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Menlo Park, California, Henry J. Kaiser Family Foundation, 2001. 22 p.Latinos, who now comprise the largest and fastest growing ethnic minority in the United States, continue to be disproportionately affected by HIV/AIDS. Although they represent approximately 14% of the U.S. population, Latinos accounted for 19% of new AIDS cases reported in 2000. The AIDS case rate (per 100,000) among Latino adults (30.4) was almost four times that for whites (7.9), and AIDS is now the fourth leading cause of death for Latinos between the ages of 25 and 44. The epidemic’s effect on different subgroups of Latinos is also striking. For example, the AIDS case rate among adult Latinas is 13.8 per 100,000, more than six times the rate for white women (2.2). And although Latino youth represent approximately 14% of U.S. teenagers, they accounted for 20% of new AIDS cases reported among those ages 13–19 in 2000. In addition, in a recent study of young men who have sex with men (MSM), HIV prevalence (the proportion of people living with HIV in a population) for young Latinos was 6.9, compared to 3.3 for whites. Finally, there is growing evidence that the HIV/AIDS epidemic is increasingly concentrated in low-income communities in which people of color are often disproportionately represented. Such communities generally are faced with multiple other health and social issues and limited resources with which to respond to the epidemic. (excerpt)
Menlo Park, California, Henry J. Kaiser Family Foundation, 2001. 18 p.African Americans have been disproportionately affected by HIV/AIDS since the epidemic’s beginning. In the year 2000, more African Americans were reported with AIDS, and estimated to be living with AIDS, than any other racial or ethnic group in the United States. Although African Americans represent approximately 12% of the U.S. population, they now account for an estimated 54% of new HIV infections and 47% of new AIDS cases. The AIDS case rate (per 100,000) among African Americans is more than eight times the rate among whites and more than twice the rate for Latinos. Moreover, AIDS is now the leading cause of death for African Americans between the ages of 25 and 44. The epidemic has also affected particular subgroups within the African American community. Although African American women represent only 13% of the U.S. female population, they account for almost two-thirds (63%) of AIDS cases reported among women in 2000. African American teens represent 15% of the teen population, yet comprise 64% of new AIDS cases reported among 13–19 year olds in 2000. In addition, in a recent multi-city study of young men who have sex with men (MSM), HIV prevalence (the proportion of people living with HIV in a population) for young African Americans was 14.1%, compared to 3.3% for whites. Finally, there is growing evidence that the HIV/AIDS epidemic is increasingly concentrated in low-income communities in which people of color are often disproportionately represented. Such communities generally are faced with multiple other health and social issues and limited resources with which to respond to the epidemic. (excerpt)
AIDS and Behavior. 2005 Jun; 9(2):135-143.Although there has been progress in AIDS stigma research, there are no multi-item AIDS stigma scales that have been shown reliable and valid in Africa. The current research reports the development of the nine-item AIDS-Related Stigma Scale. Research conducted in five South African communities (N = 2306) found the scale internally consistent, a = 0.75 and time stable over 3 months, r = 0.67. The scale was also reliable in three different languages (English, Xhosa, and Afrikaans). Correlations showed that the AIDS-Related Stigma Scale was moderately inversely correlated with years of education and AIDS knowledge. In addition, individuals who stated that HIV positive persons should conceal their HIV status had higher AIDS-Related Stigma Scale scores. Also supporting the scale’s construct validity, individuals who refused to report whether they had been tested for HIV scored higher on the AIDS-Related Stigma Scale. (author's)
International Journal of STD and AIDS. 2004 Jan; 15(1):56-60.One thousand individuals in the age group 18± 69 were selected for a multistage nationwide random sample. Of the interviewees 68.3% were of the opinion that the risk of AIDS, in Portugal, is considerably high and 37.1% stated that they had feared being infected by the HIV; 28.0% established a connection between being afraid and the fact that AIDS is a serious/incurable disease; 31.5% believed that there are risks inherent to the health services; only 7.8% expressed fear of AIDS because of an infected partner. Only 42.6% regarded extra-marital sexual relations as either partially or totally acceptable. Sexual relations between youths were seen as totally acceptable by 11.9% and partially acceptable by 51.1%. Homosexual relations between men were seen as either totally or partially acceptable by 38%. Of the interviewees, 7.8% thought that recent treatments can definitely cure AIDS and 6.5% believed that with recent treatments HIV transmission would no longer be possible. (author's)
Alliance News. 2001 Dec; (12): p..Increasing attention is being paid to the role of stigma as a major contributory factor in the global HIV/AIDS pandemic. Stigma associated with HIV/AIDS is especially powerful and pervasive because the disease is usually closely associated with such fundamental issues as life and death, sex and sexuality, and morality. (excerpt)
[Unpublished] . , 25 p.The World Health Organization's Global Programme on AIDS has put together this inventory and review of AIDS-related knowledge, attitudes, beliefs, and risk behaviors (KABP) to provide updated information on research findings to researchers, IEC (information, education, and communication) planners, and national AIDS prevention and control staff. The studies in this inventory were all published between January 1, 1989 and March 1, 1989. Each of the inventory's six parts addresses a specific population group: adolescents and young people, the general public, health care workers, homosexual/bisexual population, intravenous drug users, and prostitutes (both male and female). In those cases where a published study has information on more than one of the groups, the inventory includes that study in each of the appropriate sections. In each section, the studies are in chronological order, according to the date the study was conducted. The first column lists the complete bibliographic reference to allow the reader to refer to the original publication. A code has been assigned to the first column for each study to designate what primary type of study it is. These codes denote a KABP study (or at least one of the elements), a study focusing on sexual practices, a methodological study, an epidemiological study, a counseling study, a health promotion study, and a qualitative study. The second column lists the date of the study. The third column provides the site of the study. Most of the sites are in the US. Other sites are in both developed and developing countries. The fourth and fifth columns list the population studied and the size of the sample, respectively. The method of data collection is revealed in the sixth column. The methods are interview, telephone interview, questionnaire, and medical (physical or laboratory examination). The last column provides a brief summary of the major findings.
Social Science and Medicine. 1992 Jan; 34(1):63-73.Data from eastern and central sub-Saharan Africa suggest that women in countries of the region are increasingly at risk for HIV infection. Poverty, malnutrition, uncontrolled fertility, complications of childbirth, and sex behavior associated with male/female rural-urban migration are contributory factors. While much may go into preventing the transmission of HIV, the cooperative participation of both sex partners is certainly required. Further, while campaigns may educate both men and women of the need to limit the number and choice of sex partners, and use condoms during intercourse, they may fail to recognize the highly unfeasible nature of these behavioral changes for the majority of sub-Saharan African women. Marginally included in the development process, and poorly empowered to make decisions regarding male or female sexuality, women are largely subject to the sexual demands and economic rewards of their male sex partners. Husbands and/or other sex partners may strongly resist or refuse to employ condoms during sexual intercourse. Social expectations and/or economic necessity, however, often dictate a woman's compliance with the man's choice despite her desire to use a condom. HIV transmission and the risk to women and children, national development and the status of women, accommodation to economic scarcity, altering high-risk behavior, symbolic approaches to behavior change, and methodological issues in the study of these issues are discussed. Research is then proposed on understanding the meaning of AIDS, the context and norms of decision making, the norms of sexual behavior, the gatekeepers of sexual behavior change, the economic determinants of sexual risk, womens perceptions of control, and gender-sensitive strategies for reducing the risk of AIDS. Such research will provide a better understanding of how women perceive and respond to AIDS prevention interventions, and will constitute a necessary 1st step toward increasing male participation in protecting themselves and their families.
AIDS and sexually transmitted diseases in Jamaica: highlights of a nationwide survey and focus group series assessing current knowledge, attitudes, and practices.
[Unpublished] 1989 Jan. ii, 19 p.A nationwide baseline survey of 1,200 men and women aged 15-60 years was conducted to find information on Jamaicans' knowledge, attitude, and practices (KAP) regarding AIDS, STDs, and family planning. 25 focus group session were also held to gain more indepth knowledge and understanding of KAP. Results on KAP regarding AIDS and STDs are summarized and presented in comparison with similar data from a 35-country Gallup International study. Virtually all respondents were highly aware of AIDS and other STDs, and realize both its deadly nature and sexual transmissibility. There is, however, only low unprompted awareness of how one may protect against infection and the spread of HIV. General objection to adopting safer sex and using condoms was voiced. Over 1/2 of survey respondents perceived themselves at risk of infection. Both studies, however, show approximately 5% of the population to feel at risk. Those felling at greatest risk are aged 20-49, and especially urban males aged 20-39. Behavioral change was reported among 48% of survey respondents, especially in men, person of lower socioeconomic status, and those who perceived themselves at greater risk of infection. More concern was voiced over AIDS than for all other diseases including cancer, herpes, diabetes, gonorrhea, malnutrition, high blood pressure, and diarrhea. Further, almost 90% believe at least one important myth about a mode of transmission, and 20% think that people with AIDS (PWA) are readily recognized at sight. 5% of the population knew a PWA. Fear followed by compassion dominates public opinion toward them. Specific recommendations for AIDS media communications are presented.
WOMEN'S GLOBAL NETWORK FOR REPRODUCTIVE RIGHTS NEWSLETTER. 1991 Jul-Sep; (36):60.A dilemma exists over who should care for, and where to place 4 delinquent female runaways with AIDS. These girls have also engaged in prostitution, crime, and are addicted to drugs, thus prompting society to view them more as dangerous adults than aberrant adolescents. While they are presently in the hands of the National Institute for Minors (Iname), organizations in Uruguay are ill-equipped to face such challenges presently by these and other HIV+\AIDS adolescents. Discussion of the issue and society's views is suggested. The views of a few civil servants from Iname are briefly presented in the text. They generally disagree with incarceration of such youths, and recommend there placement in a semi-open environment supported by specially trained doctors, psychologists, psychiatrists, and nurses. Ideally, a home-like setting is preferred where these young women and others in similar situations may undergo treatment while carrying on with their lives.
NEW AFRICAN. 1990 Feb; (269):28.In October 1989 midwives and nurses held mass demonstrations in Benin city, the capital of Bendel State, Nigeria, to protest against female circumcision. This practice, which is firmly entrenched in the area, may involve cutting off the clitoris or more extensive removal of girls' genitalia, either in infancy or at puberty. Nigerian hospitals no longer perform circumcision, so people do it themselves or have traditional practitioners do so. Recent demonstrations reflect outrage on the part of Western-trained health care activists regarding aesthetic and obstetric complications, as well as added risk of spreading tetanus and AIDS by unsanitary procedures.
The cultural meaning of AIDS and condoms for stable heterosexual relations in Africa: recent evidence from the local print media.
[Unpublished] 1989 Mar. Paper presented at the Seminar on Population Policy in Subsaharan Africa: Drawing on International Experience, sponsored by the International Union for the Scientific Study of Population (IUSSP), Committee on Population and Policy, with the collaboration of Departement de Demographie de l'Universite de Kinshasa, Commission Nationale de la Population du Zaire (CONAPO), Secretariat au Plan du Zaire, held at the Hotel Okapi, Kinshasa, Zaire, 27 February to 2 March 1989. 27 p.This paper draws on the authors previous research experience in Liberia and Sierra Leone, and articles in local newspapers and journals from Central, Eastern and Western Africa. To research the AIDS epidemic in terms of: 1) problems for fertility that condoms pose 2) the association of condoms with promiscuity 3) economic pressures that induce women to contract lovers and men to enter polygamous relationships 4) the importance of fertility and 5) the association of AIDS with promiscuity. There is great concern for the uninfected children of parents who die of AIDS. Women are generally being blamed for spreading the HIV virus to their partners and being promiscuous making all her children suspicious as products of illicit unions. The father and his kin often repudiate these offspring. Questions are raised as to where these children will go and, what is the economic and social effect of their geographical mobility? Young women, school girls in particular, now comprise one of the groups at high risk for contracting the HIV virus because private schools expose girls to older, wealthier, married men. Parents may begin growing reluctant to send their daughters to school to avoid the AIDS virus, while encouraging them to marry early, leading to higher fertility rates and low interest in contraception. Yet secondary schools are the best arenas to introduce condoms and AIDS education because the girls are highly motivated. The use of condoms in Africa is controversial because they prevent fertility and suggest promiscuity. 2 major philosophies are common among health manpower: 1) minimizing the demographic impact of AIDS in light of continued high fertility rates, or 2) emphasizing the crisis brought on by death and destruction. Government efforts to publicize the AIDS epidemic and the utility of condoms as a prophylactic are doing the greatest service to women and society by providing them with credible elements of ambiguity and deniability.
Social Science and Medicine. 1989; 29(4):545-53.This article addresses the high incidence of AIDS in Puerto Rico (PR). Reasons include the high incidence of homosexuality and drug usage on the island, and the high rates of return migration and tourism between New York and PR. Since there is very little material on AIDS in PR, much of the data on the public's knowledge and awareness of the disease has been taken from the daily press. All copies of the 5 major daily newspapers were reviewed from January 1981 to the present. 1981 was the 1st year that AIDS was accepted as a disease, the year the 1st medical articles appeared describing it, and the year it was named. Nearly all information regarding the AIDS epidemic in PR has been turned into major controversies: the incidence of the disease (actual cases), testing for it, funding of AIDS research and patient care, methods of preventing the disease (education), the use of condoms, methods of contacting the disease and how infection can be avoided, and protection of prisoners. The victims of AIDS: the homosexuals, drug addicts, and hemophiliacs were left out of the controversies as participants. The controversies were nonmedical and nonscientific, suggesting that the public perceived insufficient interest on the part of medical and political leaders and was expropriating the problem. AIDS was seen as more of a political question than a medical one, with politicians turning the controversies into debates. It can be concluded that unless a strong apolitical socially organized assault is mounted on AIDS by the people, a society such as PR will have difficulty surviving the epidemic.