Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
stigmatization of hiv
stigmatization of hiv
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: stigmatization of hiv
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...
... middle of paper ...
...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
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.
There are still many issues that the government has been trying to address. One barrier that continues to exist is the stigma of HIV/AIDS. People avoid getting tested and sick individuals would wait until they were extremely ill before seeking treatment. The government has countered social stigma through a public health campaign to promote HIV testing. As more people participated in testing, public attitudes started changing (Glassman, 2016, p.28). Still, many traditionally at risk groups continue to be vulnerable. Female sex workers, young adults, and men who have sex with men, have lower rates of HIV testing and have less knowledge about HIV prevention (Glassman, 2016, p.28). Addressing these populations will require additional social
Gilbert, L. S. (2009). Society, Health and Disease in a Time of HIV/AIDS. South Africa: Pan Macmillan.
Additionally, individuals who are HIV positive will likely try to hide their diagnosis, resulting in the avoidance of treatment or inconsistency of treatment among other dangerous behaviours. Finally, the stigma of HIV/AIDS has been found to result in the denial of services and discrimination which can make accessing care more difficult. Understanding the full affects of HIV/AIDS stigma on health and disease prevalence could help reduce the incidents of HIV/AIDS. Finally, it could improve quality of life for individuals diagnosed with
According to the CDC, almost 1.1 million people in the United States have HIV, yet almost 20% of those people are unaware that they are living with the condition (CDC, 2013c). When the HIV broke out almost 30 years ago in the United States, the number of new cases in a year was 130,000. Now, each year the new number of cases being presented is approximately 50,000 (CDC, 2013c). In locations like Sub-Saharan Africa, the statistics are higher. The Joint United Nations Programme on HIV/AIDS (UNAIDS) states, “In 2011, an estimated 23.5 million people living with HIV resided in sub-Saharan Africa, representing 69% of the global HIV burden” (UNAIDS, 2012). The World Health Organization (WHO) reinforces this point by saying, “Sub-Saharan Africa is the most affected region [of HIV], with nearly 1 in every 20 adults living with HIV. Sixty nine per cent of all people living with HIV are living in this region” (WHO, 2013a). The statistics of infected people living in the United States is alarming but there are other countries, like Africa, which have higher rates of HIV due to very limited
Half of the world’s cases are found in what is referred to as the AIDS belt, a chain of countries in eastern and southern Africa that is home to two percent of the global population. The main vehicle for spreading HIV throughout Africa is heterosexual intercourse. In contrast, this is the opposite compared to the U.S. where the virus is usually transmitted through homosexual intercourse or contaminated syringes shared by drug users. Besides heterosexual intercourse, HIV transmission through transfusion and contaminated medical equipment is common in sub-Saharan Africa. Africans infected with HIV die much sooner after diagnosis than HIV infected people in other parts of the world. 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 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.
Human immunodeficiency virus (HIV) is an enveloped retrovirus. It affects the immune system and the body loses its ability to fight diseases. It is mainly transferred by sexual contact. However, it can also be transmitted by contact with body fluid like blood, breast milk and so on (CDC, 2016). A patient is said to have AIDS when he/her suffer from many opportunistic infections (CDC, 2016).
HIV, like many other STD's is transmitted through unprotected sexual intercourse. However, it can also be transmitted by infected "blood transfusions", an infected mother to fetus, and sharing infected needles as well as breast milk (2009, NIAID). The reason it is really unlikely that a person should contract this virus by skin contact, is because the way HIV invades a person's system (2009, NIAID). The virus itself has special markers on its plasma membrane called "CD Markers" that locate specific cells within a person's body that target specific cells such as helper-T Cells and Microphages (2012, Phelan). The HIV virus cannot invade cells that it cannot latch on to, so a handshake with a person who has HIV will not transfer the disease because skin cells do not have the appropriate receptors that the virus can attack. When the HIV cells find the specific cell it targets, they attach themselves to its surface and then releases its DNA proteins into the cell. The virus's DNA then take over the host cell's DNA and commands it to create copies of the HIV virus. The cell produces viral RNA which creates viral proteins that migrate to the cell edge and form an undeveloped HIV virus which then is expelled from the cell and matures into a new copy of the HIV virus.
AIDS, or the Acquired Immune Deficiency Syndrome has been one of the most threatening diseases of the 20th century. Ever since it has been discovered in 1981, it has been constantly infecting men, women, adults, newly born children, homosexuals and heterosexuals. In definition AIDS is an extremely serious disorder that results from severe damage to the body’s defense against disease. Even though AIDS was born in an era of sophisticated medical and surgical developments, it still remains incurable. The ways through which the HIV, Human Immunodeficiency Virus, can be transmitted are: blood transfusion, contaminated needles used in drug addiction, from an infected husband to his wife through sexual intercourse, or from an infected mother to her new born baby during pregnancy. Because it is that much spread and so far incurable, AIDS has aroused a lot hysterical fears and a number of controversies and ethical questions related to the patient’s rights, doctor’s rights and the right of the public at large. While some people think that AIDS patients should be isolated in quarantines, alienated from the rest of the world, others find no reason in this harsh form of separation and discrimination against the infected patients. The patients must also have the right to lead a normal life that must be respected by all the public, and government too. Although AIDS is not more contagious than any other disease, its patients are suffering both social and medical discrimination, and that is not only unethical but could also cause an increase in the spread of the disease. The fact that AIDS is no more contagious than any other disease, makes the reasons behind the people’s fear of AIDS totally illogical. All people are thinking of is that it’s a deadly virus, but there is a lot more to know about AIDS than this. People must be more educated about this virus and how it may be transmitted in order to protect themselves and avoid their constant paranoia about AIDS patients. AIDS, unlike many diseases, is not transmitted by shaking hands, or through coughs, or by swimming in the same pool with an HIV positive. It has also been proven that even the exposure to body fluids such as saliva through deep kissing wouldn’t transmit the virus. This is because the HIV is found to be very weak in open air; it can easily be killed by ordinary household disinfectants (Kelly 33-34).
Chelala, Cesar. “HIV/AIDS: Managing a Pandemic.” Americas Vol. 61, No.2. Mar/Apr 2015: 20-26. SIRS Issues Researcher. Web. 25 Mar. 2015. In this article, Latin America and Caribbean adults have infection rates lower than rates in Africa, but the number of HIV-positive people in this hemisphere is still quite high. It is estimated that in Latin America and the Caribbean, there are two million HIV-infected people. This is more than the number of cases in other countries combined. In 2014, according to United Nations figures, there were 20,000 new infections in the Caribbean and 140,000 in Latin America. Discrimination against HIV-infected people and the humiliation
As a result, the virus has greatly affected people in countries across the world, especially Africa. In Africa there are thousands of medical facilities in South Africa and they all have a high occupancy rating. In South Africa today, 80% of patients hospitalized in facilities have HIV (“Impact of HIV and AIDS...”). People working in these facilities such as doctors and nurses put themselves at risk because they are at risk for getting HIV related illnesses. In Africa there is a high demand for treatment of the disease and the hospitals have very low resources and training to treat HIV patients. When HIV first started there were very little resources to use for the patients that needed help.
HIV is an epidemic that still currently has no cure, however knowledge of the disease is much more extensive than what was known thirty years ago. Today there is much more knowledge with regard to prevention, diagnosis, and medical management. Nearly 50000 cases are newly diagnose every year, and this number has been stable for the past decade. In 1986 a study was conducted on 375 gay men in San Francisco by Dr. Sol Silverman and the clinical findings were recorded. Due to the wealth of knowledge about the disease that was not known back then there are a number of difference in the epidemiology of the disease. The proportion of gay men and women represent a far smaller number than they did when the study was initially conducted. However, the disease still disproportionately attacks nonwhites and Hispanics, who represent 62% of men and 82% of women. A key reason for the high transmission of HIV is due to the fact that most people do not know they are carrying the disease. In fact, nearly half of HIV transmission are due to these people (Abel et al, 2013).
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.
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.