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Updated: Jun 23, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Structural and social contexts of HIV risk Among African Americans
Samuel R Friedman1, Hannah L F Cooper, Andrew H Osborne
1Center for Drug Use and HIV Research, National Development and Research Institutes, New York, NY, USA. friedman@ndri.org
Abstract:
HIV continues to be transmitted at unacceptably high rates among African Americans, and most HIV-prevention interventions have focused on behavioral change. To theorize additional approaches to HIV prevention among African Americans, we discuss how sexual networks and drug-injection networks are as important as behavior for HIV transmission. We also describe how higher-order social structures and processes, such as residential racial segregation and racialized policing, may help shape risk networks and behaviors. We then discuss 3 themes in African American culture-survival, propriety, and struggle-that also help shape networks and behaviors. Finally, we conclude with a discussion of how these perspectives might help reduce HIV transmission among African Americans.
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