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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.
"This book explores the sexuality of gay and bisexual men in terms of both men's sexuality in a holistic sense and in terms of how this translates into meaningful action in terms of prevention of HIV. The authors highlight the struggles faced by HIV-positive gay and bisexual men as sexual beings and also describe the myriad ways in which many of these men are able to celebrate their sexuality and have satisfying sex lives that support their own and their partners' physical and mental health. The volume presents all of the dimensions of the sexual lives and behaviors of HIV-infected gay and bisexual men. It explains what is at stake as gay and bisexual men attempt to come to terms with the meaning of HIV in their sexual lives and the risks and gambles associated with disclosure and sharing information that may say something about one's past but certainly speaks volumes about how that person is going to live and relate in the future. Most important, this book uses that information to construct an approach to HIV prevention that goes beyond a health education or cognitive-behavioral approach and attempts to place HIV prevention within a sexual context." (PsycINFO Database Record (c) 2006 APA, all rights reserved)
This book focuses on safer sex discussion and practice in close, personal relationships, emphasizing research on individuals in personal relationship types that are experiencing a rise in HIV infection and AIDS. Moving beyond studies of gay adult males and IV drug-users, this work paints a clear picture of the very real risk that exists for these less-studied, more general populations, so individuals may better personalize the risk and engage in more preventative measures. Authors Tara M. Emmers-Sommer and Mike Allen examine issues surrounding safer sex, utilizing research that focuses on how individuals struggle with personalizing the HIV and AIDS risk and how they cope with safer sex issues. Safer Sex in Personal Relationships takes readers on a journey through a variety of close relationship types. It begins by highlighting awareness to the global enormity of HIV and AIDS and providing a link between the global and personal, and the need to make HIV and AIDS awareness part of everyday talk and personal relationship structure. It then focuses on: *safer sex in close relationships, both heterosexual and homosexual; *marital relationships and the importance of safe sex discussion and awareness in marriages; *HIV and AIDS from a multicultural perspective; *HIV and AIDS in aged populations; and *increasing awareness, understanding, and compassion of those living with HIV and AIDS. This book will appeal to scholars and students concerned with HIV and AIDS in personal relationships. It will be an invaluable text for courses on interpersonal communication and relationships; family, marital, human sexuality, sex and gender, gay and lesbian relationships, and sexual education; and relational conflict across communication, psychology, and sociology disciplines.
Choosing Unsafe Sex focuses on the ways in which condom refusal and beliefs regarding HIV testing reflect women's hopes for their relationships and their desires to preserve status and self-esteem. Many of the inner-city women who participated in Dr. Sobo's research were seriously involved with one man, and they had heavy emotional and social investments in believing or maintaining that their partners were faithful to them. Uninvolved women had similarly heavy investments in their abilities to identify or choose potential partners who were HIV-negative. Women did not see themselves as being at risk for HIV infection, and so they saw no need for condoms. But they did recommend that other women, whom they saw as quite likely to be involved with sexually unfaithful men, use them.
The emergence of the AIDS pandemic has forced a sea of change in the debate over sexuality education. Even schools previously reluctant to offer sexuality education now face HIV/AIDS education mandates. Teaching About Sexuality and HIV provides professionals with an integrated, accessible text on the principles, methods, and special issues surrounding sexuality education today. Chapters discuss such subjects as Effective Sexuality and HIV Education: What Works and Why, Creating a Productive Learning Environment, and Introspective Methods: Helping Learners See Relevance, and Methods for Helping Learners Develop Skills. This practical, original, and user-friendly guide will be invaluable to anyone whose work is connected with health and sexuality education.
In this important book, editor Michael Ross brings together the latest knowledge and research concerning the relationship between HIV and AIDS and sexual functioning. HIV/AIDS and Sexuality explores the experiences of being HIV-infected and the impact of infection on an individual's sexuality. It describes differences that may be associated with individuals who are infected or concerned about infection, and it provides new in-depth analyses of the effect of HIV on sexuality and sexual risks. The book provides clinical perspectives on sexual problems associated with HIV infection as well as some treatment approaches. Contributing authors represent the United States, Australia, and Europe and discuss heterosexual men and women, gay men, lesbians, and injecting drug users. This diversity provides a more complete picture of the experiences of people with HIV in terms of explicit and implicit sexuality. Chapters include cross-sectional and cohort study designs as well as qualitative, quantitative, and clinical approaches. Some of the topics explored are: the centrality of sexuality to equality of life and identity and the impact of HIV on sexuality in gay-identified men the psychological impact of making changes in sexual behavior on gay men with HIV infection risk behaviors in seropositive and seronegative women a study of a cohort of HIV-infected women associated with the military sexual addiction in gay men and its association with HIV risks overt and subtle communications processes that occur between health care providers and clients about sexuality and HIV stages of change in safer sexual practices in a cohort of gay men personality variables associated with risk and infection in both homosexual and heterosexual men HIV/AIDS and Sexuality opens up the area of sexuality in people living with HIV and focuses much-needed attention on the issues involved in sexual expression, HIV transmission risk, and living with HIV infection. This book is an illuminating exploration into the subject that helps professionals better understand their clients and thus provide more compassionate and effective care.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
HIV is spreading rapidly, and effective treatments continue to elude science. Preventive interventions are now our best defense against the epidemicâ€"but they require a clear understanding of the behavioral and mental health aspects of HIV infection and AIDS. AIDS and Behavior provides an update of what investigators in the biobehavioral, psychological, and social sciences have discovered recently about those aspects of the disease and offers specific recommendations for research directions and priorities. This volume candidly discusses the sexual and drug-use behaviors that promote transmission of HIV and reports on the latest efforts to monitor the epidemic in its social contexts. The committee reviews new findings on how and why risky behaviors occur and efforts to develop strategies for changing such behaviors. The volume presents findings on the disease's progression and on the psychosocial impacts of HIV and AIDS, with a view toward intervention and improved caregiving. AIDS and Behavior also evaluates the status of behavioral and prevention aspects of AIDS research at the National Institute of Mental Health, the National Institute on Drug Abuse, and the National Institute on Alcohol Abuse and Alcoholism. The volume presents background on the three institutes; their recent reorganization; their research budgets, programs, and priorities; and other important details. The committee offers specific recommendations for the institutes concerning the balance between biomedical and behavioral investigations, adequacy of administrative structures, and other research management issues. Anyone interested in the continuing quest for new knowledge on preventing HIV and AIDS will want to own this book: policymakers, researchers, research administrators, public health professionals, psychologists, AIDS advocates and service providers, faculty, and students.
Stepping outside the established boundaries of HIV scholarship, 'Modernizing Sexuality' illustrates the ways in which Western idealizations of normative sexuality and the power of modernity come together in U.S. prevention policy, and how they actually exacerbate HIV risk, particularly for women.
Some 12 years into the epidemic, with an effective preventive vaccine or therapy against HIV disease still to be found, this book reflects on the contributions of social and behavioural research to the development of interventions for prevention. After over a decade's work documenting HIV and AIDS-related knowledge, attitudes and behaviour, social researchers have begun to focus more clearly on perceptions of sexual safety and risk, and the factors that contribute to these. The issues addressed by the book were examined during three major conferences in 1994: the annual conference of the British Sociological Association, the 2nd International Conference on the BioPsychoSocial Aspects of AIDS and the Xth International Conference on AIDS. The book brings together key papers presented at each of these conferences, documenting issues of focal concern to social researchers, policy makers and health educators in the mid-1990s.