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AJPH First Look, published online ahead of print Jan 31, 2007
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March 2007, Vol 97, No. 3 | American Journal of Public Health 391
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.104208

LETTER

SOCIAL DETERMINANTS OF HIV INFECTION IN THE DEEP SOUTH

Irene A. Doherty, PhD, Peter A. Leone, MD and Sevgi O. Aral, PhD

Irene A. Doherty and Peter A. Leone are with the School of Medicine, University of North Carolina, Chapel Hill. Sevgi O. Aral is with the Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Dr. Irene Doherty, 130 Mason Farm Rd, CB 7030, UNC School of Medicine, Chapel Hill, NC 27599-7030 (e-mail: doherty@med.unc.edu).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

The commentary presented by Reif et al.1 summarizing the state of HIV in the southeastern United States did not fully address key determinants that explain, in part, how the interaction between individual-level factors, patterns of sexual partnerships and sexual networks, and societal forces affect HIV transmission.

The lack of viable employment, quality education, access to medical care, decent housing, pleasant neighborhoods, and overall community infrastructure perpetuates economic inequalities among African Americans.2 These contextual features promote health disparities, including HIV. For example, a population-based, case–control study of HIV in a rural community of Florida illustrates these points. In adjusted analysis that . . . [Full Text]






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