scholarly journals Resilience and Beliefs in the Effectiveness of Current Antiretroviral Therapies Among Recently Disengaged Low-Income People of Color Living with HIV

2019 ◽  
Vol 46 (1) ◽  
pp. 75-85 ◽  
Author(s):  
J. Jaiswal ◽  
S. N. Singer ◽  
H.-M. Lekas
2021 ◽  
pp. 000276422110133
Author(s):  
Dorceta E. Taylor ◽  
Alliyah Lusuegro ◽  
Victoria Loong ◽  
Alexis Cambridge ◽  
Claire Nichols ◽  
...  

In recent decades, the number of farmer’s markets has increased dramatically across the country. Though farmers markets have been described as White spaces, they can play important roles in reducing food insecurity. This is particularly true in Michigan where farmer’s markets were crucial collaborators in pioneering programs such as Double-Up Food Bucks that help low-income residents and people of color gain access to fresh, healthy, locally grown food. This article examines the questions: (1) What are the demographic characteristics of the farmers market managers, vendors, and customers and how do these influence market activities? (2) To what extent do farmers markets participate in programs aimed at reducing food insecurity? (3) To what extent do farmers markets serve low-income residents and people of color? and (4) How has the Coronavirus Pandemic (COVID-19) affected the operations of farmers markets. This article discusses the findings of a 2020 study that examined the extent to which Michigan’s farmer’s markets served low-income customers and people of color and participated in food assistance programs. The study examined 79 farmers markets and found that 87.3% of the farmer’s market managers are White. On average, roughly 79% of the vendors of the markets are White and almost 18% are people of color. Most of the vendors in the markets participate in nutrition assistance programs. Market managers estimate that about 76% of their customers are White and about 23% are people of color. Farmers markets operated by people of color attract higher numbers of customers and vendors of color than those operated White market managers. Almost half of the farmer’s markets started operations later than usual in 2020 because of the pandemic. More than a third of the markets reported that their funding declined during the pandemic. Moreover, the number of vendors declined at two thirds of the markets and the number of customers dipped at more than 40% of the markets. On the other hand, the number of people requesting food assistance during the pandemic increased in more than half of the markets.


2020 ◽  
Author(s):  
Chia Goh ◽  
Henry Mwandumba ◽  
Alicja Rapala ◽  
Willard Tingao ◽  
Irene Sheha ◽  
...  

HIV is associated with increased cardiovascular disease (CVD) risk. Despite the high prevalence of HIV in low income subSaharan Africa, there are few data on the assessment of CVD risk in the region. In this study, we aimed to compare the utility of existing CVD risk scores in a cohort of Malawian adults, and assess to what extent they correlate with established markers of endothelial damage: carotid intima media thickness (IMT) and pulse wave velocity (PWV). WHO/ISH, SCORE, FRS, ASCVD, QRISK2 and D:A:D scores were calculated for 279 Malawian adults presenting with HIV and low CD4. Correlation of the calculated 10year CVD risk score with IMT and PWV was assessed using Spearmans rho. The median (IQR) age of patients was 37 (31 to 43) years and 122 (44%) were female. Median (IQR) blood pressure was 120/73mmHg (108/68 to 128/80) and 88 (32%) study participants had a new diagnosis of hypertension. The FRS and QRISK2 scores included the largest number of participants in this cohort (96% and 100% respectively). D:A:D, a risk score specific for people living with HIV, identified more patients in moderate and high risk groups. Although all scores correlated well with physiological markers of endothelial damage, FRS and QRISK2 correlated most closely with both IMT [r2 0.51, p<0.0001 and r2 0.47, p<0.0001 respectively] and PWV [r2 0.47, p<0.0001 and r2 0.5, p<0.0001 respectively]. Larger cohort studies are required to adapt and validate risk prediction scores in this region, so that limited healthcare resources can be effectively targeted.


2018 ◽  
Vol 22 (10) ◽  
pp. 3373-3383 ◽  
Author(s):  
Rebecca Schnall ◽  
Hwayoung Cho ◽  
Alexander Mangone ◽  
Adrienne Pichon ◽  
Haomiao Jia

2020 ◽  
Vol 7 (4) ◽  
pp. 615-624
Author(s):  
Laura Stamm

Abstract This article examines how the television series Pose (2018–) represents queer and trans people of color living with HIV/AIDS at the height of the crisis in 1987. While the series portrays an important part of transgender history, it also positions the AIDS crisis as something that is done and part of America's past. Despite the fact that rates of HIV infection remain at epidemic rates for trans women of color, Pose, like many other mainstream media representations, suggests that the AIDS crisis ended in 1995. The series brings trans women of color's experiences to a record number of viewers, but that representation comes with a certain cost—the cost of historicization.


Author(s):  
Cedric Johnson

This chapter tackles the issues of mass incarceration and aggressive policing, and their impact on low-income communities and people of color. It places Trump's defense of police and denigration of Black Lives Matter into historical context. The chapter connects the rise of the carceral state with an ideology that pathologizes poverty, blames working-class and unemployed people for their failure to get rich, and defines an urban “underclass” as the problem. In this context, the chapter analyzes Trump's reverence for police as the “thin blue line” that separates civilization from chaos. Focusing its attention on the intersection between class and race, the chapter unpacks the logic that has motivated a long-standing effort to shift power and resources away from the working class and toward the corporate elite. It argues that liberal antiracist arguments misunderstand the class relations that underlie the current system of policing. The chapter concludes that labor groups have a crucial role to play in fighting police abuse and mass incarceration.


2020 ◽  
pp. 095646242093060
Author(s):  
Jennifer Tabler ◽  
Laryssa Mykyta ◽  
Jason M Nagata

US–Mexico border communities are uniquely vulnerable to human immunodeficiency virus (HIV) transmission given the economic and social challenges these communities face. We surveyed low-income, predominantly Latinx residents receiving sexually transmitted infection testing and/or HIV/acquired immune deficiency syndrome (AIDS) care in the lower Rio Grande Valley of southernmost Texas about their experiences of food insecurity. Participants aged 18 years and over took a self-administered survey available in English or Spanish in a clinic waiting room ( N = 251). Ordinary least squares regression results suggested that those with a prior HIV/AIDS diagnosis reported a response for food insecurity that was approximately 0.67 points higher than peers without a prior HIV/AIDS diagnosis (coefficient = 0.67; p < 0.05), even when adjusting for sociodemographic characteristics, social support, perceived discrimination, and neighborhood environment. Interaction results between age and HIV status indicated that younger individuals living with HIV/AIDS experienced uniquely higher food insecurity; those who reported a prior HIV/AIDS diagnosis experienced an additional reduction in food insecurity by approximately 0.06 points for each additional year of age (age × HIV/AIDS interaction coefficient = −0.06; p < 0.05). Community programs serving low-income populations should consider screening for and intervening on food insecurity, especially among young adults living with HIV/AIDS.


2013 ◽  
Vol 16 (2) ◽  
pp. 432-443 ◽  
Author(s):  
Joanna d’Arc Lyra Batista ◽  
Maria de Fátima Pessoa Militão de Albuquerque ◽  
Ricardo Arraes de Alencar Ximenes ◽  
Demócrito de Barros Miranda-Filho ◽  
Heloisa Ramos Lacerda de Melo ◽  
...  

Introduction: Smoking is the leading cause of preventable death in the world. The prevalence of smoking is higher in people infected with HIV than in the general population. Although it is biologically plausible that smoking increases the morbidity and mortality of people living with HIV/AIDS, few studies in developing countries have analyzed the determinants and consequences of smoking in HIV infected people. Objective: To estimate the prevalence of smoking and identify the socioeconomic factors associated with smoking and smoking cessation in patients with HIV by sex. Methods: A cross-sectional study was conducted with baseline data, obtained from an ongoing prospective cohort study of patients with HIV attending two referral centers in Recife, Northeast Region of Brazil, between July 2007 and October 2009. Results: The prevalence of current smoking was 28.9%. For both sexes, smoking was independently associated with heavy alcohol drinking and marijuana use. Among women, smoking was associated with living alone, not being married and illiteracy; and among men, being 40 years or older, low income and using crack. Compared with ex-smokers, current smokers were younger and more likely to be unmarried, heavy drinkers and marijuana users. Conclusions: It is important to incorporate smoking cessation interventions for the treatment of heavy alcohol drinkers and marijuana users with HIV/AIDS, which may increase life expectancy and quality of life, as smoking is related to risk of death, relapse of tuberculosis, and non communicable diseases.


2003 ◽  
Vol 25 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Joan Flocks ◽  
Paul Monaghan

Environmental injustice occurs when a particular population, most often low-income people of color, is exposed disproportionately to an environmental health hazard. On the continuum of an environmentally unjust situation, there are several stages and levels at which inequities occur. A corporation makes a decision to locate a waste incinerator in a neighborhood that, because of historical socioeconomic discrimination, has become a low-income African American community in an industrial zone. Community members are stonewalled and intimidated at a public hearing about a local environmental health problem by industry and government officials who sit far away from the audience and use technical jargon to describe the issue. Native-Americans lose an important diet staple and economic activity when an industry's runoff contaminates the fish in a body of water. These examples illustrate geographical, procedural, and sociocultural inequities contributing to environmental injustices.


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