Letter Of Intent For A Qualitative Study On Prep Implementation

Throughout my undergraduate journey at Morgan State University, I constantly heard of the most infamous rumor that has been passed down for decades: Morgan State was ranked with the highest rate HIV/AIDS and 80% of the students attending the university were HIV positive. As a health education major, this did not sit with me well, and I started to conduct some research to prove whether this infamous rumor had any actuality. I wanted to utilize what I learned as a health education and promotion major. Using my knowledge from my Assessment, Implementation, & Evaluation of Health Promotion Programs course, I implemented a program called the Student Wellness Ambassador Team also known as S.W.A.T. SW.A.T is dedicated to HIV/AIDS and STI

According to the Centers for Disease Control and Prevention (CDC), about 50,000 people are infected with HIV each year. In 2010, the most recent year for which this information is available, there were around 47,500 new HIV infections in the United States (p. 1). The population of people with HIV is diverse due to the fact that it does not discriminate. Men and women of any age,

HIV and AIDS is affecting the latino community in a negative way. It’s causing the quality of life in the United States to drop, but why is that. In 2015, Hispanics/Latinos made up about 23% of the countries new HIV diagnoses despite only being 18% of the population. The stigma that comes from the Hispanic/Latino culture, factors being economical or personal are major factors that makes HIV/AIDS thrive in the latino community. The young Hispanic/Latino community are at risk since, they are being deprived from showing their sexuality because of their cultures stigma. The gender power imbalance in these communities, and their stigma against homosexuals. Statistics from new HIV infections, gender ratios, death rates, education and so on.

Hispanic and Latinos have been the nation's fastest-growing ethnic population in the past several decades. HIV diagnoses in Latino and Hispanic populations have been rising in the past decades. In 2011, Latinos and Hispanics represented 17% of the total population in the US, but however, they also accounted for 21% of the estimated adults diagnosed with HIV infections in the United States. In fact, in 1985, Latinos were at 15% of all diagnosed HIV cases and in 2010, it increased to 22% in the U.S. National Latinos AIDS Awareness day is observed each year to increase awareness of that impact of HIV on the Hispanic and Latino population. The recent slogan—To End ADS Commit Act—was chosen to mobilize Hispanics to commit ending HIV in their communities.

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

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

Since I am a Hispanic/Latino I will be discussing the rates and risk factors of HIV specifically associated with the prevalence of HIV with Hispanics. First, the prevalence of Hispanics having HIV is quite larger in comparison to other races. In the United States of America, the estimated HIV infection rate amid Hispanics in 2010 was more than 3 times as high as that of the white race, being over 21% of all new HIV infections across the country. Two major socioeconomic factors that might have caused the prevalence of HIV amongst the Hispanic population are poverty and language barriers. The numbers can go on. In 2010, a whopping 87% of Hispanic men had new HIV infections among Hispanics in the United States. In regards to Hispanic homosexual men, 67% of them were estimated to have new HIV infections in 2010. Furthermore, the estimated rates for Hispanic women infected with new HIV infections was

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)

Statistically, black and Latino men are at the highest risk for contracting HIV in the United States. While black people represent only 12% of the U.S population, they make up 44% of people living with HIV. Similarly, Latinos are only 16% of the population and yet 21% of people with HIV are Latino. Because of this staggering disparity the Nebraska Aids Project specifically aims to help these groups; though some of their services are available to the general public and some are more explicitly for those living with HIV. One of the most important services NAP provides is the free HIV testing program. This program provides completely free testing for HIV that can be done either confidentially or anonymously. Nebraska is one of the only states left that allows anonymous testing and while there are some downsides to it, such as the inability to ensure proper health care for those who test positive, it encourages more people to get

Department of Health & Human Services the group of people who are disproportionately affected by HIV are African Americans Gay and Bisexual Men. From 2005 to 2014, diagnoses increased 22% among all African Americans Gay and bisexual men and 87% among young African Americans and gay and bisexual men. By the end of 2013, an approximation of 493,543 gay and bisexual men were living with the HIV infection. Of those, 152,303 (31%) were African American, 210,299 (43%) were white, and 104,529 (21%) were Hispanic/Latino (U.S. Department of Health & Human Services, 2016). Socioeconomic factors limited access to quality health care, lower income and educational levels, and higher rates of unemployment and incarceration may place some African American gay and bisexual men at higher risk for HIV than men of some other races/ethnicities.

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)

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).

During the A-PReP program, I will build the base for clinical pharmacology and translational science research including scientific skills as well as critical thinking. I hope I can establish the positive relationship with experienced researchers and talented professional students. I expect to present the findings at the professional conference, I also seek opportunity for publication. Additionally, I hope my mentor could provide me with further training after this summer program.