The First Article Is Hiv Disclosure Essay

Having a support system that understands the effects of HIV related stigma, giving these people knowledge about HIV related stigma as well as how heterosexual men are affected by it. According to Galvan et al., (2008) for African Americans having a support from friends and family is a way to decrease their perception of HIV related stigma, with this support they don’t feel isolated, judged, or internalizing these stigmas. Organizations that target heterosexual HIV men as a group, would also help move away from the idea that HIV is a “gay” or “drug abuser”

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

​The best solution is the implementation od an Hiv awareness campaign targeted at African-american women. African-american women as a population have lower rates of awareness about HIV infection, ahich is is perceived to be primarily a homosexual disease that’s inflicts homosexual men (Cleveland, 2008). African-american women also are likely to discount the possibility that their male partners are engaged in homosexual activity ( Hunter & King, 2005). Addressing these erroneous beliefs must be the first step in encouraging African-american women to engage in safe sex practices. Providing access to condoms and testing before an awareness campaign puts the cart before the horse.

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)

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)

With the help of government programs such as the ADA (Americans with Disabilities Act) as well as multiple other methods of sociological research and social justice work, there have been shifts toward better understanding this disease, those which are living with it, and the societal impact one’s own prejudices can make toward an individual living with AIDS. However, discrepancies still exist within how to properly educate others on the disease, how to recognize it as a disability within the context of our society, and how we must reconcile stigmas that play a role in plaguing any sort of positive conversation on the topic. With well-informed citizens on the issues of HIV and AIDS patients, not only can we reduce the stigma associated with the illness, but also work toward medical advancements that assist those living with HIV in a nondiscriminatory manner.

These community’s views changed, when role model individuals like Magic Johnson came forward to declare his HIV status. The society as a whole came to the realization that the disease is an epidemic. The disease has now turn into an epidemic within the African American community, infection rate has gone up twice the amount when compared to other groups, white and Latinos. The United States is the highest fundraiser for HIV/AIDS globally, but the U.S is facing a major ongoing HIV epidemic, the society is less educated, struggled from societal pressure due to stigmatization, health disparities, and poverty. The shame and discrimination continue to hinder people's access to HIV prevention, testing and treatment services, driving the cycle of new infections. Social, economic, and legal barriers all contributed to prevention of

But before we discuss ways in reducing HIV stigma, we should talk about what it consists of in Baton Rouge. Stigma can become a chronic stressor that leads to poor coping skills, inadequate self-care, and risky sexual behaviors (Johnson et al. 72). According to an HIV Infrastructure Study conducted by the Southern HIV/AIDS Initiative, they discussed what the HIV stigma consisted of in Baton Rouge. After a few interviews with employees in HIV/AIDS clinics and people living with HIV/AIDS, they stated that one of the main reasons why people refuse to go to a clinic to get HIV tested or delay testing is because they are afraid that people they know might see them getting tested and assume the worst from them (Reif et al. 12). People also don’t want to get tested because they fear the repercussions of getting tested positive for HIV and that their family or loved ones might shun them away if they were HIV-positive. People should not care about who is going to see them getting tested because they are being smart about taking steps in knowing their HIV status instead of waiting to show signs of AIDS infection and then it’ll be too late to get any treatment. Moreover, one study evaluating the HIV Stigma Scale had some key observations. Out of one-hundred and ten HIV-positive African-Americans that were picked for this study, some of the appalling statements they agreed with the most

The stigma towards HIV positive African-American women also exists within their own communities; unfortunately, this stigma towards these women does not encourage them to come out as HIV positive individuals. The problem with this fear is that it not only worsens the anguish for the sick individual, but also puts the people around the individual at risk. In “Social Context of Rural Women with HIV/AIDS,” authors Kenneth D. Phillips, Linda Moneyham, Sandra P. Thomas, Mary Gunther, Medha Vyavaharkar discuss the significance of the stigma felt by HIV positive women; the authors point out that the existing stigma causes these women to live in secret (2011). In order to keep their illness hidden, they would have to be maintain some form of normalcy with the people around them. Societal stigma plays an important role in the occurrence of HIV; it can be studied by examining the results of “stigma reduction” in African-American communities (Loutfy et al, 2015). HIV stigma reduction is difficult when dealing with African-American women because the stigma of sexism and racism cannot be ignored. One of the other effects of stigma is depression (Logie, James, Tharao, & Loutfy, 2012). In a “multi-method community-based research (CBR) study with Women’s Health in Women’s Hands (WLWH) across Ontario,’’ researchers also found that other forms of stigma like race and gender do correlate with the stigma felt by HIV positive African-American women

This article explores the sexual health implications the sexual double standard can have on young black women in the U.S. The HIV rate for black women is between 4-20 times as high as the rate for other ethnic groups is a result of the sexual double standard due to men having concurrent sexual relationships because they feel powered to do so. This weakens women’s health because they become infected with these diseases which can lead to so many health issues. The sexual double standard expects women to have little sexual knowledge of themselves which limits their agency. It explains the intersectionality of black women and how the sexual double standard is traced back through history to slavery and racial inequality. In this sense, white women

In this chapter I aim to explore support from the community and healthcare providers. According to Logie and Gadalla, (2009) social support is critical in mitigating the negative effects of stigma and discrimination. Black Africans experience more stigma and more vulnerable due to their limited access to coping resources caused by poverty, immigration status and unfamiliarity with a foreign culture (Kelaher, Williams and Manderson, 2001). Support from the Community In the UK, xenophobia and racism have been identified as reasons for discrimination directed towards Africans immigrants living with HIV (Dodds, 2006). It was observed that fear of stigmatisation amongst Black Africans leads to non-disclosure of their HIV status.

In the United States, HIV (infection) has changed remarkably over the past 30 years. According to CDC.gov “At the end of 2013, 498,400 African Americans were living with HIV (40% of everyone living with HIV in the US), and 1 in 8 did not know they were infected.” More than 44,000 people were diagnosed with HIV in 2014. HIV is currently a disease of greater demographic diversity, affecting all ages, sexes, race and involves various transmission risk behaviors. At least 50,000 new HIV infections will continue to be added each year, however, one-fifth of persons with new infections may not know they are infected, and a substantial proportion of those who know they are infected are not engaged in HIV care. It is tragic that there are a huge number

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).

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).

HIV is the human immunodeficiency virus that causes AIDS. A member of a group of viruses called retroviruses, HIV infects human cells and uses the energy and nutrients provided by those cells to grow and reproduce. AIDS (acquired immunodeficiency syndrome) is a disease in which the body's immune system breaks down and is unable to fight off certain infections, known as "opportunistic infections," and other illnesses that take advantage of a weakened immune system. When a person is infected with HIV, the virus enters the body and lives and multiplies primarily in the white blood cells. These are the immune cells that normally protect us from disease.