The HIV epimic ntu to disproportnately impact gay and bisexual men, transgenr women, youth 13-24 and muni of lor.
Contents:
- WHY ARE GAY MEN MORE AT RISK FOR HIV?
- HIV AMONG GAY AND BISEXUAL MEN THE U.S.
- HIV NOW FECTS MORE HETEROSEXUAL PEOPLE THAN GAY OR BISEXUAL MEN – WE NEED A NEW STRATEGY
- HIV AND AIN AMERIN GAY AND BISEXUAL MEN
- HIV AND ALL GAY AND BISEXUAL MEN
- NST T="UNFED"!=TYPEOF HTMLIMAGEELEMENT&&"LOADG" HTMLIMAGEELEMENT.PROTOTYPE;IF(T){NST T=DOCUMENT.QUERYSELECTORALL("IMG[DATA-MA-IMAGE]");FOR(LET E OF T){(E.SETATTRIBUTE("SRC",),E.REMOVEATTRIBUTE("DATA-SRC")),(E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET"));NST T=E.PARENTNO.QUERYSELECTORALL("SOURCE[DATA-SRCSET]");FOR(LET E OF T)E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET");PLETE&&(,E.PARENTNO.PARENTNO.QUERYSELECTOR("[DATA-PLACEHOLR-IMAGE]"))}}HIV BASICSOVERVIEWABOUT HIV & AIDSWHAT ARE HIV AND AIDS?HOW IS HIV TRANSMTED?WHO IS AT RISK FOR HIV?SYMPTOMS OF HIVDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSHISTORYHIV AND AIDS TIMELEMAKG A DIFFERENCESUPPORTG SOMEONE LIVG WH HIVSTANDG UP TO STIGMAGETTG INVOLVEDHIV PREVENTNUSG HIV MEDITN TO RCE RISKHIV TREATMENT AS PREVENTNPRE-EXPOSURE PROPHYLAXIS (PREP)POST-EXPOSURE PROPHYLAXIS (PEP)RCG SEXUAL RISKPREVENTG SEXUAL TRANSMISSN OF HIVRCG RISK OM ALHOL & DG USEALHOL AND HIV RISKSUBSTANCE USE AND HIV RISKRCG RISK OF PERATAL TRANSMISSNPREVENTG PERATAL TRANSMISSN OF HIVPOTENTIAL FUTURE OPTNSHIV VACCLONG-ACTG HIV PREVENTN TOOLSMICROBICISHIV TTGLEARN ABOUT HIV TTGWHO SHOULD GET TTED?HIV TTG LOTNSHIV TTG OVERVIEWUNRSTANDG HIV TT RULTSJT DIAGNOSED: WHAT'S NEXT?LIVG WH HIVTALKG ABOUT YOUR HIV STATSTARTG HIV CAREFD A PROVIRLOTE AN HIV CARE PROVIRTYP OF PROVIRSTAKE CHARGE OF YOUR CAREGETTG READY FOR YOUR FIRST VISWHAT TO EXPECT AT YOUR FIRST HIV CARE VISSTAYG HIV CAREPROVIR VISS AND LAB TTSMAKG CARE WORK FOR YOUSEEG YOUR HEALTH CARE PROVIRHIV LAB TTS AND RULTSRETURNG TO CAREHIV TREATMENTHIV TREATMENT OVERVIEWVIRAL SUPPRSN AND UNTECTABLE VIRAL LOAD TAKG YOUR HIV MEDICE AS PRCRIBEDTIPS ON TAKG YOUR HIV MEDITN EVERY DAYPAYG FOR HIV CARE AND TREATMENTOTHER RELATED HEALTH ISSUOTHER HEALTH ISSU OF SPECIAL CONCERN FOR PEOPLE LIVG WH HIVALHOL AND DG USECORONAVIS (COVID-19) AND PEOPLE WH HIVHEPATIS B & CIMMUNIZATNS AND PEOPLE WH HIVFLU AND PEOPLE WH HIVMENTAL HEALTHMPOX AND PEOPLE WH HIVOPPORTUNISTIC INFECTNSSEXUALLY TRANSMTED INFECTNSSMOKGHIV AND WOMEN'S HEALTH ISSULIVG WELL WH HIVTAKG CARE OF YOURSELFAGG WH HIVEMERGENCI AND DISASTERS AND HIVEMPLOYMENT AND HEALTHEXERCISE AND PHYSIL ACTIVYFOOD SAFETY AND NUTRNHOG AND HEALTHTRAVELG OUTSI THE U.S.YOUR LEGAL RIGHTSCIVIL RIGHTSWORKPLACE RIGHTSLIMS ON CONFINTIALYFERAL RPONSENATNAL HIV/AIDS STRATEGYNATNAL HIV/AIDS STRATEGY (2022-2025)PRR NATNAL HIV/AIDS STRATEGI (2010-2021)IMPLEMENTG THE NATNAL HIV/AIDS STRATEGYENDG THE HIV EPIMICABOUT ENDG THE HIV EPIMIC THE U.S.OVERVIEWKEY STRATEGIPRRY JURISDICTNSHHS AGENCI INVOLVEDFUNDGTIMELELEARN MORE ABOUT EHEREADY, SET, PREPREADY, SET, PREPREADY, SET, PREP PHARMACIREADY, SET, PREP ROURCAHEADAHEAD: AMERI’S HIV EPIMIC ANALYSIS DASHBOARDFERAL ACTIVI & AGENCIHIV PREVENTN ACTIVIHIV TTG ACTIVIHIV CARE AND TREATMENT ACTIVIHIV REARCH ACTIVIACTIVI COMBATG HIV STIGMA AND DISCRIMATNPOLICI & ISSUTHE AFFORDABLE CARE ACT AND HIV/AIDSHIV CARE CONTUUMSYRGE SERVIC PROGRAMSFUNDGBUDGETFERAL FUNDG FOR HIV/AIDSMORY HIV/AIDS FUNDOVERVIEWBACKGROUNDFUND ACTIVITHE FUND ACTNPACHAABOUT PACHACHARTERMEMBERS & STAFFSUBMTEPRR PACHA MEETGS AND REMENDATNSCAMPAIGNSI AM A WORK OF ART CAMPAIGNAWARENS CAMPAIGNSPEPFAR & GLOBAL AIDSGLOBAL HIV/AIDS OVERVIEWPEPFARU.S. GOVERNMENT GLOBAL HIV/AIDS ACTIVIGLOBAL HIV/AIDS ORGANIZATNSEVENTSAWARENS DAYSNATNAL BLACK HIV/AIDS AWARENS DAY FEBARY 7HIV IS NOT A CRIME AWARENS DAY FEBARY 28NATNAL WOMEN AND GIRLS HIV/AIDS AWARENS DAY MARCH 10NATNAL NATIVE HIV/AIDS AWARENS DAY MARCH 20NATNAL YOUTH HIV & AIDS AWARENS DAY APRIL 10HIV VACCE AWARENS DAY MAY 18NATNAL ASIAN & PACIFIC ISLANR HIV/AIDS AWARENS DAY MAY 19HIV LONG-TERM SURVIVORS AWARENS DAY JUNE 5NATNAL HIV TTG DAY JUNE 27ZERO HIV STIGMA JULY 21SOUTHERN HIV/AIDS AWARENS DAY AUGT 20NATNAL FAH HIV/AIDS AWARENS DAY AUGT 27NATNAL AIN IMMIGRANTS AND REFUGEE HIV/AIDS AND HEPATIS AWARENS DAY SEPTEMPBER 9NATNAL HIV/AIDS AND AGG AWARENS DAY SEPTEMPBER 18NATNAL GAY MEN'S HIV/AIDS AWARENS DAY SEPTEMBER 27NATNAL LATX AIDS AWARENS DAY OCTOBER 15WORLD AIDS DAY DECEMBER 1EVENT PLANNG GUI CONFERENCU.S. CONFERENCE ON HIV/AIDS (USCHA) NATNAL RYAN WHE CONFERENCE ON HIV CARE & TREATMENT AIDS 2020 (23RD INTERNATNAL AIDS CONFERENCE VIRTUAL) LEARNG OPPORTUNILEARNG OPPORTUNILEARNG OPPORTUNIWANT TO STAY ABREAST OF CHANG PREVENTN, RE, TREATMENT OR REARCH OR OTHER PUBLIC HEALTH ARENAS THAT AFFECT OUR LLECTIVE RPONSE TO THE HIV EPIMIC? OR ARE YOU NEW TO THIS FIELD? CURAT LEARNG OPPORTUNI FOR YOU, AND THE PEOPLE YOU SERVE AND LLABORATE WH.STAY UP TO DATE WH THE WEBARS, TWTER CHATS, NFERENC AND MORE THIS SECTN.MORE LEARNG OPPORTUNIBLOGGET TTED. FD SERVIC + PREPSEARCHGOESPAñOL ESPAñOL ES GET TTED. FD SERVIC + PREPSEARCHOPEN LOTOR SEARCHHIV SERVICES LOCATORSEARCH⨯CLOSEHOMEHIV BASICSOVERVIEWDATA AND TRENDSU.S. STATISTICSSECTN MENUGET TTED. FIND SERVICES + PREP.DATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSSEARCHDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSU.S. STATISTICS
- HIV-RELATED STIGMA WH MUNI OF GAY MEN: A LERATURE REVIEW
WHY ARE GAY MEN MORE AT RISK FOR HIV?
What's behd the higher rat of fectn among gay men? Dr. David bunks myths and explas why some groups are and areas are more affected by HIV/AIDS than others. * why is hiv more prevalent in the gay community *
Sce the HIV epimic started the 1980s gay men have been at a greater risk and reprented more of the new HIV s that we’ve known this untry and actually ternatnally as well.
It’s bee we live a high HIV prevalent society among gay men and then also bee some of the behavrs that we engage may put more at risk for HIV. For gay and bisexual youth who are jt begng to explore their sexualy, homophobia and other forms of anti-LGBTQ bias help expla why so many young people our muny are unaware of their HIV stat.
The natn also saw tremendo progrs the fight agast HIV unr former Print Barack Obama, whose Natnal HIV & AIDS Strategy explicly lled attentn to gay and bisexual men and transgenr women for the first time. New HIV fectns cled among gay and bisexual men the last , but HIV ntu to disproportnately affect gay and bisexual men relative to other muni the U. Factors that fluence health out—cludg HIV-related stigma, homophobia, racism, discrimatn, poverty, limed accs to high-qualy health re, and other longstandg barriers—have ntributed to the unequal reach of HIV preventn and treatment; higher levels of HIV some muni; and ntued equi.
HIV AMONG GAY AND BISEXUAL MEN THE U.S.
The high percentage of gay and bisexual men who are livg wh HIV means that, as a group, they have a greater risk of beg exposed to HIV; browse lks here. * why is hiv more prevalent in the gay community *
Wh effective preventn and treatment tools at our disposal, the natn has a s--the-makg opportuny to end the domtic HIV epimic and elimate dispari HIV preventn and re among gay and bisexual men and other populatns disproportnately affected by HIV.
†Unr 50%Only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men who uld have benefted om medice to prevent HIV (PrEP) ed 50%Only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men who uld have benefted om medice to prevent HIV (PrEP) ed 2017.
2 3Only about 2 3 Black/Ain Amerin (62%) or Hispanic/Lato (67%) gay and bisexual men wh HIV were virally supprsed 2019, ‡ pared wh about 3 4 (74%) Whe gay and bisexual men. From 2010 to 2019, new HIV fectns cled among Whe gay and bisexual men but remaed higher and relatively stable among Black/Ain Amerin and Hispanic/Lato gay and bisexual men.
HIV NOW FECTS MORE HETEROSEXUAL PEOPLE THAN GAY OR BISEXUAL MEN – WE NEED A NEW STRATEGY
* why is hiv more prevalent in the gay community *
Social and stctural barriers such as systemic racism, stigma, discrimatn, homophobia, poverty, and homelsns n make difficult to accs HIV ttg, re, and preventn servic.
There have been signifint advanc HIV preventn and treatment but missed ttg opportuni healthre settgs are preventg some gay and bisexual men om knowg their HIV stat and beneftg om the advanc. Gay and bisexual men who learn they have HIV n start and stay on HIV treatment, get the vis down to an untectable level (bee virally supprsed), live long and healthy liv, and prevent sexual transmissn to others.
HIV AND AIN AMERIN GAY AND BISEXUAL MEN
Differenc exist by race/ethnicy knowledge of HIV stat, preventn, treatment, and stigma among gay and bisexual men. * why is hiv more prevalent in the gay community *
This goal n only be achieved by dramatilly rcg new HIV fectns among the most affected groups, cludg Black/Ain Amerin and Hispanic/Lato gay and bisexual men, and expandg and stag vtments HIV servic.
Among gay and bisexual men who uld benef om PrEP, only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men reported g PrEP 2017.
HIV AND ALL GAY AND BISEXUAL MEN
Informatn and statistil data about HIV and Ain Amerin gay and bisexual men, cludg a fact sheet that visually displays this rmatn. * why is hiv more prevalent in the gay community *
Around 38% of Black/Ain Amerin, 33% of Hispanic/Lato, and 26% of Whe gay and bisexual men wh HIV are not virally supprsexternal in.
Black/Ain Amerin and Hispanic/Lato gay and bisexual men experience higher levels of HIV stigmapdf inexternal in, wh sr more than twice the natnal goal. New HIV fectns creased among Whe gay and bisexual men but did not crease among Black/Ain Amerin and Hispanic/Lato gay and bisexual men.
NST T="UNFED"!=TYPEOF HTMLIMAGEELEMENT&&"LOADG" HTMLIMAGEELEMENT.PROTOTYPE;IF(T){NST T=DOCUMENT.QUERYSELECTORALL("IMG[DATA-MA-IMAGE]");FOR(LET E OF T){(E.SETATTRIBUTE("SRC",),E.REMOVEATTRIBUTE("DATA-SRC")),(E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET"));NST T=E.PARENTNO.QUERYSELECTORALL("SOURCE[DATA-SRCSET]");FOR(LET E OF T)E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET");PLETE&&(,E.PARENTNO.PARENTNO.QUERYSELECTOR("[DATA-PLACEHOLR-IMAGE]"))}}HIV BASICSOVERVIEWABOUT HIV & AIDSWHAT ARE HIV AND AIDS?HOW IS HIV TRANSMTED?WHO IS AT RISK FOR HIV?SYMPTOMS OF HIVDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSHISTORYHIV AND AIDS TIMELEMAKG A DIFFERENCESUPPORTG SOMEONE LIVG WH HIVSTANDG UP TO STIGMAGETTG INVOLVEDHIV PREVENTNUSG HIV MEDITN TO RCE RISKHIV TREATMENT AS PREVENTNPRE-EXPOSURE PROPHYLAXIS (PREP)POST-EXPOSURE PROPHYLAXIS (PEP)RCG SEXUAL RISKPREVENTG SEXUAL TRANSMISSN OF HIVRCG RISK OM ALHOL & DG USEALHOL AND HIV RISKSUBSTANCE USE AND HIV RISKRCG RISK OF PERATAL TRANSMISSNPREVENTG PERATAL TRANSMISSN OF HIVPOTENTIAL FUTURE OPTNSHIV VACCLONG-ACTG HIV PREVENTN TOOLSMICROBICISHIV TTGLEARN ABOUT HIV TTGWHO SHOULD GET TTED?HIV TTG LOTNSHIV TTG OVERVIEWUNRSTANDG HIV TT RULTSJT DIAGNOSED: WHAT'S NEXT?LIVG WH HIVTALKG ABOUT YOUR HIV STATSTARTG HIV CAREFD A PROVIRLOTE AN HIV CARE PROVIRTYP OF PROVIRSTAKE CHARGE OF YOUR CAREGETTG READY FOR YOUR FIRST VISWHAT TO EXPECT AT YOUR FIRST HIV CARE VISSTAYG HIV CAREPROVIR VISS AND LAB TTSMAKG CARE WORK FOR YOUSEEG YOUR HEALTH CARE PROVIRHIV LAB TTS AND RULTSRETURNG TO CAREHIV TREATMENTHIV TREATMENT OVERVIEWVIRAL SUPPRSN AND UNTECTABLE VIRAL LOAD TAKG YOUR HIV MEDICE AS PRCRIBEDTIPS ON TAKG YOUR HIV MEDITN EVERY DAYPAYG FOR HIV CARE AND TREATMENTOTHER RELATED HEALTH ISSUOTHER HEALTH ISSU OF SPECIAL CONCERN FOR PEOPLE LIVG WH HIVALHOL AND DG USECORONAVIS (COVID-19) AND PEOPLE WH HIVHEPATIS B & CIMMUNIZATNS AND PEOPLE WH HIVFLU AND PEOPLE WH HIVMENTAL HEALTHMPOX AND PEOPLE WH HIVOPPORTUNISTIC INFECTNSSEXUALLY TRANSMTED INFECTNSSMOKGHIV AND WOMEN'S HEALTH ISSULIVG WELL WH HIVTAKG CARE OF YOURSELFAGG WH HIVEMERGENCI AND DISASTERS AND HIVEMPLOYMENT AND HEALTHEXERCISE AND PHYSIL ACTIVYFOOD SAFETY AND NUTRNHOG AND HEALTHTRAVELG OUTSI THE U.S.YOUR LEGAL RIGHTSCIVIL RIGHTSWORKPLACE RIGHTSLIMS ON CONFINTIALYFERAL RPONSENATNAL HIV/AIDS STRATEGYNATNAL HIV/AIDS STRATEGY (2022-2025)PRR NATNAL HIV/AIDS STRATEGI (2010-2021)IMPLEMENTG THE NATNAL HIV/AIDS STRATEGYENDG THE HIV EPIMICABOUT ENDG THE HIV EPIMIC THE U.S.OVERVIEWKEY STRATEGIPRRY JURISDICTNSHHS AGENCI INVOLVEDFUNDGTIMELELEARN MORE ABOUT EHEREADY, SET, PREPREADY, SET, PREPREADY, SET, PREP PHARMACIREADY, SET, PREP ROURCAHEADAHEAD: AMERI’S HIV EPIMIC ANALYSIS DASHBOARDFERAL ACTIVI & AGENCIHIV PREVENTN ACTIVIHIV TTG ACTIVIHIV CARE AND TREATMENT ACTIVIHIV REARCH ACTIVIACTIVI COMBATG HIV STIGMA AND DISCRIMATNPOLICI & ISSUTHE AFFORDABLE CARE ACT AND HIV/AIDSHIV CARE CONTUUMSYRGE SERVIC PROGRAMSFUNDGBUDGETFERAL FUNDG FOR HIV/AIDSMORY HIV/AIDS FUNDOVERVIEWBACKGROUNDFUND ACTIVITHE FUND ACTNPACHAABOUT PACHACHARTERMEMBERS & STAFFSUBMTEPRR PACHA MEETGS AND REMENDATNSCAMPAIGNSI AM A WORK OF ART CAMPAIGNAWARENS CAMPAIGNSPEPFAR & GLOBAL AIDSGLOBAL HIV/AIDS OVERVIEWPEPFARU.S. GOVERNMENT GLOBAL HIV/AIDS ACTIVIGLOBAL HIV/AIDS ORGANIZATNSEVENTSAWARENS DAYSNATNAL BLACK HIV/AIDS AWARENS DAY FEBARY 7HIV IS NOT A CRIME AWARENS DAY FEBARY 28NATNAL WOMEN AND GIRLS HIV/AIDS AWARENS DAY MARCH 10NATNAL NATIVE HIV/AIDS AWARENS DAY MARCH 20NATNAL YOUTH HIV & AIDS AWARENS DAY APRIL 10HIV VACCE AWARENS DAY MAY 18NATNAL ASIAN & PACIFIC ISLANR HIV/AIDS AWARENS DAY MAY 19HIV LONG-TERM SURVIVORS AWARENS DAY JUNE 5NATNAL HIV TTG DAY JUNE 27ZERO HIV STIGMA JULY 21SOUTHERN HIV/AIDS AWARENS DAY AUGT 20NATNAL FAH HIV/AIDS AWARENS DAY AUGT 27NATNAL AIN IMMIGRANTS AND REFUGEE HIV/AIDS AND HEPATIS AWARENS DAY SEPTEMPBER 9NATNAL HIV/AIDS AND AGG AWARENS DAY SEPTEMPBER 18NATNAL GAY MEN'S HIV/AIDS AWARENS DAY SEPTEMBER 27NATNAL LATX AIDS AWARENS DAY OCTOBER 15WORLD AIDS DAY DECEMBER 1EVENT PLANNG GUI CONFERENCU.S. CONFERENCE ON HIV/AIDS (USCHA) NATNAL RYAN WHE CONFERENCE ON HIV CARE & TREATMENT AIDS 2020 (23RD INTERNATNAL AIDS CONFERENCE VIRTUAL) LEARNG OPPORTUNILEARNG OPPORTUNILEARNG OPPORTUNIWANT TO STAY ABREAST OF CHANG PREVENTN, RE, TREATMENT OR REARCH OR OTHER PUBLIC HEALTH ARENAS THAT AFFECT OUR LLECTIVE RPONSE TO THE HIV EPIMIC? OR ARE YOU NEW TO THIS FIELD? CURAT LEARNG OPPORTUNI FOR YOU, AND THE PEOPLE YOU SERVE AND LLABORATE WH.STAY UP TO DATE WH THE WEBARS, TWTER CHATS, NFERENC AND MORE THIS SECTN.MORE LEARNG OPPORTUNIBLOGGET TTED. FD SERVIC + PREPSEARCHGOESPAñOL ESPAñOL ES GET TTED. FD SERVIC + PREPSEARCHOPEN LOTOR SEARCHHIV SERVICES LOCATORSEARCH⨯CLOSEHOMEHIV BASICSOVERVIEWDATA AND TRENDSU.S. STATISTICSSECTN MENUGET TTED. FIND SERVICES + PREP.DATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSSEARCHDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSU.S. STATISTICS
Gay and bisexual men are more severely affected by HIV than any other group the Uned Stat (US). * why is hiv more prevalent in the gay community *
High levels of HIV stigma—negative attus and beliefs about people wh HIV—make gay and bisexual men ls likely to get tted, e preventn servic like PrEP, receive re, and be virally supprsed. Differenc knowledge of HIV stat, PrEP age, treatment adherence, and viral supprsn for those wh HIV ntue to exist among gay and bisexual men. Innovative and culturally rponsive strategi that addrs gay and bisexual men’s needs n rce barriers that keep men om knowg their HIV stat and receivg HIV preventn and treatment servic.
HIV-RELATED STIGMA WH MUNI OF GAY MEN: A LERATURE REVIEW
Sexually Transmted Diseas (STDs) have been creasg among gay and bisexual men. * why is hiv more prevalent in the gay community *
Adaptg Ryan Whe Programexternal in service mols to other settgs where prehensive re and other support servic are provid to gay and bisexual men wh HIV.
New data showg that more heterosexual people are ntractg HIV than ever before have been misterpreted onle. Users who say this means heterosexual people are at higher risk than gay or bisexual men of ntractg the vis are ignorg the number of fectns as... * why is hiv more prevalent in the gay community *
Makg PrEP more available, pecially for Black/Ain Amerin and Hispanic/Lato gay and bisexual men, so that everyone who may benef om n get .
Engagg gay and bisexual men HIV re (a stat-ntral approach) to rce stigma and racial barriers and help men receive HIV servic regardls of their stat. Addrsg the root that drive equaly, cludg systemic racism, stigma, discrimatn, homophobia, poverty, homelsns, and unequal accs to re and preventn servic.