Over the past two decades, increasing emphasis has been placed on evidence-based practice (EBP) in the social work literature. At the core of the EBP movement is the philosophical position that social work practice should be guided by scientific findings and that social workers should remain current with the scientific knowledge base of the profession (Howard, McMillen, & Pollio, 2003). An important obstacle to widespread adoption of EBP, however, is the repeated finding that many social work practitioners neither access nor use research evidence (Rosen, 1994; Rosen, Proctor, Morrell-Howell, & Staudt, 1995). A necessary precondition for the implementation of EBP is that research be relevant to social work practice; otherwise, social work practitioners are unlikely to access and use the research literature (Lindsey & Kirk, 1992a; Yunong & Fengzhi, 2009). Journal publications are a major vehicle for accumulating and disseminating professional knowledge and constitute a primary source of guidance for practice (Lindsey & Kirk, 1992b; Rosen, Proctor, & Staudt, 1999). To be viewed as relevant to practitioners, journal articles must be timely and accurately reflect the dynamic nature of practice contexts. Very little research has been conducted to determine whether social work journals are indeed responsive to the changing knowledge and practice contexts faced by social workers. To that end, the purpose of this study was to examine the extent to which social work journals accurately reflect the changing context and knowledge base of practice in the field of HIV/AIDS. We conducted a content analysis of HIV/AIDS articles published in four leading social work journals over the 20-year period between 1987 and 2006. HIV/AIDS is one area of social work practice that has changed dramatically over the past 25 years (Kaplan, Tomaszewski, & Gorin, 2004; Strug, Grube, & Beckerman, 2002; Wheeler, 2007). Since the beginning of the HIV/AIDS epidemic, social workers have played a central role both on the frontlines of service delivery and in the development of policy at the local, state, and federal levels (Aronstein & Thompson, 1998). The profession has demonstrated the ability to respond to changes in the epidemiology and treatment of HIV/AIDS (Kaplan et al., 2004; Strug et al., 2002). As the nature of the HIV/ AIDS pandemic has changed, social workers have become increasingly involved in primary prevention efforts aimed at reducing and eliminating high-risk behaviors and secondary prevention efforts aimed at issues of survival and living with the disease (Strug et al., 2002). The profession's integral role in responding to HIV/AIDS requires that practitioners have access to timely and relevant knowledge regarding HIV/AIDS epidemiology and treatment. CHANGING CONTEXT OF SOCIAL WORK PRACTICE WITH HIV/AIDS In the early years of the HIV/AIDS epidemic, a diagnosis of AIDS was widely viewed as a death sentence. Indeed, early surveillance found that more than 80 percent of people who had acquired AIDS died within two years of diagnosis (Dowdle, 1983). By 1986, azidothymidine (AZT), an antiretroviral that interferes with the replication of the HIV virus, was widely prescribed because of its apparent ability to extend the life of some infected people (Strug et al., 2002). Unfortunately, it was soon learned that AZT on its own showed very little promise in slowing the disease progression for those living with HIV/AIDS and often caused side effects that exacerbated the numerous illnesses that accompanied HIV/AIDS (Stephenson, 1995). Efforts were redoubled to identify and develop pharmacological agents that could effectively slow the progression of AIDS, if not cure it. In 1996, the treatment of HIV/AIDS was revolutionized with the advent of highly active antiretroviral therapy (HAART), which combines the use of protease inhibitors with existing antiretrovirals. This combination of medications soon revolutionized the treatment of HIV/AIDS when clinical trials demonstrated its effectiveness in lowering viral loads and, thereby, lowering mortality rates and increasing quality of life (Berry et al. …