African and other ethnic minority communities

African and ethnic minority communities have become an important focus for targeting HIV prevention interventions, however evidence for effective interventions with this group is limited.

The few interventions that have been rigorously evaluated have been developed in careful collaboration with the affected communities. They have considered carefully the cultural and social factors influencing sexual attitudes of the communities and treated HIV prevention within the context of wider sexual health, contraception and pregnancy. Within the UK context recent research into the sexual attitudes and lifestyles of diverse ethnic communities has provided guidance for the development of linguistically and culturally appropriate strategies. African communities in the UK are particularly severely affected by HIV. Many within these communities also face the additional challenges of relatively recent migration including problems of language, culture and isolation often along with possible economic and/or legal difficulties associated with refugee status. All these difficulties may in turn limit access to local service for treatment and HIV prevention.

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