When reviewing your paper, you did not answer most questions in the guidelines for the background section. For example, there is no clear delineation between the health impact and epidemiology section. Also, you did not provide national, state, and local statistics about HIV infection overall and in your population. You also did not include rates of behavior. I provided some intext revisions of information, however many sentences are not clear and do not provide concrete information. Please also refrain from figurative language and words and phrases that are value-laden.