title: The Exchange coalition--identifying and addressing structural factors affecting HIV prevention in African American women on a national basis.
abstract: BACKGROUND
  From 1992 to 2002, African American women accounted for almost 70% of all newly diagnosed cases of HIV among women (CDC, 2002). Systemic issues such as poverty, domestic violence, mental illness, and limited access to culturally competent HIV/ health care services facilitate high infection rates among these women (OMH, 2005) and render many prevention/treatment messages ineffective. In response, Community Education Group (CEG) formed "The Exchange"-a national advocacy group comprised representatives from various organizations and agencies. To inform the groups formation CEG conducted a formative survey at three conferences to assess interest and need of such a group.
  
  
  METHODS
  Using a convenience sample, CEG surveyed care providers, health specialist, and social/behavioral scientists from various organizations at three conferences about: (1) primary issues facing African American women at risk of and living with HIV/AIDS, (2) their interest in building a coalition with organizations with differing foci, and (3) what they believe to be the top health issues facing these women.
  
  
  RESULTS
  Of the 1,186 surveys, 96.7% believed a coalition would provide effective advocacy, 77.3% were willing to build a coalition, and the top three issues affecting rates of infection were health care (62.8%), access to affordable treatment (50%) and unknown partner risk (47%).
  
  
  CONCLUSIONS
  Survey respondents felt that a coalition of organizations with differing foci to address the systemic conditions of African American women is needed if we are to have an effect on their rates of HIV/AIDS.
authors.affiliation: Community Education Group, Inc., 707 8th St SE, Washington, DC 20003, USA. atoniyoung@aol.com
authors.forename: A Toni
authors.initials: AT
authors.lastname: Young
authors.forename: K Shakira
authors.initials: KS
authors.lastname: Washington
authors.forename: Jenna
authors.initials: J
authors.lastname: Jerman
authors.forename: Helen
authors.initials: H
authors.lastname: Tak
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D019058:Community Networks; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011203:Poverty / Q000706:statistics & numerical data; D011314:Preventive Health Services / Q000706:statistics & numerical data; D040242:Risk Reduction Behavior; D012736:Sex Education / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology