Abstract

The USA has initiated plans to reduce HIV incidence by 90% over the next 10 years through the Ending the HIV Epidemic Initiative. To succeed, the nation will need to not only overcome the scientific and programmatic barriers to testing, treatment, and prevention, but also to address the legal obstacles, racial discrimination, economic disadvantage, and homophobia that underpin many of the disparities that are prevalent in the HIV epidemic. These social barriers directly prevent access to services and indirectly impede efforts to change HIV from an exceptional, stigmatised disease to a preventable and treatable infection.

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