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HIV within Black communities, and racism in mainstream society, have tremendous potential to bring about a change in the social processes that generate stigma and the vulnerability to HIV that it creates.

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Although discrimination on the grounds of sex characteristics was not mentioned in this paper, it nevertheless represents a further example of how inequalities can be generated and sustained due to a lack of protection by law and policy.

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Black communities, such as families and Black gay communities themselves, poses additional challenges for leading healthy, caring lives.

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