{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:45:38Z","timestamp":1777927538803,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"14","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This narrative review examines the impact of the United States on the war against HIV\/AIDS and thus the impact of political ideologies on the financing of the medical sector.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Initially marked by stigma, particularly in the early years of the epidemic, the US response was transformed with the launch of the Presidential Emergency Plan for AIDS Relief (PEPFAR) in 2003. PEPFAR has partnered with entities such as the Global Fund and the Joint United Nations Programme on HIV\/AIDS (UNAIDS), retranslating global health governance. Despite this success, the global response remains dependent on the support of the United States. Political changes under the leadership of the conservatives have limited funding. Therefore, political polarization in the US is undermining long-term progress on HIV\/AIDS prevention and treatment, particularly in low- and middle-income countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>By tracing historical developments and analysing current funding trends, the article highlights the urgent need for sustainable and depoliticized investments in global health systems. Without renewed bipartisan commitment and greater local ownership, the vision of eliminating AIDS as a public health threat by 2030 is seriously threatened.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624251365146","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T05:26:57Z","timestamp":1754544417000},"page":"1063-1068","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Shifting priorities: U.S. health policy and the fragile future of global HIV\/AIDS efforts"],"prefix":"10.1177","volume":"36","author":[{"given":"Pierre","family":"Kassis","sequence":"first","affiliation":[{"name":"University of Ottawa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe","family":"Lebbos","sequence":"additional","affiliation":[{"name":"Saint-Joseph University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabil","family":"Chehata","sequence":"additional","affiliation":[{"name":"Saint-Joseph University"},{"name":"Saint Joseph University of Beirut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gebrael","family":"Saliba","sequence":"additional","affiliation":[{"name":"Saint-Joseph University"},{"name":"Saint Joseph University of Beirut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elie","family":"Haddad","sequence":"additional","affiliation":[{"name":"Saint-Joseph University"},{"name":"Saint Joseph University of Beirut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Choucair","sequence":"additional","affiliation":[{"name":"Saint-Joseph University"},{"name":"Saint Joseph University of Beirut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6121-1659","authenticated-orcid":false,"given":"Akel","family":"Azzi","sequence":"additional","affiliation":[{"name":"Saint-Joseph University"},{"name":"Saint Joseph University of Beirut"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/actrade\/9780192806925.001.0001"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000327438.13291.62"},{"key":"e_1_3_3_4_2","volume-title":"What today\u2019s activists can learn from AIDS advocacy group ACT UP","author":"Yurcaba J","year":"2021","unstructured":"Yurcaba J. 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Donor government funding for HIV in low- and middle-income countries in 2023. KFF 2024. https:\/\/www.kff.org\/global-health-policy\/report\/donor-government-funding-for-hiv-in-low-and-middle-income-countries-in-2023\/ (Accessed April 2025).","journal-title":"KFF"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31825eb27b"},{"key":"e_1_3_3_9_2","unstructured":"UNAIDS. Global HIV target setting for 2030. https:\/\/www.unaids.org\/sites\/default\/files\/2025-03\/20250328_recommended_2030_HIV_targets_livedocument_en.pdf (2025 Accessed April 22 2025)."},{"key":"e_1_3_3_10_2","unstructured":"UNAIDS. Global HIV & AIDS statistics \u2014 fact sheet. https:\/\/www.unaids.org\/en\/resources\/fact-sheet (2024 Accessed April 22 2025)."},{"key":"e_1_3_3_11_2","unstructured":"U.S. Department of State. PEPFAR program results fact sheet \u2013 december 2024. https:\/\/www.state.gov\/pepfar-latest-global-results-factsheet-dec-2024\/ (2024 Accessed May 5 2025)."},{"key":"e_1_3_3_12_2","unstructured":"Fidler D. P. (2023). American conservatism and global health. Think Global Health. Council on Foreign Relations. Retrieved May 2025 from https:\/\/www.thinkglobalhealth.org\/article\/american-conservatism-and-global-health"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41256-024-00391-w"},{"issue":"3","key":"e_1_3_3_14_2","first-page":"e000000","article-title":"US exit would leave global HIV response with a void to fill","volume":"12","author":"Yamey G","year":"2025","unstructured":"Yamey G. US exit would leave global HIV response with a void to fill. BMJ 2025; 12(3): e000000.","journal-title":"BMJ"},{"key":"e_1_3_3_15_2","unstructured":"Sherman C Glenza J. CDC webpages go dark as trump targets public health information. The Guardian 2025. 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