An issue brief published on Tuesday by the U.S. Centers for Disease Control claimed that that Southerners’ “racism,” and “homophobia” may be causing high HIV rates in the South that are disproportionately high among African-Americans and homosexuals.

According to the issue brief, Southern states have 37 percent of the U.S. population and 44 percent of all HIV infected people living in America. HIV rates among gay men and African-Americans account for the lion’s share of those infected with HIV.

“African Americans are severely affected by HIV in the South, accounting for 54 percent of new HIV diagnoses in 2014,” the brief notes.

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