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The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
Originally published in 1997, Aids and Adolescents provided an insight into a wide range of adolescent issues which were rarely compiled in one volume at the time. Much of the HIV epidemic response had been at the individual level in the hope that this narrow focus would provide the key to containment and resolution of spread. However, over the ten years since the epidemic had taken hold, it was clear that paradigms were limited, input was uncritical and large cohorts were overlooked. In this text a series of contributions have been compiled to explore adolescent issues ranging from sexual behaviour and health education campaigns to HIV prevention and HIV/AIDS care. The chapters begin by giving an overview of adolescent problems, such as homelessness, pregnancy and gender, and explore why these problems are so often overlooked. We then move on to an examination of the facts and fictions associated with adolescent risk, challenging some of the basic current notions underpinning approaches to the subject at the time. Also included are particular focused studies of Australian adolescents’ beliefs about HIV and STDs and also the American adolescents’ perceptions of drug injection. Finally, the volume gives a focused view of those with HIV infection, with a review of findings of the time, neuropsychological and psychological factors. This overview provided some comments on merging issues and future directions. Today it can be read in its historical context.
What has been the impact of AIDS and sexually transmitted diseases on the lives of young people? Youth, AIDS and Sexually Transmitted Diseases provides a comprehensive overview of research and policy in this increasingly important area. The book describes the world-wide incidence and prevalence of sexually transmitted diseases among adolescents and examines how their sexual behaviour has changed as a result of the threat of AIDS. It also looks at young people's knowledge and attitudes about their own sexual health, as well as the usefulness of models in predicting those at risk. The authors also discuss the effectiveness of institutional policies in educating young people and in preventing sexually transmitted diseases. Youth, AIDS and Sexually Transmitted Diseases will be of considerable benefit to health care providers, sex educators and all those who work with and study adolescents.
It is universally agreed that HIV/AIDS constitutes one of the most serious threats to human life in our era. The immigration of Zimbabwean people into America plays a major role in the socialization of Zimbabwean adolescents. Zimbabwean adolescents are exposed to the Western culture of sexual socialization, which is different from the African culture. The social bonds and traditions that used to shape Zimbabwean young people's behavior and help them make the transition to adulthood have weakened in the face of migrating to Western countries. The main problem is the transition and loss of cultural identity that affect Zimbabwean adolescents' knowledge of HIV/AIDS transmission and sexual behavior.
Today young adults are contracting HIV more rapidly than virtually any period during the past two decades. Young women, particularly those who are black and Latina, are bearing the brunt of this 'new wave' of infection. Putting Risk in Perspective explores the many factors associated with HIV infection among young black women. HIV infection often occurs as a result of high risk behavior. Understanding what causes a young woman to take sexual and reproductive risks requires a consideration of the kinds of life issues she faces. Drawing on ethnographic study and interviews, RenZe T. White introduces to the reader many young women who are dealing with economic pressures, family relationships, dating and courtship, intimate relationship issues, and questions of sexual identity. These along with the mythology surrounding HIV and AIDS_and knowledge about contraception_influence whether or not a black teenager will engage in risky activity. This powerful book shows why the fight against AIDS must incorporate a commitment to improving the social and economic opportunities available to young black women.
In 2005, more than 25 million adults and children worldwide were living with HIV/AIDS and more than 75% of these were in sub-Saharan Africa. Studies indicate that the incidence of HIV infection and the prevalence of high-risk behaviors among young populations continue to rise in developing countries. AIDS has severe economic impacts, especially in high-risk countries such as Nigeria. This project used secondary data from the 2003 Nigeria Demographic and Health Survey. The 2003 NDHS is a cross-sectional, multistage, stratified survey with systematic sampling that was designed to obtain information on key population and health indicators such as sexual activity, knowledge about AIDS and other STDs, and behavior associated with AIDS and other STDs for the entire Nigerian population, including people living in rural areas, urban areas, and six major geographic regions. Analyses were restricted to sexually active adolescents and young adults 15 to 24 years of age who are Nigerians living in Nigeria in 2003. The sample size was (n=2,418), of which 2,009 are females and 409 are males. Non-Nigerians and Nigerians in Diaspora were excluded in the original design of the survey. Also, those younger than 15 years or older than 24 years were excluded in this study. This research examined the association between independent variables and other covariates with risky sexual behaviors such as lack of condom use and multiple sex partners, as well as possible difference by gender. Odds ratios (ORs) were calculated using multivariate logistic regression models, adjusting for age, education and religion. All tests were done at 95% significant leve. l-- Abstract.
Valuable contributions on different aspects of sexual and reproductive health among young people are presented in this book, with a focus on developing country contexts. Key discussions on issues relating to young people and their sexual activities are brought together in one volume, exploring how these issues are affected by the wider contexts in which they live. The interdisciplinary team of contributors examine the practical and ideological barriers that inhibit progress in the development of educational and service level improvement of young people’s sexual health as well as presenting examples of efforts made to overcome such difficulties. Promoting Young People's Sexual Health looks to the future, proposing ways forward in terms of policy and legislative changes necessary for long term improvements in young people’s sexual health.
The United States has the dubious distinction of leading the industrialized world in overall rates of sexually transmitted diseases (STDs), with 12 million new cases annually. About 3 million teenagers contract an STD each year, and many will have long-term health problems as a result. Women and adolescents are particularly vulnerable to these diseases and their health consequences. In addition, STDs increase the risk of HIV transmission. The Hidden Epidemic examines the scope of sexually transmitted infections in the United States and provides a critical assessment of the nation's response to this public health crisis. The book identifies the components of an effective national STD prevention and control strategy and provides direction for an appropriate response to the epidemic. Recommendations for improving public awareness and education, reaching women and adolescents, integrating public health programs, training health care professionals, modifying messages from the mass media, and supporting future research are included. The book documents the epidemiological dimensions and the economic and social costs of STDs, describing them as "a secret epidemic" with tremendous consequences. The committee frankly discusses the confusing and often hypocritical nature of how Americans deal with issues regarding sexualityâ€"the conflicting messages conveyed in the mass media, the reluctance to promote condom use, the controversy over sex education for teenagers, and the issue of personal blame. The Hidden Epidemic identifies key elements of effective, culturally appropriate programs to promote healthy behavior by adolescents and adults. It examines the problem of fragmentation in STD services and provides examples of communities that have formed partnerships between stakeholders to develop integrated approaches. The committee's recommendations provide a practical foundation on which to build an integrated national program to help young people and adults develop habits of healthy sexuality. The Hidden Epidemic was written for both health care professionals and people without a medical background and will be indispensable to anyone concerned about preventing and controlling STDs.