How to Help Fight HIV/AIDS in the South

How to Help Fight HIV/AIDS in the South


For the last few years we’ve been watching with alarm the rising rates of HIV infections here in the South. Back in the 1980s, AIDS was an urban issue, impacting places like New York City and Los Angeles. Today, the epicenter of the HIV epidemic has shifted to the South, including South Carolina and the greater Charleston region.


According to the Centers for Disease Control and Prevention, Southern states account for an estimated 44 percent of all people living with an HIV diagnosis in the United States, despite having only about one-third (37 percent) of the overall U.S. population. Plus, the rate of new HIV diagnosis is much higher in the South than among the rest of the country.

African Americans are significantly impacted, accounting for 54 percent of new HIV diagnosis in 2014. HIV infections among black women in the South is also staggering. And, more people in the South are unaware of their HIV infection, and mortality rates are much higher in the Southern states.

The CDC reports “people living with HIV in some southern states have death rates that are three times higher than people living with HIV in some other states. Although death rates have declined recently, the South still accounted for nearly half (47%) of the 16,281 individuals diagnosed with HIV who died in 2013 nationwide.”

We saw this rising trend of new HIV infections here in the Charleston region in 2015 with a high number of new HIV infections largely among young African-American men.

All of this information begs the question: Why is the South so deeply impacted by the HIV epidemic?

A number of factors play a role, including:

  • Socioeconomic disparities and higher rates of poverty, particularly among African-American youth.
  • The lack of sex education in South Carolina schools, which leaves young people learning about sex from their friends, the Internet and the media.
  • Poor health outcomes in the South and lack of accessible medical care. South Carolina was one of the states to refuse Medicaid expansion.
  • Cultural factors such as homophobia, transphobia and racism all contribute to fewer discussions about sexual health and lead to greater stigma surrounding HIV.

In 2017, a poignant documentary put a face to the issue of HIV in the South. Through the story of Wilhemina Dixon, a one-woman army fighting for her family’s survival, “Wilhemina’s War” shows the devastating toll of the scourge of HIV/AIDS. The film has encouraged discussion around the problem of HIV in the South and raising awareness about what’s happening in our own communities is the first step.

But what else can be done? What is Palmetto Community Care doing and how can the community step up and help?

If you’d like to get involved in fighting HIV, get in touch. Give us a call at 843-747-2273 to find out how you can be part of making Charleston a healthier community.

Jarmel Smith

PrEP and Prevention Program Manager

Read Bio

Jarmel joined the team in April 2017 to co-facilitate an intervention program called 3MV (Many Men Many Voices) for HIV-negative African-American men who sleep with men. Jarmel is also part of the Palmetto Community Care prevention team certified by the S.C. Department of Health & Environmental Control to complete HIV testing. p> “Having friends who have been diagnosed with HIV it is very important to me to be a part of the change,” he says. He’s using his role in HIV prevention to educate people in the community about HIV and other sexually transmitted infections with they hope they will use the information to protect themselves and others. Previously, Jarmel worked as a residential coordinator for people with disabilities. In his free time, he enjoyed Southern cooking and spending time with his family in Orangeburg. He also has two spoiled dogs, Omega and Cookie, who like to cuddle up with Jarmel and watch their favorite TV show, “The Golden Girls.”
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Talk to Teens about Sex to Stop Spread of HIV. HIV Education, HIV Prevention .