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Ann. N.Y. Acad. Sci., Annals PrePrint, published online ahead of print October 22, 2007 doi: 10.1196/annals.1425.004 Copyright © 2007 by the New York Academy of Sciences description
1 Social Medicine and Health Inequalities, Brigham and Women's Hospital, FXB Building, Boston, Massachusetts, 02115, United States 2 Social Medicine and Health Inequalities(PACT), Brigham and Women's Hospital, 622 Washington St, Dorchester, Massachusetts, 02124, United States 3 N/A, Partners in Health, 641 Huntington Ave, Boston, Massachusetts, 02115, United States 4 N/A, Socios en Salud, 641 Huntington Ave, Boston, Massachusetts, 02115, United States 5 Department of Social Medicine, Harvard Medical School, 641 Huntington Avenue, Boston, Massachusetts, 02115, United States 6 Social Medicine and Health Inequalities, Brigham and Women's Hospital, FXB Building, Boston, Massachusetts, 02115, United States; , 30 Essex Street, Cambidge, Massachusetts, 02139, United States
* To whom correspondence should be addressed. E-mail: salmaan{at}pih.org. PrePrint Abstract
In the last 25 years, HIV has becoming the leading infectious killer of adults globally, with an estimated 44 million people infected with the virus worldwide. A majority of these individuals live in poor regions of the world, particularly sub-Saharan Africa. Although a great deal of work has been done in identifying and treating individuals with the disease, there has been little action to date to address the complex socioeconomic factors that lie at the heart of this global pandemic. Understanding and responding to such factors is of paramount importance if HIV infection is to be managed in a meaningful way. This paper explores the social context of people living with HIV in three different geographic and epidemiologic settings and highlights the social factors that shape and define an individual's risk of acquiring HIV. It also discusses unique programs aimed at addressing the complex realities of the world in which HIV thrives. These programs can act as models of HIV prevention and treatment. Key Words:
Community based HIV treatment, Models for HIV care, HIV in Boston, HIV in Lesotho, HIV in Peru, Partners In Health, Social determinants of HIV
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