Qualitative Study of African-American Women’s Intergenerational Dialogue for HIV Prevention

2020 ◽  
pp. 019394592096587
Author(s):  
Gayle Robinson
Keyword(s):  
African American ◽  
Hiv Prevention ◽  
Qualitative Study ◽  
Generation X ◽  
Intimate Relationships ◽  
Hiv Transmission ◽  
The United States ◽  
Preventive Strategy ◽  
Scott County ◽  
The Many

Despite the many established strategies designed to prevent Human Immunodeficiency Virus (HIV) transmission in the United States, African-American (AA) women are disproportionately affected by the virus. This descriptive qualitative study explored AA women’s experiences of Intergenerational Dialogues (IGD) about HIV prevention. Study participants included 30 AA women representing four generational cohorts (the Silent Generation, Baby Boomers, Generation X, and Millennials). Recruitment occurred in Scott County, Mississippi. Data were collected through in-person, in-depth interviews. Interviews were audio recorded and transcribed verbatim for analysis. Four themes emerged from using conventional content analysis: Acknowledging the Importance of Community Connections; Helping Others by Sharing; Using Self-Knowledge as a Preventive Strategy; and Encouraging Others to Manage Intimate Relationships. Findings suggest that intergenerational dialogues may be an effective strategy to help AA women manage intimate relationships and potentially contribute to preventing HIV transmission.

Advising the Race

2021 ◽  
pp. 86-114
Author(s):  
Julie Golia
Keyword(s):  
United States ◽  
Twentieth Century ◽  
African American ◽  
African Americans ◽  
The United States ◽  
Status Quo ◽  
Women Readers ◽  
Racial Uplift ◽  
Black Newspapers ◽  
The Many

This chapter examines the advice column “Advice to the Wise and Otherwise,” which ran in the Chicago Defender, one of the most successful black newspapers in the United States. In the early twentieth century, black publishers recognized the many ways that mainstream newspapers reinforced the racial status quo in America and failed to address the needs of African American readers. They also sought to offer more feature content to women readers. “Advice to the Wise and Otherwise” was one of the country’s most widely read black advice columns. Columnist Princess Mysteria, a vaudeville mentalist, embraced the Defender’s mission of racial “uplift” and advocacy. But her counsel also reflected a unique sensitivity to the dual prejudices that her female readers faced as African Americans and as women. The columnist offered a worldview very different from that of white columnists, one that doled out assertive, even feminist advice.

scholarly journals Implementation of Syringe Services Programs to Prevent Rapid Human Immunodeficiency Virus Transmission in Rural Counties in the United States: A Modeling Study

2019 ◽  
Vol 70 (6) ◽  
pp. 1096-1102 ◽  
Author(s):  
William C Goedel ◽  
Maximilian R F King ◽  
Mark N Lurie ◽  
Sandro Galea ◽  
Jeffrey P Townsend ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Transmission ◽  
Virus Transmission ◽  
Hiv Infections ◽  
The United States ◽  
Single Infection ◽  
Agent Based ◽  
Immunodeficiency Virus ◽  
Barriers To Implementation ◽  
Scott County

Abstract Background Syringe services programs (SSPs) are effective venues for delivering harm-reduction services to people who inject drugs (PWID). However, SSPs often face significant barriers to implementation, particularly in the absence of known human immunodeficiency virus (HIV) outbreaks. Methods Using an agent-based model, we simulated HIV transmission in Scott County, Indiana, a rural county with a 1.7% prevalence of injection drug use. We compared outcomes arising in the absence of an SSP, in the presence of a pre-existing SSP, and with implementation of an SSP after the detection of an HIV outbreak among PWID over 5 years following the introduction of a single infection into the network. Results In the absence of an SSP, the model predicted an average of 176 infections among PWID over 5 years or an incidence rate of 12.1/100 person-years. Proactive implementation averted 154 infections and decreased incidence by 90.3%. With reactive implementation beginning operations 10 months after the first infection, an SSP would prevent 107 infections and decrease incidence by 60.8%. Reductions in incidence were also observed among people who did not inject drugs. Conclusions Based on model predictions, proactive implementation of an SSP in Scott County had the potential to avert more HIV infections than reactive implementation after the detection of an outbreak. The predicted impact of reactive SSP implementation was highly dependent on timely implementation after detecting the earliest infections. Consequently, there is a need for expanded proactive SSP implementation in the context of enhanced monitoring of outbreak vulnerability in Scott County and similar rural contexts.

scholarly journals Advances in the prevention of heterosexual transmission of HIV/AIDS among women in the United States

2011 ◽  
Vol 3 (1) ◽  
pp. 6 ◽  
Author(s):  
Nadine E. Chen ◽  
Jaimie P. Meyer ◽  
Sandra A. Springer
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Partner Violence ◽  
Hiv Transmission ◽  
Risk Groups ◽  
The United States ◽  
Political Support ◽  
Heterosexual Transmission ◽  
Recent Advances ◽  
Hiv Aids

Despite recent advances in testing and treatment, the incidence of HIV/AIDS in the United States has remained stagnant with an estimated 56,300 new infections every year. Women account for an increasing proportion of the epidemic. The vulnerability of women to HIV stems from both increased biologic susceptibility to heterosexual transmission and also the social, economic, and structural disadvantages they often confront. This review describes the main reasons for the increased vulnerability of U.S. women to HIV transmission with particular emphasis on specific high-risk groups including: non-Hispanic blacks, women who use drugs, women with a history of incarceration, and victims of intimate partner violence. Although behavioral approaches to HIV prevention may be effective, pragmatic implementation is often difficult, especially for women who lack sociocultural capital to negotiate condoms with their male partners. Recent advances in HIV prevention show promise in terms of female-initiated interventions. These notably include female condoms, non-specific vaginal microbicides, and antiretroviral oral and vaginal pre-exposure prophylaxis. In this review, we will present evidence in support of these new female-initiated interventions while also emphasizing the importance of advocacy and the political support for these scientific advances to be successful.

“I just found out that I have HIV”

HIV ◽  
2020 ◽  
pp. 9-20
Author(s):  
Ronald Lubelchek
Keyword(s):  
Hiv Transmission ◽  
Clinical Care ◽  
The United States ◽  
Hiv Treatment ◽  
People Living With Hiv ◽  
Art Initiation ◽  
Us Government ◽  
Control And Prevention ◽  
The Many ◽  
The Individual

Use of antiretroviral therapy (ART) to treat HIV leads to extensive benefits at both the individual and the public health levels. By gaining a more complete appreciation of the many benefits of ART, clinicians can make informed decisions regarding when to initiate ART for patients recently diagnosed with HIV. This chapter reviews both the immunologic and longevity gains attributable to ART, as well as ART’s effectiveness for preventing onward HIV transmission. Considering its effectiveness and due to improvements in ART’s potency, along with concomitant declines in ART-related adverse effects and pill burden, the pendulum of when to initiate ART has swung toward early imitation. Same day-of-diagnosis ART initiation, or rapid start within several days of diagnosis, has moved from the realm of research to clinical care. In the United States, the Centers for Disease Control and Prevention estimates that only 53% of people living with HIV have achieved virologic suppression. In recognition of the need to improve HIV-related outcomes, the US government has launched its Ending the HIV Epidemic (EtHE) initiative, which seeks a 90% reduction in the number of annual, new HIV diagnoses by 2030. HIV treatment, inclusive of the rapid start of ART, represents one of the EtHE initiative’s fundamental pillars. This chapter reviews the benefits of ART, highlights data supporting same-day/rapid ART imitation, and discusses its real-world application.

scholarly journals Assessment of Technology Use and Technology Preferences for HIV Prevention Among Hispanic Women

2018 ◽  
Vol 16 (4) ◽  
pp. 197-203
Author(s):  
Natalia Villegas ◽  
Rosina Cianelli ◽  
Lila de Tantillo ◽  
Melanie Warheit ◽  
Nilda Peragallo Montano ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Low Income ◽  
Technology Use ◽  
Hiv Transmission ◽  
Hispanic Women ◽  
The United States ◽  
The Internet ◽  
Hiv Education ◽  
Hiv Intervention ◽  
Use Of The Internet

Introduction: HIV transmission presents an ongoing risk to Hispanic women, and prevention efforts remain a priority. The use of technology to prevent HIV transmission among Hispanic women and those of lower socioeconomic status underscore the need for effective implementation of technology. The purpose of this study is to describe technology preferences and predictors of the use of the internet for HIV prevention among low-income Hispanic women. Method: A secondary analysis was conducted using baseline data from an intervention to prevent HIV among 320 Hispanic women. The parent study was SEPA, Salud (health), Educación (education), Promoción (promotion), y [and] Autocuidado (self-care). Results: Most participants reported using personal technology, such as smartphones (90.6%), the internet (78.1%), and personal email (67.5%), every day. Most (71.3%) participants were open to learning about HIV education via the internet. In the logistic regression analysis, education and time since the last visit to the health care provider were significant predictors of the use of the internet to learn about HIV prevention, after controlling for age, living with the partner, and years living in the United States. Conclusion: Hispanic women demonstrated high levels of comfort with different forms of technology. These results indicated the potential to expand future HIV intervention efforts by implementing electronic dissemination of bilingual and culturally appropriate information for Hispanic women of diverse ages.

scholarly journals The HIV prevention needs of African American transgender women living in the southern region of the United States

2020 ◽  
Vol 6 (1) ◽  
pp. 1724066
Author(s):  
Judith B. Cornelius ◽  
Florence Okoro ◽  
Charlene Whitaker-Brown ◽  
Laneshia R. Conner
Keyword(s):  
United States ◽  
African American ◽  
Hiv Prevention ◽  
The United States ◽  
Transgender Women ◽  
Southern Region

scholarly journals Longitudinal HIV Transmission Risk Profiles Among Men Who Have Sex With Men Living With HIV in the SUN Study

2018 ◽  
Vol 13 (1) ◽  
pp. 155798831881828
Author(s):  
Jacob J. van den Berg ◽  
Nickolas D. Zaller ◽  
Fizza S. Gillani ◽  
Shira I. Dunsiger ◽  
Brandon D. L. Marshall ◽  
...  
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Sexual Risk ◽  
Hiv Transmission ◽  
The United States ◽  
Transmission Risk ◽  
Risk Class ◽  
Sex With Men ◽  
Hiv Transmission Risk ◽  
Living With Hiv

Examining how multiple concomitant factors interact to augment HIV transmission risk is needed to inform more effective primary and secondary HIV prevention programs for men who have sex with men (MSM) in the United States. The development of a “taxonomy” of long-term sexual and drug-related risk behavior profiles may have important implications for resource allocation and targeted HIV prevention programming. A secondary data analysis was conducted to explore longitudinal HIV transmission risk profiles among 423 MSM living with HIV enrolled in the Study to Understand the Natural History of HIV and AIDS in the Era of Effective Therapy (SUN Study). Between March 2004 and February 2012, participants completed semiannual, audio computer-assisted self-interviews that included demographics, employment status, medical information, alcohol use, stimulant use, sexual risk, and depression. Latent class analysis was used to identify patterns of risky behavior over time with respect to sexual risk, heavy drinking, and stimulant (i.e., methamphetamine and cocaine) use taken collectively. Three classes were identified: (a) High Sustained Heavy Drinker Class (33%), (b) High Mostly Stable Sexual Risk Class (17%), and (c) Overall Low Risk Class. (50%). Post hoc comparisons between classes revealed that men in Classes 1 ( p = .03) and 2 ( p = .02) were significantly younger than those in Class 3. In comparison to those in Classes 1 and 3, those in Class 2 were less likely to report being a racial/ethnic minority ( p = .04) and had the highest self-reported sexually transmitted infections ( p < .001). Findings indicate the need to better integrate sexual and substance use risk reduction strategies, including brief interventions and engagement in addiction treatment, for MSM living with HIV in the United States.

scholarly journals Male Circumcision for Prevention of HIV Transmission: What the New Data Mean for HIV Prevention in the United States

PLoS Medicine ◽  
2007 ◽  
Vol 4 (7) ◽  
pp. e223 ◽  
Author(s):  
Patrick S Sullivan ◽  
Peter H Kilmarx ◽  
Thomas A Peterman ◽  
Allan W Taylor ◽  
Allyn K Nakashima ◽  
...  
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Male Circumcision ◽  
Hiv Transmission ◽  
The United States ◽  
Prevention Of Hiv
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