HIV continues to be a disease that causes challenges to community health and health care providers around the world. There are more than 1.1 million people living with HIV in the United States (US0 and approximately 50,000 individuals become infected annually (Centers for Disease Control and Prevention Staff [CDC Staff], 2014). HIV infections continue to rise despite the use of highly active antiretroviral therapies (ART). This may be because of some individuals engaging in riskier sexual practices. Some claim the reason individuals engage in these risky practices is because of an increased optimism related to current HIV treatments and “prevention fatigue (Mayer et al., 2004).
It is important for health care providers to identify and overcome barriers to discussions with patients related to HIV risk behaviors. Health care providers may find the topic difficutl. Many providers may find it difficult to prioritize discussions related to safer sex practices with patients because of time constraints because routine patient care visits for people living with aides last for approximately 15 to 30 minutes (Mayer et al., 2004). Some providers may feel uncomfortable about discussing HIV risks with patients because they fear the patient may perceive them to be judgmental (Mayer et al., 2004). Other providers may have other issues related to their own sexual orientation. Both heterosexual and homosexual health care providers may feel uncomfortable discussing the topic with patients.
I interviewed Dr. Kwa Sey who is an epidemiologist with the Los Angeles County department of Public Health and the Director of the International Health Program at Charles R. Drew University (CDREWU). Dr. Sey earned his M.A. in epidemiology and a PhD in Public Health from the University of California Los Angeles (UCLA) school of Public Health. He has over 16 years of experience working in Public Health. He currently directs CDREWU funded HIV Behavioral Surveillance in Los Angeles and DHAPP funded HIV prevention programs internationally.
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).
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
The Hispanic community will continue to be affected by HIV/AIDS at higher rates due to their behaviors, social economic standing, and cultural beliefs. Preventions need to include these cultural beliefs and use those strong cultural beliefs to increase knowledge and safe sexual practices. Health care providers
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.
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)
The prevalence of HIV in the African American community is unmatched by any other population. African Americans accounted for 49% of all HIV related deaths in 2010 (CDC, 2014). In my specialty area of family practice, I have encountered only one non-minority patient with HIV; all others have been African-American. This population needs to be of high consideration for disease education. African Americans are typically unaware of resources available to prevent the transmission of this disease, as well as testing available to them in their communities. African American children, especially, are at greater risk for HIV due to lack of knowledge and earlier age of engaging in sexual intercourse. They are typically unaware that their behavior can yield such a negative outcome (CDC, 2012). Many urban schools lack proper funding to accommodate a sexual education curriculum. It is of increased importance to raise awareness, educate and provide a plan of care for the African American teenage and adult population, as the incidence of this disease rises daily.
The implementation of HIV prevention strategies such as Pre-exposure prophylaxis (PrEP) is a method in which individuals who practice risky behavior take a pill that will prevent them from becoming infected with HIV. Storytelling and new media activities is used to spark the interest of this population. “For example, Keep it Up! an interactive online program focused on healthy sexuality, relationships, and preventing HIV was recently found to be feasible and acceptable among diverse YMSM” (Macapagal, Birkett, Janulis, Garofalo, & Mustunski, 2017). Subsequently, there was an increase of condom use by the young men who participated in this program. The intervention program called Popular Opinion Leader (POL) focuses on training individuals such as the young African American (MSM) to encourage members of his community to practice safer and healthier sexual behavior
First, we need to raise awareness of the prevalence of HIV in Baton Rouge by posting flyers saying how the capital has one of the highest prevalence of HIV in the country and that HIV is no longer a death sentence with modern medicine available. Also, list a plethora of clinics and free HIV testing centers on the flyers if people are interested in getting tested. We also need to create efficient and committed HIV advocacy organizations and advertise them around Baton Rouge for those with HIV who are seeking help. Even so, a study in Canada constructed a trial run consisting of using HIV-positive peer counselors administering seven 2-hour counseling sessions to small groups of gay and bisexual men. The goal of these sessions was to help reduce the prevalence of HIV transmission and high-risk sexual behaviors through implementing motivational interviewing, behavioral skills, and information about HIV (Hart et al. 1). When the trial run was finished, there were some impressive results. No doubt, there was a significant reduction in a number of men participating in sex without a condom with all status partners by 30 percent. Also, there was a significant reduction in loneliness, sexual compulsivity, and fear of being sexually rejected for insisting on condom use, by which these factors heavily contribute to sexually high-risk behaviors (Hart et al. 11).
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)
Some 110 million Americans have an STD at any given time. With 50 percent of new STD cases involving persons aged 15-24(CDC), it's clear to see that there is a problem with prevention of these Infections. With having an STD, it puts people at more risk to get the HIV virus, which is not curable at this time (STD Facts). Showing that people who haven't contracted an STD are less likely to preform risky sex behavior.
Individuals who identify themselves as lesbian, gay, bisexual, and transgender experience obstacles within the healthcare system. LGBT individuals who encountered negative experiences in the past such as homophobia and stigmatization from others result decrease access to care and unwillingness to disclose their sexual or gender identity. Khalili, Leung, and Diamant (2015) stated in 2007, physicians’ survey results indicated that they were often and sometimes uncomfortable in providing services to LGBT patients. The presence of discrimination behavior means that there is a lack of LGBT-competency within the healthcare system. To decrease discrimination within the healthcare system, it is important for physicians to be competent in order to provide high quality care for LGBT individuals. LGBT-competency training will increase awareness, healthcare knowledge, and will improve communication skills. In addition, LGBT- competency training will also improve physician-patient interactions and will improve patients’ outcome and
According to the CDC (2015), more than one million people are living with HIV in the United States, and more than 50,000 become newly infected each year. Unfortunately, one in five Americans living with HIV are unaware of their infection. I believe using the strategy which stresses the use of the 10 essential services of public health will help reduce the incidence of HIV in our
For many years, a stigma revolves in our country claiming that gay men are more prone of contracting the disease because of their high risk behavior. Today the Center for Disease Control (CDC) declares that there are “1.1 million people aged 13 years and older living with HIV in the
In the last three decades HIV/ AIDS has become the one of the most notorious and widely spread diseases in the modern world. Its discovery in the late seventies prompted worldwide concern. The one thing that has become the most bothersome thing about the HIV/ AIDS epidemic is prevention. Prevention or stopping the transmission of the diseases is hindered by factors such as: denial or non-acceptance by infected persons, unsafe sex, and non-disclosure by infected persons to their at risk sexual partner(s). According to Alghazo, Upton, and Cioe (2011):