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Lack of basic HIV/AIDS knowledge, risky behavior, religious conservatism, stigma, fear of status being exposed to other community members, and socioeconomic issues are some factors that contribute to the spread of HIV/AIDS within African-American populations. African Americans have close ties to the church, but the African American churches, until recently, have been slow to address HIV prevention. Several successful churches and faith based/public health collaborations were identified, with some limitations within these programs discussed, but too many are doing nothing. This study examines the community churches and reviews the empirical literature on faith-based HIV prevention programs among African American populations. 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