Digital Commons Network^™

Pepfar’S Declining Investment In Treatment, Matthew Kavanagh, Marguerite Thorp

Matthew M. Kavanagh

Since its inception in 2003, the President’s Emergency Plan for AIDS Relief (PEPFAR) has saved millions of lives through providing anti-retroviral (ARV) treatment to people living with HIV/AIDS. However, our analysis of publicly available PEPFAR operational plans shows that funding to AIDS treatment has actually fallen significantly since 2008 in both absolute dollars and as a portion of total budgets—just at a pivotal moment when investment could change the course of the epidemic.

Hiv In South African Youth: Relations With Parenting Quality And Executive Functioning, Christina H. Salama

Psychology Theses

Black South Africans account for a majority of HIV cases in South Africa, highlighting the need for greater understanding of risks specific to this group. Within the HIV prevention and risk literature, little information exists regarding the familial and neuropsychological contributions to HIV risk in youth. The current study addressed this gap. In a group of black South African parent-child dyads, the researchers investigated the independent and interactive contributions of parenting quality and executive functioning in the prediction of HIV risk. Child report of relationship quality was negatively associated with risky sexual attitudes and externalizing behaviors. Parent report of parental …

Hiv And Concurrent Sexual Partnerships: Modelling The Role Of Coital Dilution, Larry Sawers, Alan G. Isaac, Eileen Stillwaggon

Economics Faculty Publications

Background: The concurrency hypothesis asserts that high prevalence of overlapping sexual partnerships explains extraordinarily high HIV levels in sub-Saharan Africa. Earlier simulation models show that the network effect of concurrency can increase HIV incidence, but those models do not account for the coital dilution effect (nonprimary partnerships have lower coital frequency than primary partnerships).

Methods: We modify the model of Eaton et al (AIDS and Behavior, September 2010) to incorporate coital dilution by assigning lower coital frequencies to non-primary partnerships. We parameterize coital dilution based on the empirical work of Morris et al (PLoS ONE, December …

Married And Cohabiting Men's Extra-Dyadic Relationships In Sub-Saharan Africa: Assessing Two Health Behavior Models, Jared L. Ulschmid

Master's Theses - Sociology and Anthropology

Sixty percent of all individuals with HIV live in sub-Saharan Africa. HIV is primarily transmitted through sexual activity; having multiple congruent sexual partners is one significant source of HIV transmission in sub-Saharan African. Men are primarily the individuals to go outside of a relationship because of various social and cultural influences. The purpose of this study is to examine married and cohabiting men’s extra-dyadic affairs. Two models were used to examine men’s extra-dyadic behavior: The Health Belief Model (HBM) and Theory of Planned Behavior (TPB). These models can show if beliefs, attitudes, and norms about HIV/AIDS and the risks of …

Collection Development Of Hiv/Aids Information Resources In American Libraries, Joseph G. Andrews Jr

School of Information Student Research Journal

HIV/AIDS remains an incurable epidemic in the United States that disproportionately affects men who have sex with men (MSM) and African Americans. Library and information science (LIS) professionals can play a vital role in keeping these higher risk groups informed about preventing HIV/AIDS and living with the disease, through a variety of current information resources that addresses their specific questions. This paper reviews collection development policies proposed by LIS professionals and library agencies since the late 1980s, and evaluates how such policies took higher-risk user groups into consideration. The findings of this paper are that collection development policies have become …

Analysis Of Hiv/Aids Incidents In Sudan With Reference To Khartoum State, Professor Issam A.W. Mohamed

Professor Issam A.W. Mohamed

The present paper introduces results of an analysis conducted on data collected from Khartoum state for the yea 2009. It aims to apply statistical models for the HIV/AIDS data in Khartoum state centers of testing blood and counseling. AIDS is recognized as an emerging disease only in the early 1980s, AIDS has rapidly established itself throughout the world, and is likely to endure and persist well into the 21s century. AIDS has evolved from a mysterious illness to a global pandemic which has infected tens of millions less than 20 years. The importance of the study is to emphasize that …

U.S. Cultural Involvement And Its Association With Co-Occurring Substance Abuse And Sexual Risk Behaviors Among Youth In The Dominican Republic, Elián P. Cabrera-Nguyen, Juan B. Peña

Elián P. Cabrera-Nguyen

We examined the relationship of US cultural involvement with substance abuse and sexual risk behavior profiles from our nationally representative sample of public high school students in the Dominican Republic. Using a novel methodological approach to control for selection bias, we examined explanations for the so-called Latino or Hispanic immigrant paradox. A latent class regression analysis with manifest and latent covariates found that US cultural involvement indicators were independent and robust predictors of increased risk of co-ocurring substance abuse and sexual risk behaviors. Implications for prevention efforts targeting risk behaviors among Latino/a adolescents in the US and abroad are considered.

Acceptability Of Pre-Exposure Prophylaxis (Prep) As An Hiv Prevention Strategy: Barriers And Facilitators To Prep Uptake Among At-Risk Peruvian Populations, Jerome T. Galea, Janni J. Kinsler, Ximena Salazar, Sung-Jae Lee, Maziel Giron, Jennifer N. Sayles, Carlos Cáceres, William E. Cunningham

Social Work Faculty Publications

This study examined Pre-Exposure Prophylaxis (PrEP) acceptability among female sex workers, male-to-female transgendered persons, and men who have sex with men in Lima, Peru. Focus groups explored social issues associated with PrEP acceptability and conjoint analysis assessed preferences among eight hypothetical PrEP scenarios with varying attribute profiles and their relative impact on acceptability. Conjoint analysis revealed that PrEP acceptability ranged from 19.8 to 82.5 out of a possible score of 100 across the eight hypothetical PrEP scenarios. Out-of-pocket cost had the greatest impact on PrEP acceptability (25.2, p < 0.001), followed by efficacy (21.4, p < 0.001) and potential side effects (14.7, p < 0.001). Focus group data supported these findings, and also revealed that potential sexual risk disinhibition, stigma and discrimination associated with PrEP use, and mistrust of health care professionals were also concerns. These issues will require careful attention when planning for PrEP roll-out if proven efficacious in ongoing clinical trials.

Socioeconomic Status, Women, And Hiv: Do The Determinants Of Female Hiv Vary By Socioeconomic Status In Cameroon?, Joyce Ndueh Mumah

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The HIV/AIDS epidemic is currently one of the greatest health challenges being faced by many developing nations, especially countries of Sub-Saharan Africa. It is estimated that more than 25 million Sub-Saharan Africans are infected with the disease, with more than 2.8 million new infected cases in 2006. Mortality from the disease is high, with an estimated 2.1 million having already died from the disease. Women are more likely to be infected with the disease, and account for more than half of all global HIV/AIDS cases. Sub-Saharan African (SSA) women, specifically, constitute about 77 percent of all HIV/AIDS cases in the …

The Impact Of Psychological Acceptance And Sibling Relationship Quality On Depression And Perceived Stigma For Youth Living With Hiv, Kara E. Snead

Psychology Dissertations

Compared to their uninfected peers, youth living with HIV experience greater distress related to a multitude of stressors they face. In order to enhance the lives of youth who are living with HIV, it is important to identify the personal and social resources that these individuals might bring to coping with their disease. Using the compensatory hypothesis and resiliency theory as conceptual frameworks, the present study examined the function of both psychological acceptance and sibling relationships for youths in managing depression and HIV-related stigma. In addition, the current study investigated the interactive effects of psychological acceptance and sibling relationship quality …

Hiv Action Plan: Action 9 (Hiv Prevention Evidence, Karen Lorimer, Lisa Kidd, Maggie Lawrence, Kerri Mcpherson, Flora Cornish

Dr. Maggie Lawrence

The aims of this systematic review of reviews were to identify, appraise, synthesise and contextualise a range of guidance, guidelines, review-level evidence of effectiveness (or ineffectiveness) and pertinent evaluation evidence on prevention of HIV transmission in MSM. Specifically, the objectives of the review were to: • Use systematic review methods to identify, retrieve and critically appraise review-level evidence of effectiveness of HIV prevention among MSM. • Identify relevant aspects of published guidance and guidelines for inclusion in the synthesis. • Synthesise the review data and contextualise this for a Scottish perspective.  There was consistent review-level evidence for group- and …

Risky Behaviour And Hiv Prevalence Among Zambian Men, Nisha Malhotra, Jonathan Young

Nisha Malhotra

The objective of this paper is to identify demographic, social and behavioural risk factors for HIV infection among men in Zambia. In particular, the role of alcohol, condom use, and number of sex partners is highlighted as being significant in the prevalence of HIV. Multivariate Logistic Regressions were used to analyse the latest cross-sectional population-based demographic health survey for Zambia (2007). The survey included socio-economic variables and HIV serostatus for consenting men (N = 4,434). Risk for HIV was positively related to the wealth status. Men who considered themselves to be at high risk for HIV-positive were most likely to …

Positive Peers: Exploring How And Why To Incorporate Peers Into Hiv Prevention Services, Allison Tan

Dissertations

In 2002, the Human Resource Service Administration (HRSA) began encouraging and funding a new strategy in HIV prevention. Referred to as Prevention with Positives (PwP), this approach to HIV prevention focused efforts on intervention with individuals who were already HIV-infected. This study examines one particular modality for the delivery of these important prevention messages to men and women living with HIV - the utilization of a peer-based model. "Peer-based" refers to any program which utilizes HIV-positive individuals as service providers for other HIV-positive individuals. A nationwide sample of such programs is used to provide an exploratory look into the possibilities …

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, …

Homing Geographies : Sexuality And Community Among Homeless Youth In Los Angeles, Heather Chelsey Wollin

Theses, Dissertations, and Projects

Scholarly literature on sexuality and homeless youth has focused almost exclusively on young people nested within a culture of risk on the streets. This study broadens the body of work on this population by exploring how homeless and runaway youth in Los Angeles make meaning of their sexualities. While these individuals are extremely vulnerable and fragile, they also display remarkable resilience. Researchers conducted two sets of in person, semi-structured interviews with six homeless youth at a homeless service agency in Los Angeles as part of an HIV peer intervention project. The interviews focused on sex education and messages about sexuality, …