C. The case for diversity in the health care workforce. Health Aff (Millwood). 2002;21(5):90–102.

    Google Scholar 

  82. Wakefield M. Improving the Health of the Nation: HRSA’s mission to achieve health equity. Public Health Rep. 2014;129(Suppl 2):3–4.

    PubMed  PubMed Central  Google Scholar 

  83. LaVeist TA, Nuru-Jeter A, Jones KE. The association of doctor–patient race concordance with health services utilization. J Public Health Policy. 2003;24(3–4):312–23.

    PubMed  Google Scholar 

  84. Ma A, Sanchez A, Ma M. The impact of patient-provider race/ethnicity concordance on provider visits: updated evidence from the Medical Expenditure Panel Survey. J Racial Ethn Health Disparities. 2019;6(5):1011–20.

    CAS  PubMed  Google Scholar 

  85. Cooper-Patrick L, Gallo JJ, Gonzales JJ, et al. Race, gender, and partnership in the patient–physician relationship. JAMA. 1999;282(6):583–9.

    CAS  PubMed  Google Scholar 

  86. Meghani SH, Brooks JM, Gipson-Jones T, Waite R, Whitfield-Harris L, Deatrick JA. Patient–provider race-concordance: does it matter in improving minority patients’ health outcomes? Ethn Health. 2009;14(1):107–30.

    PubMed  PubMed Central  Google Scholar 

  87. Shen MJ, Peterson EB, Costas-Muñiz R, Hernandez MH, Jewell ST, Matsoukas K, Bylund CL. The effects of race and racial concordance on patient-physician communication: a systematic review of the literature. J Racial Ethn Health Disparities. 2018;5:117–40.

    PubMed  Google Scholar 

  88. Saha S, Beach MC. Impact of physician race on patient decision-making and ratings of physicians. J Gen Intern Med. 2020;35(4):1084–91. https://doi.org/10.1007/s11606-020-05646-z.

    Article  PubMed  PubMed Central  Google Scholar 

  89. Alsan M, Garrick O, Graziani G. Does diversity matter for health? Experimental evidence from Oakland. Am Econ Rev. 2019;109(12):4071–111.

    Google Scholar 

  90. King WD, Wong MD, Shapiro MF, Landon BE, Cunningham WE. Does racial concordance between HIV-positive patients and their physicians affect the time to receipt of protease inhibitors? J Gen Intern Med. 2004 Nov;19(11):1146–53.

    PubMed  PubMed Central  Google Scholar 

  91. Sohler NL, Fitzpatrick LK, Lindsay RG, Anastos K, Cunningham CO. Does patient-provider racial/ethnic concordance influence ratings of trust in people with HIV infection? AIDS Behav. 2007;11(6):884–96. Epub 2007 Mar 10.

    PubMed  Google Scholar 

  92. Singh U, Levy J, Armstrong W, Bedimo R, Creech CB, Lautenbach E, Popovich KJ, Snowden J, Vyas JM, Infectious Diseases Society of America, HIV Medicine Association, and Pediatric Infectious Diseases Society. Policy recommendations for optimizing the infectious diseases physician-scientist workforce. J Infect Dis. 2018;218(suppl_1):S49–54.

    PubMed  Google Scholar 

  93. Stoff DM. Enhancing diversity and productivity of the HIV behavioral research workforce through research education mentoring programs. AIDS Behav. 2019;23(10):2889–97.

    PubMed  PubMed Central  Google Scholar 

  94. Macias Gil R, Hardy WD. Spectrum of diversity in today’s infectious diseases workforce: it’s much broader and brighter than you think. J Infect Dis. 2019;220(Suppl 2):S42–9.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Global Health Equity, Division of Infectious Diseases, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Bisola O. Ojikutu

  2. Divisions of General Internal Medicine, Division of Infectious Diseases, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Valerie E. Stone

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  1. Bisola O. Ojikutu
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Correspondence to Bisola O. Ojikutu .

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  1. Division of Global Health Equity, Division of Infectious Diseases, Department of Medicine, Brigham and Women’s Hospital Harvard Medical School, Boston, MA, USA

    Bisola O. Ojikutu

  2. Division of General Internal Medicine, Division of Infectious Diseases, Department of Medicine, Brigham and Women’s Hospital Harvard Medical School, Boston, MA, USA

    Valerie E. Stone

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Ojikutu, B.O., Stone, V.E. (2021). Achieving Health Equity Among US Communities of Color at Risk for or Living with HIV. In: Ojikutu, B., Stone, V. (eds) HIV in US Communities of Color. Springer, Cham. https://doi.org/10.1007/978-3-030-48744-7_1

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