“…Factors associated with HIV risk among heterosexual Black men include living in areas characterized by poor socioeconomic status, greater income inequality, and neighborhood disorder 5,6 ; an epidemic of incarceration that creates lower male-to-female ratios within these geographic areas and compounds risks of transmission 5 ; and lower availability and use of prevention, screening, and treatment services targeting HIV and other sexually transmitted infections, 7,8 which can result in lower motivation, skills, and self-efficacy for condom use. 9,10 At the interpersonal and individual levels, heterosexual HIV risk among Black men is driven in part by the impact of these social determinants on depression and on alcohol and substance use, which in turn are linked to condomless sex 6,11 and the impact of sex roles and conceptualizations of normative male and female behavior on partner concurrency, condom use, 12,13 and HIV stigma. 14 Such factors speak to the need to address these broad social determinants and, at a minimum, ensure that HIV prevention efforts are centered in geographically high-risk heterosexual areas.…”