Abstract

Urban centers in America are the hardest hit areas by the HIV/AIDS epidemic. The incidence of HIV/AIDS is higher in these areas because of high levels of poverty, sexually transmitted diseases, injection drug use, and the limited participation of urban residents in the design and delivery of health services. This article argues that a new urban HIV/AIDS policy is needed to focus on the vigorous implementation of risk reduction activities, linking HIV reduction with poverty alleviation programs, and the implementation of neighborhood health services.