Social And Behavioral Determinants Of Hiv Care And Outcomes Among A Sample Of African American Women Living With Hiv

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Social and Behavioral Determinants of HIV Care and Outcomes Among a Sample of African-American Women Living with HIV

Author : Lauren Elizabeth Lipira
Publisher :
ISBN 13 :
Total Pages : 73 pages
Book Rating : 4.:/5 (19 download)

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Book Synopsis Social and Behavioral Determinants of HIV Care and Outcomes Among a Sample of African-American Women Living with HIV by : Lauren Elizabeth Lipira

Download or read book Social and Behavioral Determinants of HIV Care and Outcomes Among a Sample of African-American Women Living with HIV written by Lauren Elizabeth Lipira and published by . This book was released on 2018 with total page 73 pages. Available in PDF, EPUB and Kindle. Book excerpt: African-American women are a vulnerable subpopulation of people living with HIV (PLWH) at risk for inadequate treatment and poor disease outcomes. The purpose of this dissertation as to investigate three aspects of social and behavioral determinants of HIV care and outcomes among African-American women living with HIV. Specifically, to: 1) evaluate the relationship between HIV-related stigma and viral suppression and explore the mediating roles of depression and nonadherence to ART 2) assess whether religiosity, social support, and ethnic identity modify the relationship between HIV-related stigma and depression, and 3) describe patterns of alcohol use and associated characteristics. We used baseline data from the Unity Study, a randomized controlled trial of an HIV-related stigma reduction intervention for African-American women living with HIV in Chicago, IL and Birmingham, AL. First, we estimated the total effect of stigma on viral suppression using logistic regression and estimated indirect and direct effects along hypothesized pathways using serial mediation analysis. Next, we used moderation analyses to estimate the modifying effects of religiosity, social support, and ethnic identity on the relationship between HIV-related stigma and depression. Finally, we compared participant characteristics across patterns of alcohol use and estimated adjusted associations using logistic regression. Among women in this sample, HIV-related stigma was common, and those who reported greater levels of HIV-related stigma were less likely to be virally suppressed; depression and ART nonadherence did not appear to account for this relationship. Still, women who reported higher levels of HIV-related stigma were more likely to report higher levels of depressive symptom severity. Religiosity buffered this relationship, but social support and ethnic identity did not. Among women in this study, half reported any alcohol use, and a quarter each screened positive for UAU and HED. Patterns of alcohol use and were associated with social characteristics (religiosity, social support, and HIV-related stigma), clinical characteristics (depression), and HIV-related clinical characteristics (ART adherence and viral suppression). African-American women living with HIV face substantial challenges but demonstrate great capacity for resilience. Effective interventions which integrate aspects of religiosity and social support are needed to reduce HIV-related stigma and any and unhealthy alcohol use. Future research should focus on better understanding the relevant mechanisms and developing and testing new interventions.

African Americans and HIV/AIDS

Author : Donna Hubbard McCree, PhD, MPH, RPh
Publisher : Springer Science & Business Media
ISBN 13 : 0387783210
Total Pages : 336 pages
Book Rating : 4.3/5 (877 download)

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Book Synopsis African Americans and HIV/AIDS by : Donna Hubbard McCree, PhD, MPH, RPh

Download or read book African Americans and HIV/AIDS written by Donna Hubbard McCree, PhD, MPH, RPh and published by Springer Science & Business Media. This book was released on 2010-09-14 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among U. S. racial and ethnic minority populations, African American communities are the most disproportionately impacted and affected by HIV/AIDS (CDC, 2009; CDC, 2008). The chapters in this volume seek to explore factors that contribute to this disparity as well as methods for intervening and positively impacting the e- demic in the U. S. The book is divided into two sections. The first section includes chapters that explore specific contextual and structural factors related to HIV/AIDS transmission and prevention in African Americans. The second section is composed of chapters that address the latest in intervention strategies, including best-evidence and promising-evidence based behavioral interventions, program evaluation, cost effectiveness analyses and HIV testing and counseling. As background for the book, the Introduction provides a summary of the context and importance of other infectious disease rates, (i. e. , sexually transmitted diseases [STDs] and tubercu- sis), to HIV/AIDS prevention and treatment in African Americans and a brief introductory discussion on the major contextual factors related to the acquisition and transmission of STDs/HIV. Contextual Chapters Johnson & Dean author the first chapter in this section, which discusses the history and epidemiology of HIV/AIDS among African Americans. Specifically, this ch- ter provides a definition for and description of the US surveillance systems used to track HIV/AIDS and presents data on HIV or AIDS cases diagnosed between 2002 and 2006 and reported to CDC as of June 30, 2007.

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Holding On

Author : Alyson O'Daniel
Publisher : U of Nebraska Press
ISBN 13 : 0803269617
Total Pages : 258 pages
Book Rating : 4.8/5 (32 download)

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Book Synopsis Holding On by : Alyson O'Daniel

Download or read book Holding On written by Alyson O'Daniel and published by U of Nebraska Press. This book was released on 2016-06-01 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Holding On anthropologist Alyson O’Daniel analyzes the abstract debates about health policy for the sickest and most vulnerable Americans as well as the services designated to help them by taking readers into the daily lives of poor African American women living with HIV at the advent of the 2006 Treatment Modernization Act. At a time when social support resources were in decline and publicly funded HIV/AIDS care programs were being re-prioritized, women’s daily struggles with chronic poverty, drug addiction, mental health, and neighborhood violence influenced women’s lives in sometimes unexpected ways. An ethnographic portrait of HIV-positive black women and their interaction with the U.S. healthcare system, Holding On reveals how gradients of poverty and social difference shape women’s health care outcomes and, by extension, women’s experience of health policy reform. Set among the realities of poverty, addiction, incarceration, and mental illness, the case studies in Holding On illustrate how subtle details of daily life affect health and how overlooking them when formulating public health policy has fostered social inequality anew and undermined health in a variety of ways.

African American Women and HIV/AIDS

Author : Dorie J. Gilbert
Publisher : Bloomsbury Publishing USA
ISBN 13 : 0313039070
Total Pages : 286 pages
Book Rating : 4.3/5 (13 download)

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Book Synopsis African American Women and HIV/AIDS by : Dorie J. Gilbert

Download or read book African American Women and HIV/AIDS written by Dorie J. Gilbert and published by Bloomsbury Publishing USA. This book was released on 2003-03-30 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: AIDS is the second-leading cause of death among African American women between the ages of 18 and 44. African American women constitute 63% of all cases of AIDS among women in the United States. This volume brings together the collective wisdom of scholars, researchers, and social work professionals dealing with these concerns. Focusing attention on the primary population of women impacted by AIDS, this book presents culturally sensitive responses that meet the specific needs of African American women. An historical and current overview of the alarming HIV infection rate among African Americans, in particular women, introduces the crisis. Subsequent chapters highlight HIV/AIDS prevention and intervention strategies that are successfully impacting the African American population. Guided by a feminist perspective and grounded in social construction theory, social work theory, and social work practice, this volume privileges the voice of African American women, the group that is the most disenfranchised—and least accurately represented—in AIDS-related research and writing. This essential guide sheds light on a calamity too often overlooked, making it especially valuable for scholars, students, researchers, and practitioners involved with HIV/AIDS issues in the African American community, and with women's and black studies.

Midlife and Older Adults and HIV

Author : Sharon Keigher
Publisher : Routledge
ISBN 13 : 1135428611
Total Pages : 138 pages
Book Rating : 4.1/5 (354 download)

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Book Synopsis Midlife and Older Adults and HIV by : Sharon Keigher

Download or read book Midlife and Older Adults and HIV written by Sharon Keigher and published by Routledge. This book was released on 2013-10-08 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a detailed overview of the social services provided for HIV-infected midlife and older adults, and find out where social work practice with this growing population is headed! As more potent medications are being developed to treat HIV, people who have contracted the virus are living longer lives than previously expected. Survival means new side effects and increasingly complex issues, now compounded by the diseases of aging. All this presents unprecedented challenges to social service and benefit systems. Midlife and Older Adults and HIV: Implications for Social Service Research, Practice and Policy introduces policymakers and policy analysts, practitioners in the helping professions, and the public to available social services for aging adults who are living with HIV/AIDS. It also addresses midlife and older adults at risk of HIV infection as well as aging persons whose lives are affected by relatives and friends living with HIV. Midlife and Older Adults and HIV provides a comprehensive examination of this emerging field of practice. Specific chapters examine prevention, family care, vulnerability, inclusion, and the disease process itself. It lays out the broad terrain of future social work practice with HIV-infected elders and elders affected by HIV. The book concludes with reflections on survivorship during the past two decades from six older community leaders living with HIV/AIDS. It also provides current research findings, innovative conceptual models, an invaluable compendium of resource information from the National Association of HIV Over Fifty, and program ideas to address the HIV epidemic within the aging population. The issues addressed in Midlife and Older Adults and HIV include: HIV prevention initiatives coordination and integration of local service networks the health, social, and financial risks facing women with HIV the health consequences of HIV/AIDS and its interactions with normal aging the use of behavioral reinforcement methods as interventions perceptions of vulnerability to HIV among older African-American women and the role of intimate partners and much more! Midlife and Older Adults and HIV is a comprehensive resource on social services for aging adults who are living with HIV/AIDS. It serves as a record of what is known and what is presently being learned about practice in this constantly evolving field. The book is a call to action for social workers and other human service professionals to anticipate and plan for the emerging needs of persons with HIV/AIDS who are rapidly growing older. The array of topics covered in this volume also makes it ideal as a supplemental textbook in courses on HIV and aging.

Black Women's Risk for HIV

Author : Quinn Gentry
Publisher : Routledge
ISBN 13 : 1136799893
Total Pages : 311 pages
Book Rating : 4.1/5 (367 download)

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Book Synopsis Black Women's Risk for HIV by : Quinn Gentry

Download or read book Black Women's Risk for HIV written by Quinn Gentry and published by Routledge. This book was released on 2008-03-05 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: An inside look at the devastating impact of the HIV/AIDS epidemic on poor African American women Black Women’s Risk for HIV: Rough Living is a valuable look into the structural and behavioral factors in high-risk environmentsspecifically inner-city neighborhoods like the Rough in Atlantathat

Rehabilitation Service Utilization Among African American Women Living with HIV/AIDS

Author : Aisha E. Shamburger-Rousseau
Publisher :
ISBN 13 :
Total Pages : 158 pages
Book Rating : 4.:/5 (846 download)

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Book Synopsis Rehabilitation Service Utilization Among African American Women Living with HIV/AIDS by : Aisha E. Shamburger-Rousseau

Download or read book Rehabilitation Service Utilization Among African American Women Living with HIV/AIDS written by Aisha E. Shamburger-Rousseau and published by . This book was released on 2013 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: African American women represent one of the largest groups disproportionately living with and affected by HIV/AIDS yet African American women have largely been unrepresented in the federal-state rehabilitation system. As pharmaceutical treatment options improve and individuals with HIV/AIDS are living longer and healthier lives, research exploring the appropriateness of rehabilitation services has increased. Accordingly, it has become more necessary to address the needs of this population. As the largest service provider for people with disabilities, the state-federal rehabilitation system has the potential to be a vital resource for African American women living with HIV/AIDS. The purpose of this study is to identify and examine variables related to and predictive of the utilization of rehabilitative services among a sample of African American women living with HIV/AIDS in the United States who volunteered to complete the National Working Positive Coalition - Vocational Development and Employment Needs Survey (NWPC-VDENS). The sample for this study was 313 African American women living with HIV/AIDS who were recruited from AIDS service organizations and national networks throughout the United States. Participants voluntarily completed the NWPC - VDENS, which explored their needs in the areas of education, training, employment, and health. The behavioral model for vulnerable populations was utilized as a framework to organize and examine predisposing, enabling and need constructs as they related to the utilization of rehabilitative services among African American women living with HIV/AIDS. This study used descriptive, bivariate and binary hierarchical logistic regression statistical analyses to determine the extent to which the constructs were predictive of the use of vocational rehabilitative services. The bivariate analyses produced no statistically significant differences between users and non-users of vocational rehabilitation services for either the predisposing or need variables. Three enabling characteristics, receipt of income benefits, knowledge of services, and reasonable access were all found to have statistical significance in the bivariate analyses. At least one variable from each construct was statistically significant in the regression model. Receipt of income benefits and knowledge of rehabilitation services were found to be predictive of the utilization of vocational rehabilitation services. Study findings framed from previous research, study limitations, implications, and recommendations for future research were acknowledged.

Population Health: Behavioral and Social Science Insights

Author : Robert M. Kaplan
Publisher : Government Printing Office
ISBN 13 : 1587634457
Total Pages : 659 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Population Health: Behavioral and Social Science Insights by : Robert M. Kaplan

Download or read book Population Health: Behavioral and Social Science Insights written by Robert M. Kaplan and published by Government Printing Office. This book was released on 2015-07-24 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to gain a better understanding of the multitude of factors that determine longer life and improved quality of life in the years a person is alive. While the emphasis is primarily on the social and behavioral determinants that have an effect on the health and well-being of individuals, this publication also addresses quality of life factors and determinants more broadly. Each chapter in this book considers an area of investigation and ends with suggestions for future research and implications of current research for policy and practice. The introductory chapter summarizes the state of Americans’ health and well-being in comparison to our international peers and presents background information concerning the limitations of current approaches to improving health and well-being. Following the introduction, there are 21 chapters that examine the effects of various behavioral risk factors on population health, identify trends in life expectancy and quality of life, and suggest avenues for research in the behavioral and social science arenas to address problems affecting the U.S. population and populations in other developed and developing countries around the world. Undergraduate and graduate students pursuing coursework in health statistics, health population demographics, behavioral and social science, and heatlh policy may be interested in this content. Additionally, policymakers, legislators, heatlh educators, and scientific organizations around the world may also have an interest in this resource.

Women, Families and HIV/AIDS

Author : Carole A. Campbell
Publisher : Cambridge University Press
ISBN 13 : 9780521566797
Total Pages : 270 pages
Book Rating : 4.5/5 (667 download)

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Book Synopsis Women, Families and HIV/AIDS by : Carole A. Campbell

Download or read book Women, Families and HIV/AIDS written by Carole A. Campbell and published by Cambridge University Press. This book was released on 1999-04-13 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Carole Campbell examines the position of women in the AIDS epidemic (women living with HIV, and women caring for HIV-infected family members) in a sociocultural context. Campbell draws a connection among women's risk of AIDS, gender roles (particularly adolescent gender role socialization), and male sexual behavior, demonstrating that efforts to contain the spread of the disease to females must also target the male behavior that puts women at risk. This study concludes that compared with men, HIV-infected women face unequal access to care and unequal quality of care. Informed by the moving personal accounts of eleven HIV-infected men and women, this book offers a rare, broad picture of the sociocultural causes and the impact on American society of AIDS among women.

Women and AIDS

Author : Ann O'Leary, PhD
Publisher : Springer Science & Business Media
ISBN 13 : 0306452588
Total Pages : 260 pages
Book Rating : 4.3/5 (64 download)

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Book Synopsis Women and AIDS by : Ann O'Leary, PhD

Download or read book Women and AIDS written by Ann O'Leary, PhD and published by Springer Science & Business Media. This book was released on 1996-10-31 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although women were understudied in the early years of the epidemic, research and practice devoted to understanding and ameliorating the effects of the AIDS epidemic have begun in recent years. Women and AIDS is the first comprehensive exploration of the medical and psychosocial concerns and issues surrounding women living with HIV/AIDS. Contributors address the biomedical aspects of the disease, stress and coping factors, reproductive and childcare issues, access to care, needs of special populations such as drug-using women and adolescents, and policy recommendations. Researchers and students in psychology, public health, medicine, nursing, sociology, women's studies, and social work will appreciate this reference.

Socioeconomic Status, Social Capital, and HIV Sexual Risk Behavior

Author : Miguelina I. León
Publisher :
ISBN 13 :
Total Pages : 295 pages
Book Rating : 4.:/5 (936 download)

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Book Synopsis Socioeconomic Status, Social Capital, and HIV Sexual Risk Behavior by : Miguelina I. León

Download or read book Socioeconomic Status, Social Capital, and HIV Sexual Risk Behavior written by Miguelina I. León and published by . This book was released on 2015 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Women of color, especially African Americans and Latinas, account for the majority of HIV incidence and prevalence among women in the United States. Most HIV infections among women are contracted through heterosexual contact. Consequently, promotion of consistent condom use is a key HIV prevention strategy. U.S. prevention interventions for women typically focus on changing individual behaviors. However, the literature has documented a number of key social determinants of HIV vulnerability among women, including socioeconomic status (SES) and social capital. Understanding how these distal and intermediary social factors affect individual sexual risk is crucial to developing effective structural HIV prevention interventions for women. The purpose of this study was to examine the independent and interactive effects of SES and social capital on condom use among African American and Latina women. The study applied a social determinants of health conceptual framework, drawing on Weber's theory of social stratification and elements of Bourdieu's, Coleman's, and Putnam's social capital theories. Secondary data analysis was conducted on a sub-sample of 370 women drawn from a non-random sample of 512 women participating in the Gender-Economic Model (GEM) study, who were HIV negative, 18 years of age and older, and residents of the San Francisco Bay area. The bivariate analyses showed that African American and Latina women differed significantly on age, income, educational attainment, seven of eleven social capital indicators, and vaginal sex with their non-main male partner. The reduced logistic regression model showed that the likelihood of consistent condom use increased as income increased, but decreased as past month sociability increased. Three interactions were also significant predictors. As income rose the effect of past year, and past month civic participation on consistent condom use decreased. However, as education rose the effect of past month sociability on consistent condom use increased. The education-sociability interaction had the strongest effect. The findings suggest that not all social capital is health protective. Moreover, the interactive effects of SES and structural social capital on consistent condom use were stronger than their independent effects. Implications for theory, research, social work practice, and policy regarding structural interventions are discussed.

A Phenomenological Study of HIV/AIDS and Health Promotion Among African American Women

Author : Shakila Flentroy
Publisher :
ISBN 13 :
Total Pages : 124 pages
Book Rating : 4.:/5 (981 download)

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Book Synopsis A Phenomenological Study of HIV/AIDS and Health Promotion Among African American Women by : Shakila Flentroy

Download or read book A Phenomenological Study of HIV/AIDS and Health Promotion Among African American Women written by Shakila Flentroy and published by . This book was released on 2017 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: African American women continue to be at the forefront of the discussion of health disparities, especially as related to Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS). Nationally, African American women account for 64% of new HIV diagnoses among women, and AIDS is one of the top ten leading causes of death for African American women aged 15-64 years. Notwithstanding HIV/AIDS, African Americans continue to experience disparities related to physical health and mental health outcomes, as compared to the larger U.S. population. Although there has been a wealth of research examining HIV/AIDS prevention programs targeting African American women, the ways in which participants understand and create meaning from these interventions are lacking in the literature. Several qualitatively oriented papers have discussed themes derived from the lived experience of persons living with HIV/AIDS, however, the collective patterns of shared meanings and experiences (personal and cultural) that create a sense of purpose, and understanding to an individual's life as it pertains to HIV prevention have not been explored. The purpose of this qualitative study was to examine how the participants of the Healer Women Fighting Disease Project in Austin, Texas understand themselves in relation to the intervention. The Healer Women Fighting disease intervention is an African-centered HIV prevention program that includes a general health component to address preventive health alongside HIV/AIDS prevention. One component of the intervention focused on sacred stones (i.e., Healing Stone) as a traditional African healing tool used for African American women's health and mental health. Using Afrocentric theory as the basic framework for this program, the African Centered Behavioral Change Model was based on the principle of re-instilling traditional cultural values into African-descent people based on the premise that African Americans, for the most part, survived historically based on Afrocentric worldviews and African values and traditions. The data for the study were secondary data of journals written by women over an eight-week period who participated in the Healer Women program, a systematic random sample of the 60 journals (from the original study) was used to select 20 journals for analysis for this study. Phenomenological analysis was used to elicit themes, ultimately leading to five major themes, three of which had subthemes. The themes that emerged during the coding and analysis process included: turning to a higher power (subthemes: leaning on faith and practicing faith); self-care (subthemes: thinking, identifying and practicing); sense of true self (subthemes: becoming, I can imagine, and I am), healing from previous pain, and sense of purpose and meaning. Findings suggest that the sacred stones held strong resonance for the women and strongly impacted their commitment to better health and mental health. Further, creating meaning within the context of the women's African heritage was the key to achieving behavioral change, and empowering the women to make healthier life choices. In addition, the findings suggest that incorporating African cultural values in the lives of African American women promotes, physical and mental well-being, spirituality, healing, a sense of authentic self, and purpose and meaning. Therefore, as health disparities continue to rise in this population, Afrocentric and effective prevention programming is desperately needed. This research highlights that social work and public health prevention programs aimed at eradicating HIV/AIDS and promoting wellness for African American women should include African cultural values and principles as the core of the intervention in order to yield positive outcomes among this population.

International Perspectives on Women and HIV

Author : Samuel A MacMaster
Publisher : Routledge
ISBN 13 : 1317994892
Total Pages : 214 pages
Book Rating : 4.3/5 (179 download)

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Book Synopsis International Perspectives on Women and HIV by : Samuel A MacMaster

Download or read book International Perspectives on Women and HIV written by Samuel A MacMaster and published by Routledge. This book was released on 2013-09-13 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Throughout the world, the threat of HIV/AIDS to women’s health has become the focus of increased concern. The Joint United Nations Programme on HIV/AIDS (2004) reports that almost 20 million women and girls are living with HIV globally, accounting for nearly half of all people living with HIV worldwide. Infection rates among women are rising in every region worldwide including high-income countries in which heterosexual intercourse may now be the most common mode of transmission. Although there are many contributing factors to the current trends in HIV, most women who become HIV-infected do not practice "high-risk" behaviour. Women worldwide may individually view themselves as less susceptible than men, and may pay less attention about how HIV is transmitted and how to prevent infection. There are also gender inequalities, stemming from sexual double standards that constrain women’s access to care, treatment, and support. This work focuses on international perspectives on women and HIV casting a deliberately wide net addressing the issue of the interaction between HIV and gender in a specific geographic area. Our intention is to provide a forum for innovative manuscripts whose contribution to the literature is found in their unique approach to this interaction and application of empirical investigation to unique problems and/or populations. This material was published in the Journal of Human Behavior in the Social Environment.

Factors Associated with Disclosure of HIV -seropositive Status Among African American Women

Author : Abimbola Folashade Idowu
Publisher :
ISBN 13 :
Total Pages : 268 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Factors Associated with Disclosure of HIV -seropositive Status Among African American Women by : Abimbola Folashade Idowu

Download or read book Factors Associated with Disclosure of HIV -seropositive Status Among African American Women written by Abimbola Folashade Idowu and published by . This book was released on 2003 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disclosure of HIV-seropositive status is an important issue among African American women among whom the epidemic grew during the second decade of the disease. An HIV diagnosis permeates all aspects of womens' life in which they ponder on the consequences of disclosure on their relationships with family, friends and sex partners. On one side of the spectrum is perceived stigma and isolation and, on the other side is the possibility of experiencing all types of social support from network members and getting needed access to HIV treatment and sustained care. This study examined disclosure patterns among HIV-seropositive African American women who self-reported their serostatus. A sample of 476 African American women who disclosed their HIV-seropositive status was obtained from HIV Epidemiology Research Study (HERS). Logistic regression analyses were undertaken to examine predictors of disclosure to targets adjusting for sociodemographic and behavioral factors, social support, stigma and clinical indicators. The study offers evidence of disclosure to multiple compared to single targets, support seeking behavior and perception of stigma among the study population. Perceived emotional support was associated with disclosure occurrence as well as disclosure to multiple targets among HIV-seropositive African American women in this study. Women who worried about others knowing their seropositive status were less likely than those who did not worry to disclose their HIV serostatus. Management of HIV-status information was associated with lower occurrence of disclosure to multiple targets. Having a main partner was consistently associated with disclosure and disclosure to multiple targets. Elapsed period between diagnosis to partner disclosure pattern was identified. Implications for practice are that people disclosed to by HIV-seropositive women should become a harnessed group to serve as part of their social support groups. Counseling for women who perceive stigma and did not seek support should be intensified. Ryan White Act provisions should be expanded to cover these groups. Disclosure of HIV seropositive status remains relevant in HIV and AIDS and its continued study becomes imperative as patterns, consequences and socio-cultural factors among African Americans are understood.-- Abstract.

Women and AIDS

Author : Ann O'Leary, PhD
Publisher : Springer Science & Business Media
ISBN 13 : 030647140X
Total Pages : 260 pages
Book Rating : 4.3/5 (64 download)

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Book Synopsis Women and AIDS by : Ann O'Leary, PhD

Download or read book Women and AIDS written by Ann O'Leary, PhD and published by Springer Science & Business Media. This book was released on 2006-04-11 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although women were understudied in the early years of the epidemic, research and practice devoted to understanding and ameliorating the effects of the AIDS epidemic have begun in recent years. Women and AIDS is the first comprehensive exploration of the medical and psychosocial concerns and issues surrounding women living with HIV/AIDS. Contributors address the biomedical aspects of the disease, stress and coping factors, reproductive and childcare issues, access to care, needs of special populations such as drug-using women and adolescents, and policy recommendations. Researchers and students in psychology, public health, medicine, nursing, sociology, women's studies, and social work will appreciate this reference.

Understanding the HIV/AIDS Epidemic in the United States

Author : Eric R. Wright
Publisher : Springer
ISBN 13 : 3319340042
Total Pages : 309 pages
Book Rating : 4.3/5 (193 download)

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Book Synopsis Understanding the HIV/AIDS Epidemic in the United States by : Eric R. Wright

Download or read book Understanding the HIV/AIDS Epidemic in the United States written by Eric R. Wright and published by Springer. This book was released on 2016-07-30 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the HIV/AIDS epidemic in the United States using the concept of syndemics to contextualize the risk of both well-known, and a few lesser-known, subpopulations that experience disproportionately high rates of HIV and/or AIDS within the United States. Since discovery, HIV/AIDS has exposed a number of social, psychological, and biological aspects of disease transmission. The concept of “syndemics,” or “synergistically interacting epidemics” has emerged as a powerful framework for understanding both the epidemiological patterns and the myriad of problems associated with HIV/AIDS around the world and within the United States. The book considers the disparities in HIV/AIDS in relation to social aspects, risk behavior and critical illness comorbidities. It updates and enhances our understanding of the HIV/AIDS epidemic in the United States and contributes to the expanding literature on the role of syndemics in shaping the public’s health.