2.1. HIV in the United Kingdom
Public Health England released a report in 2014 on the data collected about the HIV epidemic in the United Kingdom. Men who have sex with men (MSM) are shown to be the most affected demographic group and are at the highest risk of becoming infected with HIV. In 2013, 40.4% of the 107,800 people living with HIV in the UK were MSM. The main way HIV is transmitted among MSM is through serodiscordant, unprotected intercourse, that is, one HIV-positive and one HIV-negative person having unprotected anal sex. In this case both partners are at risk. The risky partner in this context is considered to be the person whose status is unknown. It is exactly because of this ignorance and the lack of protection that HIV infection is very likely to occur. According to Public Health England, 7,200 MSM, which is 16% of the total number of MSM infected with HIV, were undiagnosed and unaware of being infected with HIV. Despite that since 1990 the proportion of MSM reporting attending sex health clinics and HIV tests has increased, there are nevertheless 2,600 newly infected MSM each year. There might be several social determinants of health that contribute to the disparity in the risk of HIV acquisition and late diagnosis of the infection, including fear of the stigma surrounding HIV, general misinformation about the infection and lack of perceived individual risk. (Public Health England, 2014; Sigma Research 2008)
Public Health England states that reducing the
HIV/ AIDS affect African Americans at a higher rate than any other race (White, Asian, and Hispanic). With African Americans making up approximately 13 percent of the U.S. population, in 2014, they made up almost half of all new HIV/AIDS cases; 44 percent. African American men accounted for 73 percent of new HIV/AIDS cases, and of that 43 percent of African American men were heterosexual (CDC 2014). Since heterosexual African American men don’t equate to the larger population of HIV cases as compared to African American men who have sex with men, these heterosexual men are virtually invisible in the theoretical and empirical psychological HIV/AIDS literature (Bowleg, 2004, p.166).
In today’s world we seem to put aside things that we consider no longer a threat. Well we are wrong to do this, because HIV/AIDS still affects over 5.4 million people that are walking around with this infection or full blown AIDS. They are friends, Criminals, neighbors, and even children attending school, etc. So, why do we think it is ok to not worry about a problem that does not have a cure, but only a life time of meds? Within this qualitative research method, we will explore Sexual risk, there or the Measures, Sexual risk, method, demographics, HIV/AIDS risk and may add other areas as they relate to this study.
Sexually transmitted infections are a very current, modern day health care issue. These infections are passed during unprotected genital, anal or oral sex. There are sometimes symptoms of the various infections however there are some infections that can also be symptom free and therefore can go undetected for quite some time. Young people in the UK typically aged 15-24 have the highest rates of sexually transmitted infections. There is a link between this age group and those living in socioeconomically deprived areas, suggesting these particular regions need better and easier access to healthcare services in order to detect, treat and avoid further spreading and damage caused by the infections. Raising awareness of the causes of each infection and symptoms is vital. The most common types of infections are: Chlamydia, Genital herpes and warts, gonorrhea,
The AIDS epidemic began in the early to mid-1980’s and since it’s recognition in America it has become a very heated and debated topic among health professionals, the gay community, and most of all for the ones that are carrying the virus. The real debate is not over the virus itself but, rather about the infected individuals and whether or not they should be made morally obligated to tell their sexual partners if they are in fact infected. Both sides of the argument make very valid points. From one standpoint you have the gay community that believe in “safer sex ethic”, which keeps their partners in the dark about their overall health status and feel they are not morally obligated to tell their
Thirdly, If one has an STD and its publicly known, that individual's social status is degraded and negatively affected. In society as a whole concealing an STD creates a false sense of security and attempts to preserve a faulty self image. Along with merely keeping an STD a secret many are too embarrassed to even get tested after unprotected sex with a mentality that what they do not know will not hurt them. This alone has a major sociological implication as it reinforces a negative social construct and creates a poor symbolic representation of STD testing to displeasure rather than emotional relief. In order to influence the proper usage of regular testing after practicing unsafe sex it must be shown that the alternative leads to social distress in that untested individual live their days without knowledge of major health issues where untested STDs cannot be treated causing visual displeasure such as unexplained skin lesions that may influence one to be self conscious progressing to sickness and self
The increased number of newly diagnosed HIV cases among young males who have sex with men (MSM) are due to the epic behavioral activities of the young African American males who have sex with men. However, identifying health disparities, stigmas and barriers, and prevention interventions can help alleviate HIV among young African American males who have sex with men.
Various studies show evidence that link the relationship between social determinants of health and the risk for HIV. Interrelated social determinants of health can create a context of vulnerability and risk for HIV. It is very important to be able to recognize the interrelation components of HIV risk in order determine the HIV prevention response that is the most effective. For instance, research shows that HIV rates are significantly higher in Black men who have sex with men (MSM) than for MSM of other races. These rates, which are very disproportionate, are not attributable to a higher frequency of sexual risk behaviors. To appropriately address risk for MSM of different races, it is imperative to understand the process of disease transmission among these populations, in other words, the social determinants of health that are involved, such as access to healthcare (CHLA, 2012).
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)
Many individuals are afraid to get tested for HIV and are afraid of the stigma associated with HIV when disclosing their status to partners. They are often subject to their own psychological and other social stress which often hinders appropriate management of the infection. This is not always without reason as disclosure of an HIV status can lead to exclusion from ones family, friend-circle or dismissal from the workplace. However disclose to a family member, partner or friend can provide psychological and later physical support. Also the fear of individuals they love finding out that they are HIV positive may lead to anxiety or isolation. Non-disclosure can often affect healthcare and management of the persons’ disease as the fear of dependents finding out will require the individual to hide taking the medication and use personal funds to pay for treatment to avoid the medical insurance company from informing co-dependants (Alonzo & Renolds 1995).
According to recent statistics from the Centers for Disease Control, approximately 1.2 million individuals in the United States have HIV (about 14 percent of which are unaware of their infection and another 1.1 million have progressed to AIDS. Over the past decade, the number of HIV cases in the US has increased, however, the annual number of cases remains stable at about 50, 000 new cases per year. Within these estimates, certain groups tend to carry the burden of these disease, particularly the gay, bisexual, and men who have sex with men (MSM) and among race/ethnic groups, Blacks/African American males remain disproportionately affected. (CDC)
When there is an epidemic of any disease, especially sexually transmitted diseases, the evolution and consequences of it are inevitably tied to its socially constructed meanings. The issue of AIDS has been around for several decades, and has affected the perception of men and women in different ways. The rising rates of AIDS has had various social impacts on sexuality, gender, and social control, but not has not affected the double standard that has always worked against women. When it comes to sex and
For this health promotion assignment, the subject I have chosen to discuss is sexually transmitted infections (STI’s). STIs are spread from one person to another through intimate sexual contact but can also spread through non-sexual means such as via the blood or from mother to child during pregnancy (World health organisation (WHO), 2016). According to Mudhar (2013) groups that are particularly at a higher risk are young adults, men who have sex with men (MSM), black African and Caribbean communities. With more than one million STI’s acquired everyday worldwide, it is a major public health issue within society (WHO, 2016). Even though the overall health of the population in England has significantly improved over the past 50 years because of the highly valued NHS, health inequalities are still a dominant feature of health across all regions in England and many people still find it hard to accept that serious health inequalities still exist (Marmot, 2010).
Since then, HIV has gained a larger host population, with most transmissions occurring due to unprotected sex, although a smaller percentage of transmissions occur due to unsafe drug use. Several factors have caused HIV to continue to exist in the population. One factor is stigmatism towards the disease. An article by Ronald Valdiserri (2002) discussed a study done in the 1990s and early 2000s about people’s perception of HIV and HIV screening. The article concluded that about one fifth of the general population either feared individuals with HIV or believed that those who got infected got what they deserved (p. 341-342). This stigmatism has caused individuals to be wary and reluctant to go get tested. Thus infected
The first cases of AIDS that were reported in the United States began in the early 1980s. Today, more than 1.1 million people are living with HIV. In response to this HIV epidemic, at least 35 states have implemented HIV-specific criminal laws that penalize HIV-positive people for exposing others to the virus. These laws impose criminal penalties to HIV positive people that knowingly and potentially expose others to the virus. The Ryan White Comprehensive AIDS Resources Emergency Act, also known as the CARE Act, provides states with funds for AIDS treatment and care. In 1990, the CARE Act required every state to certify that its “criminal laws were adequate to prosecute any HIV-infected individual who knowingly exposed another person to HIV.” Criminal laws regarding potential HIV exposure vary largely from state to state. Some federal legislation addresses the criminal penalties for intentional exposure such as through blood donation. CDC and Department of Justice researches found that, “ by 2011, a total of 67 laws explicitly focused on persons living with HIV had been enacted in 33 states… In 24 states, laws require persons who are aware that they have HIV disclose their status to sexual partners and 14 states require disclosure to needle-sharing partners.” The criminal laws vary as to what behaviors are criminalized or result in additional penalties. The criminal statutes regarding intentional exposure to AIDS for Louisiana, Mississippi, Arkansas, Alabama ,Georgia, and
An individual’s sexual orientation is also a factor because although heterosexual men and women are overwhelmingly affected and hence represented in health reports, homosexual male youth (referred by the acronym of men who have sex with men, MSM, in some reports) have a higher risk of infection; large heterosexual figures may be due to a larger heterosexual population overall. The heightened risk associated with MSM populations can be attributed to unprotected anal intercourse, an increased number of sexual partners, as well as co-infection