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HIV alters the lives of anyone that it touches, whether they are gay or straight. This book looks at all of the aspects of how HIV/AIDS has altered the lives of those it touches. . . . The titles of the 12 chapters give an excellent overview of what is covered in these extremely well-written reports. . . . This is a must-read book for everyone. It should be in all libraries, including school libraries. Young adolescents who are facing the problem of coming out would benefit from this book. --AIDS Book Review Journal Hit hard by the AIDS epidemic in the United States and in much of Europe, the gay and lesbian community has been forced to examine existing notions of what it means to belong to a community based on sexual orientation. The editors of this second volume in the annual series Psychological Perspectives on Lesbian and Gay Issues have collected a perceptive array of chapters that explore sexual behavior, personal identity, and community memberships of gay men and lesbian women. With the exception of a few, the chapters reflect study findings from AIDS-related research and include discussions of AIDS in large urban centers and in less populated settings outside of major AIDS epicenters. Focusing on underconsidered AIDS populations, the contributors explore specific topics concerning the AIDS epidemic among gay and bisexual men of color, lesbian women, and gay and lesbian youth. Accessible and sensitive, the book also examines relevant public policy, volunteerism, and long-term survival as important to AIDS awareness and education. AIDS, Identity, and Community is an appreciable resource for AIDS researchers and caregivers, mental health practitioners, social service professionals, behavioral and social science students, and any reader who seeks deeper insight into the complex and subtle areas of the lesbian and gay community in the AIDS era.
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.
Human Rights; Risk behavior; Cost-effectiveness; Low and middle income countries; Human Immunodeficiency Virus; Epidemic; Men who have sex with men; Attributable fraction; Intervention/Prevention; Homosexuality.
"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv
"M-Track primary objectives (Phase 1): [1] To ensure a core set of comparable behavioural measures among MSM in all sentinel surveillance sites, while addressing data needs on local and regional issues and questions of specific local interest. [2] To describe the changing patterns and trends in sexual behaviour among MSM from participating surveillance sites across Canada. [3] To determine the prevalence of HIV, hepatitis C virus (HCV), and syphilis from a biological sample. [4] To identify patterns of HIV, other sexually transmitted infection (STI), and viral hepatitis testing"--Page 1.
Motherhood is often portrayed as one of the most fulfilling experiences in a woman's life. Books on pregnancy, birth and motherhood not only tell women what they should do, they also encourage them to have high expectations of what is inevitably a 'journey into the unknown'. Missing Voices isdifferent: its authors offer no prescriptions. Instead they tell the stories of 800 recent mothers. We hear about what happened to them during pregnancy and childbirth, what contributed to good and bad experiences of birth, and what women thought of the care they received. Ninety of the women went on to participate in interviews two years later. The result is a moving and powerful account of what it is like to be a mother in Australia in the 1990s. How do mothers' daily lives compare with accepted wisdom about 'good mothers'? How is the work of caring for children,running the household and providing financial support divided within the family? How do women feel about the care of children and work - both paid and unpaid? One in seven women was depressed in the year after birth. In Missing Voices they talk candidly about the origins of this depression and howthey coped with it. This is a book for all mothers (and fathers), for anyone contemplating having children, and for all those concerned about the health and well-being of mothers, children and families.
There hasn't been a resource to inform readers about the HIV risk confronting our adolescent population--until now! In Adolescents and AIDS, leading researchers in health, medicine, sociology, and psychology describe the risks to this vulnerable population. Divided into three parts (epidemiology, prevention/risk reduction, and policy), this comprehensive book addresses not only adolescents in general, but includes specific chapters on high-risk populations such as minority, incarcerated and homeless youth. The authors explore the data and theoretical underpinnings necessary for designing and implementing effective risk-reduction and prevention programs by approaching the AIDS epidemic as a social and developmental crisis that adolescents are ill-prepared to address. While proposing appropriate theoretical models for behavior change, the book also evaluates the effectiveness of various intervention strategies ranging from school-based programs to mass-media approaches and offers public policy recommendations for intervening for this population. Health professionals, researchers, policy analysts, clinicians, counselors, and students will find this timely text a valuable resource.
One in five people in the United States had a sexually transmitted infection (STI) on any given day in 2018, totaling nearly 68 million estimated infections. STIs are often asymptomatic (especially in women) and are therefore often undiagnosed and unreported. Untreated STIs can have severe health consequences, including chronic pelvic pain, infertility, miscarriage or newborn death, and increased risk of HIV infection, genital and oral cancers, neurological and rheumatological effects. In light of this, the Centers for Disease Control and Prevention, through the National Association of County and City Health Officials, commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee to examine the prevention and control of sexually transmitted infections in the United States and provide recommendations for action. In 1997, the Institute of Medicine released a report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Although significant scientific advances have been made since that time, many of the problems and barriers described in that report persist today; STIs remain an underfunded and comparatively neglected field of public health practice and research. The committee reviewed the current state of STIs in the United States, and the resulting report, Sexually Transmitted Infections: Advancing a Sexual Health Paradigm, provides advice on future public health programs, policy, and research.
South Africa's gold mining workforce has the highest prevalence rates of tuberculosis and HIV infection of any industrial sector in the country. The contract migrant labour system, which has long outlived apartheid, is responsible for this unacceptable situation. The spread of HIV to rural communities in Southern Africa is not well understood. The accepted wisdom is that migrants leave for the mines, engage in high-risk behaviour, contract the virus and return to infect their rural partners. This model fails to deal with the phenomenon of rural-rural transmission and cases of HIV discordance (when the female migrant is infected and the male migrant not). Nor does it reveal whether all rural partners are equally at risk of infection. This study examines the vulnerability of rural partners in southern Mozambique and southern Swaziland, which are two major source areas for migrant miners. It presents the results of surveys with miners and partners in these two sending-areas and affords the opportunity to compare two different mine-sending areas. The two areas are not only geographically and culturally different, they have had contrasting experiences with the mine labour system over the last two decades. The spread of HIV in Southern Africa in the 1990s coincided with major downsizing and retrenchment in the gold mining industry which impacted differently on Mozambique and Swaziland. Swaziland has been in decline as a source of mine migrants while Mozambique remained a relatively stable source of mine migrants. The study therefore aims not only to shed light on vulnerability in mine sending areas, but also to draw out any contrasts that might exist between two mine-sending areas that were inserted into the mine migrant labour system in different ways during the expansion of the HIV epidemic.
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. It also discusses the related issue of seropositivity concealment or non-disclosure. 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. In either case, women sought to present and to view themselves as wise and their men as monogamous. 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 use them; they saw other women as quite likely to be involved with sexually unfaithful men. Choosing Unsafe Sex includes recommendations for educational strategies that are sensitive to cultural expectations for relationships. Dr. Sobo's findings have significance not only for inner-city HIV/AIDS educators but for all who seek a deeper understanding of mainstream assumptions about heterosexual relationships.