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Stigmatization of HIV
Stigmatization of HIV
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Human Immunodeficiency Virus (HIV), can be transmitted through unprotected sexual intercourse, sharing contaminated needles and syringes, mother to child (perinatal) and contaminated blood product (National Association of Health Authorities, 1988).
1.2 PURPOSE OF THE RESEARCH
Late HIV diagnosis remains a major problem among black Africans in England. In 2007, about 42 per cent of black Africans diagnosed with HIV were diagnosed late (HPA, 2008a). This compromises their survival chances because evidence indicates that starting treatment with a CD4 cell count below 200 copies/mm3 (a measure of the degree to which an individual’s immune system is compromised) increases the risk of disease progression and death (Gazzard, 2008). The reasons for late diagnosis among black Africans are not clear, but include persistent HIV-related stigma and discrimination (WHO, 2006). Fakoya et al. (2008) identified cultural, social and structural barriers, such as access to testing and care, fear of death and disease, lack of political will, restrictive immigration policies and lack of African representation in decision-making processes.
There is a desperate need to understand the social context of the disease both in terms of the migrants' region of origin as well as in their new United Kingdom (UK) communities. The British government is yet to address the steep rise in rates of the disease among heterosexuals and a new Aids awareness campaign targeted at those most at risk of spreading it is imperative. It is a campaign that the government is reluctant to undertake because of the sensitivities around immigration, race and perceptions of neo-colonialism (Chinouya and Davidson, 2003).
The prevalence of diagnosed HIV in black African and bl...
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...n found that higher levels of knowledge, perception of risk, and having a friend or relative with AIDS were associated with effective behaviour change (Sambisa 2008). The notion behind personal experience or knowing someone who is infected is that for some people HIV/AIDS does not become real, or denial is preferable including denial of risk, until one witnesses someone ill or dying of AIDS. This means that trying to shift people’s perception of risk in order that they choose behaviours that are safe requires a detailed understanding of culture, context of perception, and experience of risk (Kesby, et al., 2003). This is related to the fact that ‘culture’ in its anthropological sense, is a complex interplay of meanings, action, structure, and change that exist within all social relations and in all social settings (Mayisha II Collaborative Group 2005).
It is crucial to understand that, unlike most transmissible diseases, AIDS/HIV is not transmitted through sneezing, coughing, eating or drinking from common utensils, or even being around an infected person. Casual contact with AIDS/HIV infected persons does not place others at risk. HIV/AIDS can be passed through unprotected sex with an infected person, sharing contaminated needles, from infected mother to baby during pregnancy, birth or breastfeeding, and through direct exposure to infected blood or blood
Singh, S. (2003). Study of the effect of information, motivation and behavioural skills (IMB) intervention in changing AIDS risk behaviour in female university students. AIDS Care, 15, 71–76. doi:10.1080/095401202100039770
The HIV epidemic hits nowhere else in the world harder than Sub-Saharan Africa, which accounts for more than two-thirds of the entire world’s cases of HIV. In her book, “The Invisible Cure”, writer Helen Epstein explores the myriad of reasons as to why the HIV outbreak is so alarming as well as differentiated than any other area of the world. Epstein explores how cultural factors influence individual behaviors as well as generations that grow up under these cultural conditions, how political involvement (or lack thereof) can often misinform people, and how structural levels of privilege allows less opportunity for those in poverty to obtain the help that they may need.
Different people define success in many different ways. What is considered success by one person may be viewed as failure by another person. Randy Shilts, a homosexual newspaper reporter / author, attempts to make fundamental changes in America’s opinion on AIDS. In Randy Shilts’s essay, "Talking AIDS to Death," he speaks of his experiences as an "AIDS celebrity." At the core of Shilts’s essay is the statement, "Never before have I succeeded so well; never before have I failed so miserably"(221). Shilts can see his accomplishments from two points of view- as a success and as a failure. Despite instant fame, Shilts is not satisfied with the effects his writings has on the general public. Shilts’s "success" and reasons for failure can both be considered when one decides whether or not his efforts were performed in vain.
The stigmatization and discrimination that goes hand and hand with a positive diagnosis of HIV/AIDS is overwhelming. FreeDictonary.com defines discrimination as the “treatment or consideration based on class or category rather than individual merit; partiality or prejudice.” In essence, discrimination is about actions and stigma relates to beliefs and attitudes. Both however are built up on negative views of a person just because they are apart of a specific group. All over the world, there are well-documented cases of people living with HIV that are being denied the right to health- care, work, education, and freedom of movement, among others. (UNAIDS 2005) This stigma and discrimination exist globally, although it appears differently...
Pathogens are a type of microorganism that spreads viral and bacterial diseases. These diseases when present in human blood and body fluids are known as blood borne pathogens, and can spread from one person to another. (Worcester polytechnic institute) The most serious types of blood borne diseases are the hepatitis B virus (HBV) and hepatitis C virus (HCV), which can cause liver damage; and HIV (human immunodeficiency virus), which is responsible for causing AIDS (acquired immune deficiency syndrome). The blood borne pathogens can be spread when the blood or body fluids (semen, vaginal fluid, breast milk, and amniotic fluid) of an infected individual comes into contact with mucous membranes or an open sore or cut on the skin of another person. Mucus membranes are located in the eyes, nose, mouth, and other areas as well. ("Bloodborne pathogens: MedlinePlus Medical Encyclopedia") Two of the most common ways that pathogens are transmitted is through the exchange of fluids during sexual intercourse or by sharing infected IV needles. (Worcester polytechnic institute)
"Demanding that life near AIDS is an inextricably other reality denies our ability to recreate a sustaining culture and social structures, even as we are daily required to devote such time to the details of the AIDS crisis." -Cindy Patton
In industrialized countries, the survival time after diagnosis of AIDS ranges from 9 to 26 months, but in Africa the survival time for patients is 5 to 9 months (UNAIDS 3). Factors, such as lower access to health care, poorer quality of health care services, poorer levels of average health and nutrition, and greater exposure to pathogens that cause infection all contribute to the shorter survival in Africa. It is difficult to stop the flood of AIDS cases in Africa because it is not yet known by researchers the factors that contribute to the outstanding prevalence of the disease among heterosexuals. This diagnosis will help determine how likely it is that heterosexual epidemics will spread to Asia or the West. Even though AIDS is heavily researched, its origin still remains a partial mystery.
Today millions of people globally are plagued with HIV/AIDS; some of which were contracted unknowingly through heterosexual sexual contact, others unknowingly through homosexual contact and surprisingly some who set out to contract HIV/AIDS purposefully. Bareback sex refers to intercourse without the use of any barrier protections to prevent the transmission of bodily fluids between participants. This is an extremely high risk behavior given the number of sexually transmitted diseases, and not knowing the status of HIV in them or in their partners. Unfortunately, in some developing countries the technology and condom supply are very little in respect to the sexually active population, and therefore results in more cases of STD’s and HIV/AIDS.
HIV is the human immunodeficiency virus; this virus can lead to acquired immune deficiency syndrome, or AIDS. According to Avert, 2.6 million people became infected with HIV in 2009, there are now an estimated 33.3 million people around the world who are living with HIV. HIV is transmitted by the exchange of bodily fluids via sharing contaminated syringes, from the infected mother to the child, and sexual contact. Contact with blood, semen, vaginal secretions, breast milk, or saliva that is contaminated with HIV, puts an individual at higher risk for contracting HIV. However, HIV cannot be transmitted by touch, coughing, or by bits from insect vectors.
Kippax, S., Stephenson, N., Parker, R. G., & Aggleton, P. (2013, August). Between individual agency and structure in HIV prevention understanding the middle ground of social practice [Journal]. American Journal of Public Health, 103 (8), 1367-1375. http://dx.doi.org/10.2105/AJPH.2013.301301
The Centers for disease control (CDC) has declared AIDS a global pandemic. No one person or group is safe from contracting this virus; knowledge, and safety is the only way you can protect yourself. However, the first black South African diagnosed with AIDS was in 1987, and currently South Africa is home to over 5.7 million people living with HIV/AIDS, making it the largest population on earth with people infected. (3)
From the moment scientists identified HIV and AIDS, social responses of fear, denial, stigma and discrimination have accompanied the epidemic. Discrimination has spread rapidly, fuelling anxiety and prejudice against the groups most affected, as well as those living with HIV or AIDS. It goes without saying that HIV and AIDS are as much about social phenomena as they are about biological and medical concerns. Across the world the global epidemic of HIV/AIDS has shown itself capable of triggering responses of compassion, solidarity and support, bringing out the best in people, their families and communities. But the disease is also associated with stigma, repression and discrimination, as individuals affected (or believed to be affected) by HIV have been rejected by their families, their loved ones and their communities. This rejection holds as true in the rich countries of the north as it does in the poorer countries of the south.
AIDS is a disease that is transmitted easily through unprotected sexual intercourse, sharing of needles, blood transfusion, and childbirth. Without proper knowledge and equipment, it is very difficult to prevent the spread of AIDS. Ever since the illness was discovered thirty years ago, it has taken the lives of thirty million people and affected the lives of many, many more. The AIDS pandemic has been and still is most severe in third-world countries in sub-Saharan Africa. It has impacted the economies of entire nations by crippling and killing individuals in the most productive years of their lives (“HIV/AIDS”). AIDS greatly influences the government sector, agricultural sector, private corporations, and individual households. Among those impacts, the impact on households is the most significant and severe. This paper will discuss the various ways AIDS affects families and the most effective ways of solving this issue.
The emergence of HIV/AIDS is viewed globally as one of the most serious health and developmental challenges our society faces today. Being a lentivirus, HIV slowly replicates over time, attacking and wearing down the human immune system subsequently leading to AIDS (Acquired Immunodeficiency Syndrome) at which point the affected individual is exposed to life threatening illnesses and eventual death. Despite the fact that a few instances of this disease have been accounted for in all parts of the world, a high rate of the aforementioned living with HIV are situated in either low or medium wage procuring nations. The Sub-Saharan region Africa is recognized as the geographic region most afflicted by the pandemic. In previous years, people living with HIV or at risk of getting infected did not have enough access to prevention, care and treatment neither were they properly sensitized about the disease. These days, awareness and accessibility to all the mentioned (preventive methods, care etc.) has risen dramatically due to several global responses to the epidemic. An estimated half of newly infected people are among those under age 25(The Global HIV/AIDS Epidemic). It hits hard as it has no visible symptoms and can go a long time without being diagnosed until one is tested or before it is too late to manage.