This paper is about the HIV epidemic in the context of black Africans in England. It gives an overview of the current epidemiological status, HIV support and prevention needs and recommendations for policy and practice. It
focuses on black African communities because they are disproportionately affected by HIV compared to other minority ethnic groups.
Although black Africans make up only about 1 per cent of the UK population, they account for almost half of all new HIV diagnoses in the UK (Morris, 2008; HPA, 2009a). Apart from high HIV prevalence, their potential to benefit from available treatment and care is limited by many factors, such as late diagnosis, stigma and discrimination, unemployment, poor living conditions and uncertain immigration status for some (Ibrahim et al., 2008).
Throughout this paper, the term ‘black African’ is used to refer to people who identify themselves as black African, whether they are nationals of African countries, migrants from Africa or just African descendants.
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