HIV/AIDS and Academic Research Institutions—Consider a New Era

Document Type

Journal Article

Publication Title

Journal of Health Care for the Poor and Underserved

Publication Date


Date Added



HIV/AIDS has been a public health issue in the United States since 1981,1 and has been a global health concern even longer. From a very reductionist view of the epidemic in the United States, HIV/AIDS has evolved from a White, male, homosexual disease with a near certain prospect of mortality to a chronic disease prevalent among young men, specifically Black and Latino/Hispanic men, who have sex with other men. The global health goal seeks elimination of HIV/AIDS by 2030 with key targets by year 2020. The 90% targets include the following: 90% of those infected knowing their HIV status; 90% under treatment having suppressed viral loads; and 90% of young people living in high-prevalence settings having access to primary and secondary sexual and reproductive health services.2 Healthy People 2020 targets reflect, to some extent, the global agenda.3 Despite progress made in treatment and efforts at pharmaceutically-based prevention, the goals are not without challenge as infection rates have increased in some population sectors. The transition from a fatal illness to chronic disease may hold some insight into understanding why the disease is showing upticks or failing to show expected decreases in incidence and prevalence in particular segments of the population. The further complexity of changing times, social conditions and systems, and cultural norms may be in play as well.






Public Health