chapter  12
13 Pages

HIV and STI Prevention in Minority-Serving Institutions

ByROBERT T. PALMER, DINA C. MARAMBA, LEO WILTON

According to a relatively new report by the Centers for Disease Control (CDC, 2011), 39% of new Human Immunodefi ciency Virus (HIV) infections in 2009 were among the age demographic of 13-29. This report further delineated that while young gay, bisexual, and other men who have sex with men (MSM) were at greater odds of contracting HIV, young racial and ethnic minorities were equally vulnerable to becoming infected with this virus. Current HIV prevention research has shown that socio-structural factors have contributed to the urgent disparate HIV/STI infection rates in communities of color, including higher frequencies of HIV and sexually transmitted infections (STIs) within sexual networks, acute HIV infection, inconsistent HIV/STI testing patterns, unrecognized HIV infection, higher viral load (e.g., the amount of HIV virus in the body), lower CD4 counts, and inadequate access to HIV-related health care and treatment (Gray et al., 2013; Hall, Holtgrave, Tang, & Rhodes, 2013).