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Sheprep: Examining The Influence Of The Messaging And The Messenger Associated With Prep Uptake Among African American Women, Christian C. Spears

Electronic Theses and Dissertations

African American Women (AAW) make up less than 15% of the female population in the United States but account for over 50% of new HIV diagnoses among females. This largely preventable health disparity can be mitigated by advocating and prescribing Pre-exposure Prophylaxis (PrEP), a preventive HIV medication, to persons at risk. Despite advances in medication options, there are less than 13% of Black people who could benefit from having been prescribed PrEP, and limited research and promotion on the effectiveness of PrEP for AAW. The “ShePrEP Study” aimed to assess awareness, perceptions, and receptivity toward PrEP among AAW. This study …

“I Think It's Male Privilege”: A Qualitative Study Of Personal, Behavioral, And Socio-Environmental Factors Influencing High Risk Sexual Behavior And Hiv Transmission Among Heterosexual Adult Males In Ghana., Nana Ama Aya Erzuah Bullock

Electronic Theses and Dissertations

There are roughly 340,000 adults and children living with HIV. Despite the progress in the global response and the lowing of infections, HIV rates in Ghana remain stable. Cultural and societal norms that exist at a given time and place influence masculine socialization and behavior. These norms promote heterosexual men’s engagement in high-risk sexual behaviors which result in HIV infections. Factors such as HIV knowledge, risk perception, male condom use, HIV testing, and counseling which minimize the risk of HIV, are also influenced by these norms. Men have been identified as assets and advocates for behavior change and social responsibility …

Std Prevention: An Educational Intervention For Exotic Dancers, Maria Delurdes Dehoyos

Electronic Theses and Dissertations

The Centers for Disease Control and prevention reported nearly 2.3 million STD cases diagnosed in 2017, and the number is continuing to rise. San Antonio, Texas, is ranked third in the state of Texas with the highest STD rates and leading in the state with congenital syphilis. There is an increased risk for contracting STDs working in the sex industry. There are little to no studies pertaining to any educational interventions offered to exotic dancers to increase personal knowledge on STDs. This research has focused on an educational intervention offered by a nurse practitioner to exotic dancers in two adults-only …

Dominating The Disease: A Transnational Feminist Perspective Of U.S. Health Coloniality, Jessica Ann Johnson

Electronic Theses and Dissertations

HIV has been a pandemic since the 1980s with 70 million people infected since the beginning, about 35 million people have died of complications resulting from HIV, and an estimated 36.9 million people living with HIV in 2017 (WHO, "HIV and AIDS"). Many organizations around the world have tried to tackle this issue, however most of these organizations are based in the West or have Western organizations holding the majority of power and control. People in these organizations have the intention of ending the spread of HIV, but they also sometimes spread Western ideology.

This work brings together communication scholarship …

Stigma In The Post Crisis Age: External Barriers To Accessing Hiv Treatment, Internalized Trauma, And Strategies Of Support In Orlando, Florida, Julian Cerrell Nilsson

Electronic Theses and Dissertations

In 2017, The CDC (center for disease control and prevention) released a memo confirming popular medical opinion that an HIV positive person with an undetectable viral load was unable to transmit the HIV virus. While treatment and prevention options are advancing, this advancement may not translate directly into reduced stigma, which is produced and reproduced by external barriers to accessing healthcare, and internalized by HIV positive people as emotional trauma. This research explores the relationship between the availability of contemporary resources for the treatment and prevention of HIV/AIDS, and the environment of stigma experienced by positive gay and bisexual men …

Governmentality/Animacy/Mythology: A Biopolitical And Rhetorical Mosaic Of Hiv Stigma In A Time Of Prep-Aration, Brendan Geoffrey Aaron Hughes

Electronic Theses and Dissertations

Since 1981, roughly 35 million people have died from the Acquired Immune Deficiency Syndrome (AIDS), the end stages of the Human Immunodeficiency Virus (HIV), and an estimated 39 million are living with HIV today. While various factors such as poverty, lack of education, and poor access to treatment and healthcare compound the epidemic across the world, the endemic in the industrialized west faces specific communication-based challenges to slowing the spread of HIV. Now classified as a "chronic manageable condition", an HIV diagnosis is no longer the death sentence of the early outbreak in the 1980's. A major factor in the …

Mitigating Intimate Partner Violence To Promote Safe Linkage To Care For South African Women Who Test Hiv+ During Mobile Counseling And Testing., Leslie Lauren Brown

Electronic Theses and Dissertations

Sources warn the global HIV/AIDS epidemic will not be halted without significant reductions in Intimate partner violence (IPV). South African women have been hardest hit by the HIV-IPV link, suffering deleterious health outcomes as sequelae of significant barriers to HIV care. Extant literature focuses on HIV prevention, and there is a paucity of effective methods for mitigating IPV-related barriers among women living with HIV. This study was a Phase II trial testing the effectiveness and safety of the HIV IPV Risk and Safety (HIRS) protocol administered to women experiencing IPV and testing HIV+ during mobile HIV Counseling and Testing (HCT). …

The Stigma Effect: The Role Of Internalized Racism And Internalized Homophobia In Risky Sexual Behavior Among Black Gay Men, Darren Lovell Whitfield

Electronic Theses and Dissertations

Black gay, bisexual, queer, and same-gender-loving (GBQSGL) men account for less than 1% of US population, yet account for 36% of all new HIV infections. While, Black GBQSGL men experience higher rates of HIV infection compared to other gay, bisexual, and men who have sex with men (MSM) from other racial groups, they are no more likely to report engaging in condomless anal sex (CAS). These findings suggest that one possible explanation is that the context of sexual behavior for Black GBQSGL men may be riskier because of the prevalence of HIV in the community. Furthermore, research suggests that racism …

The Social Determinants Of Hiv/Aids In Cambodia: Is It Too Early To Call Micro Medical Efforts A Success?, Matthew Aaron Sherwood

Electronic Theses and Dissertations

Cambodia, a least developed country (LDC) with a recent history of civil war and genocide, has been widely considered to be a success story when it comes to the fight against HIV/AIDS. Within a few years of the first HIV positive blood test in the kingdom in 1991, it quickly became the country with the highest prevalence in the region, with estimates of as many as 4% of the population being infected at one point.

In recent years, Cambodia's HIV/AIDS infection rates have plummeted to below 1%, with most of the credit being given to the implementation of micro-medical measures, …

Do You Have A Friend?: The Impact Of Personal Knowledge Of Someone With Aids On Attitudes Towards Aids, Leith Leonce Lombas

Electronic Theses and Dissertations

The study of attitudes towards those with AIDS is relatively recent. Most studies have examined attitudes concerning health and medical concerns. Little research has focused on attitudes toward social and behavior concerns. The few that have focused on such attitudes have employed relatively small samples collected primarily out of convenience. The studies that have used national samples have primarily addressed public policy issues. Using national data from the 1988 General Social Survey, this paper examines the effects of personal knowledge about the AIDS virus and other attitudinal variables on four dimensions of social and behavioral concern for those with AIDS …