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hiv among african americans
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African Americans who live in low-income communities are more likely to engage in unprotected sexual activities than those who live in higher-income communities.
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Table of Contents
Chapter Page/s
I. The Problem 1-2
II. Theoretical Framework 3-5
III. Hypothesis 6
IV. Population and Design 7-8
V. Conclusion 9-10
VI. Bibliography 11-12
1
I. Problem
Little to nothing was known about Acquired Immune Deficiency Syndrome (AIDS) when it first erupted in the 1970s. When the epidemic finally reached noticeable proportions in the early 1980s, a disease that knows no gender, racial, or class boundaries has created a devastating impact on society. This disease has afflicted society in virtually epidemic proportions. According to the Centers for Disease Control and Prevention (CDC) in Atlanta, there are an estimated 1 million Americans infected with AIDS and 40,000-80,000 new infections with Human Immunodeficiency Virus (HIV) each year.
There are few people who do not know someone who has died of AIDS, and it is estimated that, early in the new millennium, some forty million people worldwide will be infected with HIV, and ten million of them will develop AIDS. Research and statistics reveals that individual behavior is the strongest determinant of HIV and AIDS risk. This high-risk behavior place them in danger and is passed on to others by means of exchanging sex for money or drugs, injection drug users (IDUs), incarcerated persons, unborn babies of infected mothers, and other persons who have numerous sex partners.
Individuals in communities where Sexual Transmitted Diseases are prevalent are also at high risk rates of AIDS and HIV infection are substantially higher in blacks than among whites, especially among adolescents and young adults (Healthy People 2000). Many factors contribute to why there are more African Americans infected with HIV, AIDS, and STDs than any other racial and ethnic group.
2
The purpose of this explanatory study is to find out why African Americans who live in low-income / African American communities are more likely to en...
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...ervices (GAPS): Recommendations and Rationale. Chicago: American Medical Association, 1994
Anspaugh, D. J., Hamrick, M. H. & Rosato, F.D. 2000. Wellness Concepts and Applications (4th ed.). Boston: McGraw-Hill Companies.
Babbie, Earl R. 2001. The Practice of Social Research (9th ed.). United States: Wadsworth/Thomson Learning.
Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report. Atlanta: Centers For Disease Control and Prevention, 1995; 7(1): 1-34.
Centers for Disease Control and Prevention. Trends in Sexual Risk Behavior among High School Students - United States, 1990,1991, and 1993. MMWR 1995; 44: 124 – 125.
Center for Disease Control and Prevention. National Prevention Information Network.
Maryland: http://www.cdc.gov/hiv
Crosby, Richard A. Rollins School of Public Health at Emory University. Atlanta:
http://www.reutershealth.com/frame2/eline.html
National Center for Healthy Statistics. Healthy People 2000 review. 1994. Hyattsville, MD: Public Health Service, 1995. (Publication no. DHHS (PHS) 95 – 1256 – 1).
Research on Molecular Immunology of Sexually Transmitted Diseases. NIH GUIDE, Volume 21, Number 19, May 22, 1992.
Human immunodeficiency virus infection / acquired immunodeficiency syndrome (HIV/AIDS) is a disease of the human immune system transmitted between people by the mixing of bodily fluids. It is an extremely deadly disease that has killed over thirty-six mi...
Acquired Immune Deficiency Syndrome (AIDS) is a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV). AIDS weakens the immune system hampering the body’s defense mechanisms. AIDS is known to be a deadly disease, especially if it is not treated in a timely manner. AIDS and HIV is an epidemic that is increasing among the African American population with roots tracing back to Africa, AIDS and HIV needs greater exposure and more awareness within the African American community and in the homosexual community.
The spread of aids threatens our population daily. Lives lost to it number over 12 million, including 2 mil...
Although antiretroviral treatment has reduced the toll of AIDS related deaths, access to therapy is not universal, and the prospects of curative treatments and an effective vaccine are uncertain. Thus, AIDS will continue to pose a significant public health threat for decades to come.
As of 2015 there are 36.7 million people living with AIDS globally. In the United States alone 1.2 million people are living with HIV/AIDS. Unknowingly, one in eight people are unaware of their infection. Since the epidemic began in the early 1980s 1,216,917 people have been diagnosed with AIDS in the United States. From 2005 to 2014 the rate of infection has dropped by 19%, diagnoses in women declined 40%, and in African American women, diagnoses declined 42%. Amongst all heterosexuals, diagnoses declined 35%, and among people who use intravenous drugs, diagnoses declined 63%
With the emergence of HIV over thirty years ago, it has been estimated that more than half a million people have died from AIDS in the United States. As of 2006, approximately 2.2 million people in the United States are HIV positive with roughly 50,000 new infections per year. The most alarming statistic is that 20% of people that are HIV positive are unaware, making them susceptible to passing on the infection unknowingly. Public health programs have been working since the emergence of HIV to educate the populations, trying to give them the knowledge and the tools to protect themselves from infection. As more information has been collected about the transmission of HIV and the relevant social behaviors of susceptible populations leading to transmission, public health programs have been adjusting their messages and methods.
The authors worked for the Center for AIDS Prevention Studies which belongs to AIDS resea...
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.
In the US, teen pregnancy rates have been decreasing in the last decade even though current rates remain twice as high as those found in other industrialized nations (Alan Guttmacher Institute, 1994). In spite of decreasing rates, among African American teenagers, the pregnancy rate is particularly high. In 1996, the pregnancy rate was 178.9 per thousand among African-American females aged 15 to 19 years, compared with a pregnancy rate of 82.6 among whites (Alan Guttmacher Institute, 1999). Additionally, on the basis of the findings of the 1995 National Survey of Family Growth, it was determined that African American females (48%) aged 15 to 17 were more likely than their white (34%) counterparts to have had sexual intercourse since menarche. On the basis of information provide by the National Center for Health Statistics (1997), African-American females aged 15 to 19 were more likely than their white peers to have had their first sexual experience (i.e., intercourse) without using effective contraception (24% versus 14%, respectively). Consequently, on the basis of such risky behavior, African American teenagers are at greater risk than their white peers for experiencing a pregnancy.
DiClemente, R. J., McDermott-Sales, J., Danner, F., Crosby, R. A. (2011). Association Between Sexually Transmitted Diseases and Young Adults’ Self-Reported Abstinence. Journal of the American Academy of Pediatrics. February, 2011; 127: 208-213.
Sex is huge, sex is important; everyone cares and has something to say about sex. Sex sells. Sex is an immense part of life for almost everyone in the nation and the world, including youth. Teens hear about sex from their friends, from the shows they watch on television, from the music they listen to, and sometimes, once in a while, they hear about it as discussed by their parents and teachers in an educational context. In a Center For Disease Control (CDC) report from the year 2000, about 65% of 19 year-old teens were currently sexually active, with another 20% unsure if they would chose to be active or not in the near future, and only the remaining 15% choosing to be abstinent from sex at this age. Obviously the majority of teens are engaging in some nature of sexual activity at a relatively early age, and therefore it is important that they learn about the consequences associated with sex and about safe sexual practices, like using protection and being informed about sexual transmitted diseases and teen pregnancy. It was reported by the Alan Guttmacher Institute that approximately 4 in 10 young women in the U.S. become pregnant at least once before turning 20 years old. It was also reported that in the U.S., one in four sexually active teens become infected with an STD every year. With alarming statistics such as these, it is a given that these teens must be well informed before making a decision that could very well alter their lives.
Many African Americans are at high risk of the HIV infection and many of them are unaware or have a lack of access to care, education and prevention services. With African American’s making up fourteen percent of the population, they make up almost half of all people infected with HIV. According to, Exploring the Social and Community Context of African American Adolescents’ HIV Vulnerability (2013), African American communities bear the burden of disproportionately high rates of HIV/AIDS and other sexually transmitted diseases (STDs) nationwide. Although African Americans represented only 14% of the U.S. population, they comprised 44% of new HIV cases in the United States in 2009 (Centers for Disease Control and Prevention [CDC], 2011). African American adolescents (ages 13 to 19 years) accounted for 69% of HIV/AIDS diagnoses in 2010, though they represented only 15% of this age group population in the United States (CDC, 2012a). Research suggests that a complex set of factors, including individual, interpersonal, and environmental, put African American youth at higher risk for acquiring HIV (Lightfoot, A. F., Sparks, A., Turner, K., Griffith, T., Jackson, M., & Woods-Jaeger, B, 2013). High risk behavior is a leading factor in the African community in regards to HIV/AID, and African American adolescents are reported to be the highest prevalence engaging in sexual intercourse in comparison to other adolescent ethic groups. Although individual risk behavior is important in HIV transmission, it is not the only factor liable for HIV disparities among African American adolescence.
Over 33 million people around the world have AIDS (“Global Statistics.”). The disease, caused by the virus HIV, attacks the immune system, which is meant to protect your body from illness. Currently, there is no cure for AIDS, and 25 million have lost their lives due to it. AIDS is a serious issue affecting many people around the world today as they struggle with the disease, research for medicines, and attempt to reduce new infections
The AIDS virus is the most common disease, and with no cure, an infected person will die. It is estimated that 90 to 95 percent of AIDS infections occur in developing countries where the world’s worst living conditions exist.
In 1981, a new fatal, infectious disease was diagnosed--AIDS (Acquired Immuno-Deficiency Syndrome). It began in major cities, such as New York, Los Angeles, Miami, and San Francisco. People, mostly homosexual men and intravenous drug users, were dying from very rare lung infections or from a cancer known as Kaposi’s sarcoma. They have not seen people getting these diseases in numerous years. Soon, it also affected hemophiliacs, blood recipients, prostitutes and their customers, and babies born from AIDS-infected women. AIDS was soon recognized as a worldwide health emergency, and as a fatal disease with no known cure, that quickly became an epidemic. When high-profile victims began to contract the virus, such as basketball star Magic Johnson, the feeling spread quickly that anyone, not just particular groups of people, could be at risk. AIDS impairs the human body’s immune system and leaves the victim susceptible to various infections. With new research, scientists think that the disease was first contracted through a certain type of green monkey in Africa, then somehow mutated into a virus that a human could get. AIDS is a complicated illness that may involve several phases. It is caused by a virus that can be passed from person to person. This virus is called HIV, or Human Immuno-deficiency Virus. In order for HIV to become full-blown AIDS, your T-cell count (number of a special type of white-blood cells that fight off diseases) has to drop below 200, or you have to get one of the symptoms of an AIDS-induced infection.