Effective HIV Treatments Exist — So Why Does the South Lag Behind?

The American South exhibits the highest HIV incidence rates in the nation, contributing to over half of all new diagnoses in 2023. This is occurring despite the increasing availability of an effective medication known as preexposure prophylaxis (PrEP), which can lower the risk of HIV transmission by more than 99% when used as directed. In cities like Jackson, Mississippi, and Memphis, Tennessee, uptake remains alarmingly low among Black men who have sex with men, with under 20% utilizing this crucial medication. Political shifts have had adverse impacts, as the Trump administration proposed cuts to HIV prevention initiatives, leaving communities vulnerable. University of Mississippi's Brandon Nabors underscores the importance of addressing social determinants of health. Personal trust and cultural beliefs intertwine with sexual health, often complicating access to PrEP. As peer-based discussions within social networks offer new avenues for education, bridging gaps in knowledge and fostering acceptance may prove vital in combating this public health crisis.