HIV

Studies show that the national average for an adolescent’s first sexual intercourse encounter is seventeen years old. Despite this number being very close to the average age in other industrialized countries, the United States holds a higher percentage of teenage pregnancy and sexually transmitted disease (STD) contraction than those countries (Harper et al, 2010, p. 125). It’s becoming evident that while a majority of the nation’s youth is sexually active, they are not doing so with the appropriate knowledge to keep themselves and others healthy.

​African-Americans are the ethnic group most affected by HIV/AIDS. Ironically african-americans represent 14% of the population of the United States , but represent 44% across the gender line. African-american men represent 70% of HIV infections among the ethnic group, however african-american women are also highly at risk of HIV infection. Indeed they have a rate of infection that is 15 times greater than the rate for caucasion women (HIV among African-Americans, 2012). Most African-american women (85%) are infected with HIV through heterosexual sex, often with partners, who claim to be

HIV/AIDS is a disease with social, psychological and physiological consequences for those impacted by the illness. The impact of HIV and AIDS among African American women has been devastating. The Centers for Disease Control (CDC, 2010) reports that black women represent 29% of the estimated new HIV infections among all adult and adolescent African Americans and HIV/AIDS is the third leading cause of death for black women ages 25?44. Several

Many people are unaware of their health status further increasing transmission of disease in young adult African American(AA) women age 18-24. Human Immunodeficiency Viruses (HIV) infects and also destroy blood cells (i.e. lymphocytes) that the body need to fight off infection (Mays 2011). African American women HIV positive, age 18-24 the magnitude of issue of the health disparity in this particular population will be addressed along with the many factors of social and health determinants. The health concern is towards the increase of transmission among young AA mothers and their children who are the health outcomes in many ways than one. The many social and health determinants that affect the women today are on going cycles that have yet to be broken. African American women make 64% of new infection cases for HIV. African american obtain a vulnerability unlike other minorities. The health population’s culture and stigma has played an important role in the community. The concern for AA women is the increase of new cases and most importantly the spread of the disease to these women’s children. The mortality rate of AA women with HIV is 47.1% as of 2012. (Siddiqi 2015)

In the last decade or so, however, the growing awareness of the dangers of AIDS does appear to have contributed to a decline in the rates of sexual intercourse among teens. The Youth Risk Behavior Survey found that between 1991 and 2005 the percentage of teenagers who are sexually active dropped from 57.4 percent to 46.3 percent among males and from 50.8 percent to 44.9 percent among females. The rates of pregnancy, abortion, and sexually transmitted disease among teens have actually dropped even faster than the rate of sexual activity. So it appears that, in addition to postponing sex, teens are also becoming more responsible in their sexual activities. For example, the Youth Risk Behavior Survey found that 87.5 percent of teens were either abstinent or used condoms. Of course, that means that 12.5 percent of teens were still having unprotected sex, but that is a significant improvement over past decades. Similarly, although the rate of teen pregnancy has declined, more than 11 percent of the babies born in the United States

Since the 1980’s, the HIV epidemic continues to affect individuals all over the world; the HIV virus can affect any individual regardless of their socioeconomic status. HIV is a human immunodeficiency virus that is believed to have originated in Africa during the 1920’s, however, it did not spread to other continents until the 1980’s. According to the center for disease control and prevention, HIV is most prevalent in African-American communities. Unfortunately, it appears that the HIV virus is increasingly affecting African American women with a low SES status. One’s SES status is determined by one’s social and economic standing; SES is often measured by one’s level of education and income. One’s socioeconomic status may determine how an individual

HIV is highly prevalent among the United States population, primarily affecting African Americans of all economic levels and age groups. HIV is transmissible through sexual contact and damages the immune system as it interferes with the individual’s capability to fight off any infections or illnesses. Health inequalities that greatly affect the high rates of HIV include but are not limited to: higher rates of poverty, lack of awareness, intercourse within the same sex, having anxiety towards getting tested for STD’s or HIV, as well as being fearful of “coming out”. Local, state, and nationwide organizations are designed to inform and provide assistance to those who have been diagnosed with HIV/AIDS. S.A.A.F. (Southern Arizona AIDS Foundation)

Human Immunodeficiency Virus (HIV) along with other sexually transmitted infections (STI) have emerged as a health epidemic over the recent decades and continue to threaten the lives of people today. In order to better understand the virus and other STIs, in terms of the populations they affect, it is important to observe the diverse risk factors among different genders and ethnicities that are HIV positive. One vital consideration for a study of this nature is the difference in HIV-positive care provided between genders. By examining the disparities that exist within STI treatment across the variables of gender and ethnicity, information for various people of age, gender and race have more viable information to use. Therefore, careful examination of the trends in equity (or lack thereof) across education programs and care for different gender and ethnicity groups, can lead to important changes that can be made for better health treatment of all people. However, not all groups of people can be treated entirely equally. For example, risk factors for transmission of HIV have been known to shift according to gender trends and remain higher for some ethnic groups than others. Effective public health interventions will need to combat overt discrimination in treatment while balancing the influence of known trends across these two broad variables in order to manage a positive output for clients.

Not only does abstinence only education exclude adolescents of various sexualities, but it fails to regard the health of teenaged girls as well. The repression of female representation in health courses has contributed to the magnification of the gender stereotypes, where women are ideally portrayed as pure vessels if they remain virgins until marriage. Therefore, young girls should remain chaste and pubescent boys naturally have a rampant sexuality due to their uncontrollable hormones. Traditional gender roles are then reinforced, disregarding female sexuality thus alienating them within their health courses since they are not educationally included. This form of instruction censors out necessary sexual guidance concerning their respective reproductive health. For example, details about contraception, abortion, human sexuality, and sexual assault specifically concerning females are neglected within the classroom. Health courses have long-established condoms as the popularized and primary way of having protective sex. But what school boards don’t incorporate in their curricula is that there are various methods of contraception, precisely for women. For example, there are birth control pills, hormone implants, cervical caps, and vaginal rings. Although these preventative measures do not safeguard for STI and HIV contraction, they can decrease the likelihood of having an unintended pregnancy by ceasing ovulation or preventing sperm flow in the vagina by increasing the hormones

Sanders-Phillips, K. (2002). Factors Influencing HIV/AIDS in Women of Color. Public Health Reports (1974-), 117, S151-S156. Retrieved from http://www.jstor.org/stable/25747649

In both cases, Abstinence-only education did not direct them, in any way, to abstain from sex (Valenti). Therefore, given that so many teens will not desist from sex, effective sex education programs have the responsibility to help teens to be aware of the risks and consequences that come along with sexuality, like early pregnancy or STDs (Alford). Such effective programs should employ personalized interviews and follow-ups for each student and parents; as well as committees including doctors, psychologists, pediatricians, and real young people with shocking experience as a teen

The Prevention and Access to Care and Treatment (PACT) program was established in 19971 to improve the health of the most vulnerable HIV and AIDS patients in Boston through the use of community health workers. Unlike many other types of healthcare providers, community health workers are able to form unique bonds with patients based on shared backgrounds, cultures, and languages. These community health workers provide individualized, culturally competent educational interventions in an effort to maximize patients’ usage of available medical and social services.2 Patients are referred into PACT by social services or healthcare providers when other options for care have been tried and were unsuccessful. Vulnerable populations such as racial and ethnic minorities, drug users, and those living below the poverty line tend to be disproportionately affected by HIV and AIDS3. Conventional care for these individuals can be particularly challenging with regards to access to culturally sensitive care, consistency of treatment, and patient understanding of risk factors and of the disease itself. Therefore, there is a great need for comprehensive, targeted programs such as PACT to effectively address these issues. In order to make sure that PACT is adequately addressing the needs of its target population, we will be conducting a program evaluation. This will allow us to assess the importance, value and quality of the program, all of which are important to stakeholders. This

Programs that encourage abstinence have become a vital part of school systems in the US. These programs are usually referred to as abstinence-only or value-based programs while other programs are called as safer-sex, comprehensive, secular or abstinence-plus programs which on the contrary promote the usage of effective contraception. Although abstinence-only and safer-sex programs disagree with one another, their core values and stand on the aims of sex education is to help teens develop problem-solving skills and the skill of good decision-making. They believe that adolescents will be better prepared to “act responsibly in the heat of the moment” (Silva). Most programs that have been currently implemented in the US have seen a delay in the initiation of sex among teens which proves to be a positive and desirable outcome (Silva).

Problems with sexual health and substance abuse are prevalent in the New York City area. ). “Reproductive and sexual health covers a broad range of health needs from adolescence forward, including the reproductive system, sexually transmitted diseases, HIV, and fertility. Untreated STDs can lead to serious long-term health consequences” (Healthy people 2020, 2015. An estimated 19 million new cases of sexually transmitted diseases (STDs) are diagnosed each year in the United States; almost half of them among young people ages 15 to 24 (Reproductive and Sexual Health, 2015). New York is a city of many cultures; it is difficult to understand how each culture perceives sexual health and sexually transmitted diseases. One thing that I have

The AFL demonstration program was enacted in 1981 as Title XX of the Public Health Service Act (Solomon-Fears, 2004). Since 1981, there has been a rise in teenage pregnancies and the spread of sexual transmitted disease. The AFL uses a universal program to teach adolescences the negative outcomes of sexual activity by visiting schools, hosting seminars, and by community settings. The AFL is known as the “Chasity Law” (Solomon-Fears, 2004). The program implements an abstinence-only education program. The AFL tries to reach students between the ages of 9 to 14 (Solomon-Fears, 2004). The AFL has different goals when it comes to teaching teenagers about STD’s and sexual activity. The program’s primary goal is to prevent premarital teen pregnancy by establishing a "family-centered" program "to promote chastity and self-discipline” (Saul, 1998). Socioeconomic indicators such as lifestyle at home, and the peers a teenager socializes with are examples as to why an adolescent may experiment with sexual activity. Many teenagers do not have the luxury of living in a loving family and are often exposed to the inadequacy of a guiding parent. Teenagers are also peer-pressured into sex. For example, having friends who are sexually active who do not use condoms enhance one’s own risk of these behaviors (Kalmuss, et al.