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Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
HIV/AIDS is a catastrophe globally but nowhere more so than in sub-Saharan Africa, which in 2008 accounted for 67 percent of cases worldwide and 91 percent of new infections. The Institute of Medicine recommends that the United States and African nations move toward a strategy of shared responsibility such that these nations are empowered to take ownership of their HIV/AIDS problem and work to solve it.
Among U. S. racial and ethnic minority populations, African American communities are the most disproportionately impacted and affected by HIV/AIDS (CDC, 2009; CDC, 2008). The chapters in this volume seek to explore factors that contribute to this disparity as well as methods for intervening and positively impacting the e- demic in the U. S. The book is divided into two sections. The first section includes chapters that explore specific contextual and structural factors related to HIV/AIDS transmission and prevention in African Americans. The second section is composed of chapters that address the latest in intervention strategies, including best-evidence and promising-evidence based behavioral interventions, program evaluation, cost effectiveness analyses and HIV testing and counseling. As background for the book, the Introduction provides a summary of the context and importance of other infectious disease rates, (i. e. , sexually transmitted diseases [STDs] and tubercu- sis), to HIV/AIDS prevention and treatment in African Americans and a brief introductory discussion on the major contextual factors related to the acquisition and transmission of STDs/HIV. Contextual Chapters Johnson & Dean author the first chapter in this section, which discusses the history and epidemiology of HIV/AIDS among African Americans. Specifically, this ch- ter provides a definition for and description of the US surveillance systems used to track HIV/AIDS and presents data on HIV or AIDS cases diagnosed between 2002 and 2006 and reported to CDC as of June 30, 2007.
During the early years of the AIDS epidemic, thousands of Americans became infected with HIV through the nation's blood supply. Because little reliable information existed at the time AIDS first began showing up in hemophiliacs and in others who had received transfusions, experts disagreed about whether blood and blood products could transmit the disease. During this period of great uncertainty, decision-making regarding the blood supply became increasingly difficult and fraught with risk. This volume provides a balanced inquiry into the blood safety controversy, which involves private sexual practices, personal tragedy for the victims of HIV/AIDS, and public confidence in America's blood services system. The book focuses on critical decisions as information about the danger to the blood supply emerged. The committee draws conclusions about what was doneâ€"and recommends what should be done to produce better outcomes in the face of future threats to blood safety. The committee frames its analysis around four critical area: Product treatmentâ€"Could effective methods for inactivating HIV in blood have been introduced sooner? Donor screening and referralâ€"including a review of screening to exlude high-risk individuals. Regulations and recall of contaminated bloodâ€"analyzing decisions by federal agencies and the private sector. Risk communicationâ€"examining whether infections could have been averted by better communication of the risks.
Now in its third edition, this text examines how African Americans personally and culturally define themselves and how that definition informs their communication habits, practices, and norms. This edition includes new chapters that highlight discussions of gender and sexuality, intersectional differences, contemporary social movements, and digital and mediated communication. The book is ideally suited for advanced students and scholars in intercultural communication, interpersonal communication, communication theory, African American/Black studies, gender studies, and family studies.
The experiences of African Americans in urban communities are distinct from those of other ethnic groups, and to be truly understood require an in-depth appreciation of the interface between micro- and macro-level factors. This sweeping text, an outgrowth of a groundbreaking urban social work curriculum, focuses exclusively on the African-American experience through field education, community engagement, and practice. It presents a framework for urban social work practice that encompasses a deep understanding of the challenges faced by this community. From a perspective based on empowerment, strengths, and resilience; cultural competence; and multi-culturalism; the book delivers proven strategies for social work practice with the urban African-American population. It facilities the development of creative thinking skills and the ability to ìmeet people where they are,î skills that are often necessary for true transformation to take root. The book describes an overarching framework for understanding and practicing urban social work, including definitions and theories that have critical implications for working with people in such communities. It encompasses the contributions of African American pioneers regarding a response to such challenges as poverty, oppression, and racism. Focusing on the theory, practice, and policy aspects of urban social work, the book examines specific subsets of the urban African-American population including children, adults, families and older adults. It addresses the challenges of urban social work in relation to public health, health, and mental health; substance abuse; criminal justice; and violence prevention. Additionally, the book discusses how to navigate the urban built environment and the intersection between African Americans and other diverse groups. Chapters include outcome measures of effectiveness, case studies, review questions, suggested activities, and supplemental readings. Key Features: Fills a void in the literature on urban social work practice with African Americans Presents the outgrowth of a renowned urban curriculum, field education, research, community engagement, and practice Fulfills the requirements of the CSWE in the Educational Policy and Accreditation Standards regarding diversity Synthesizes micro, mezzo, and macro content in each chapter Provides contributions from African-American pioneers in urban social work practice
More people in communities of color are contracting, living with, and being treated for HIV/AIDS than ever before. In 2005, 71% of new AIDS cases were diagnosed in people of color. The rate of HIV infection in the African-American community alone has increased from 25% of total cases diagnosed in 1985 to 50% in 2005. Latinos similarly comprise a disproportionate segment of the AIDS epidemic: though they make up only 14% of the U.S. population, 20% of AIDS cases diagnosed in 2004 were Latino/a. Though the number of racial and ethnic minority HIV/AIDS cases continues to grow, the health care community has been unable to adequately meet the unique medical needs of these populations. African-American, Latino/Latina, and other patients of color are less likely to seek medical care, have sufficient access to the health care system, or receive the drugs they need for as long as they need them. HIV/AIDS in Minority Communities acknowledges the prevalence of HIV/AIDS within minority communities in the U.S. and strives to educate physicians about the barriers to treatment that exist for minority patients. By analyzing the main causes of treatment failure and promoting respect for individual and cultural values, this book effectively teaches readers to provide responsive, patient-centered care and devise preventive strategies for minority communities. Comprehensive chapters contributed by physicians with extensive experience dealing with HIV/AIDS in minority communities cover issues as far-reaching as: anti-retroviral therapy; dermatologic manifestations and co-morbidities of the disease in patients of color; unique risks to women and MSMs of color; participation of minority cases in HIV research; and substance abuse and mental health issues.
This handbook has been developed to support health educators, community workers, teachers and parents in their efforts to protect the African American people from the scrouge of HIV/AIDS. The primary target of the hand book are teenagers/youth and other African American persons who are the less fortunate components of our society, because it is this population that is most susceptible to this scourge. However suggestions included here in apply virtually to all populations especially culturally different people such as Hispanic etc. Prevention of HIV/AIDS among adults helps to maintain an enlightened parent population prevents AIDS transmitted from the older to the younger generation as in some communities, the elder people are involved in sexual relationships with young adolescents. The authors commend organizations and individuals such as Bill and Melinda Gates, Honble U.S.President Barack Obama and former US president they funded billions of dollars to offer treatment of HIV/AIDS infected people and for education of people most susceptible to HIV infection. This hand book titled Strategies for Awareness and its Prevention of HIV/AIDS Among African American (Mehta and Kalra) compliments these efforts with the hope that its contents when followed may reduce the spending required to arrest the HIV/AIDS cases and make the funds available for educational projects that impact lifestyle so that spread is stopped and menace of HIV/ AIDS epidemic among African American is reversed. Some of the suggestions have been adapted from Prof. Kalra and Prof. Sutman book titled WORLD PERSPECTIVE ON HIV /AIDS for the less fortunate with their due permission.