Black women at are increased risk HIV of infection compared to women in general. In 2022 in Alabama, over half of HIV people living with HIV were Black, almost a quarter were women, and 1 in 5 were unaware of their status. This data supports a need for HIV prevention interventions among youth and adults in the state.

In 2022 in Alabama, youth age 13-24 made up the majority of chlamydia and gonorrhea cases, and nearly a quarter of new HIV diagnoses, illustrating the need for STI prevention efforts aimed at this population. Incarcerated youth represent a group more vulnerable to HIV/STI infection than youth in general. The UAB Family Clinic has partnered with the Alabama Department of Youth Services to provide HIV/STI education confidential HIV testing to youth held in detention facilities across the state of Alabama. In 2024, the UAB Family Clinic provided comprehensive HIV/STI education to approximately 350 youth across 3 sites, 268 of whom opted to be tested for HIV.