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Generational Inversions: 'Working' For Social Reproduction Amid Hiv In Swaziland, Casey Golomski

Anthropology

How do people envision social reproduction when regular modes of generational succession and continuity are disrupted in the context of HIV/AIDS? How and where can scholars identify local ideas for restoring intergenerational practices of obligation and dependency that produce mutuality rather than conflict across age groups? Expanding from studies of HIV/AIDS and religion in Africa, this article pushes for an analytic engagement with ritual as a space and mode of action to both situate local concerns about and practices for restoring dynamics of social reproduction. It describes how the enduring HIV/AIDS epidemic in Swaziland contoured age patterns of mortality where …

Not On My Street: Exploration Of Culture, Meaning And Perceptions Of Hiv Risk Among Middle Class African American Women, Corliss D. Heath

USF Tampa Graduate Theses and Dissertations

Black women remain at a higher risk for HIV infection than women of any other ethnic group. Of all new infections reported among U.S. women in 2010, 64% occurred in African Americans compared to 18% Whites and 15% Hispanic/Latina women (CDC 2013a; CDC 2014b). While the literature on HIV risk among African American women is extensive, it mostly focuses on low income, low education subgroups of women or those involved in high risk behaviors such as drug use. Very little has been done to understand the risk for HIV among college educated, middle class women who do not fit into …

Hiv Disclosure As Practice And Public Policy, Barry D. Adam

Barry D Adam

Responses to the largest surveys of HIV-positive people in Ontario show that most either disclose to or do not have partners who are HIV-negative or of unknown status. Non-disclosure strategies and assumptions are reported by relatively small sets of people with some variation according to employment status, sexual orientation, gender, ethnicity, and having had a casual partner. Interviews with 122 people living with HIV show that disclosure is an undertaking fraught with emotional pitfalls complicated by personal histories of having misread cues or having felt deceived leading up to their own sero-conversion, then having to negotiate a stigmatized status with …

Hiv Disclosure As Practice And Public Policy, Barry D. Adam

Sociology, Anthropology, and Criminology Publications

Responses to the largest surveys of HIV-positive people in Ontario show that most either disclose to or do not have partners who are HIV-negative or of unknown status. Non-disclosure strategies and assumptions are reported by relatively small sets of people with some variation according to employment status, sexual orientation, gender, ethnicity, and having had a casual partner. Interviews with 122 people living with HIV show that disclosure is an undertaking fraught with emotional pitfalls complicated by personal histories of having misread cues or having felt deceived leading up to their own sero-conversion, then having to negotiate a stigmatized status with …

Intimacy Uncertainty And Identity In Gay Male Couples Dealing With A Serodiscordant Hiv Status, Scott Allen Eldredge

Doctoral Dissertations

When individuals are diagnosed with a chronic illness, their lives instantly change. Daily routines are interrupted and attendance to the symptoms and side effects of illness and medication becomes a daily chore. However, the patient is not the only one that feels the disruptive effects of illness and the partner of the chronically ill patient must also contend with the daily effects of an illness that they themselves do not have. In the case of HIV, the infectious nature of the disease, along with the stigma associated with the disease, serve to be additional sources of stress in an already-stressful …

“Work What You Got”: Political Participation And Hiv-Positive Black Women’S Work To Restore Themselves And Their Communities, Monica L. Melton

Journal of Interdisciplinary Feminist Thought

Black women’s rates of HIV/AIDS infection have skyrocketed in comparison to other racial and ethnic groups over the past thirty years. Despite these rates, HIV-positive Black women’s perspectives are rarely sought regarding best practices to eradicate and interrupt HIV/AIDS among African American women, even though historically Black women have often proved phenomenal agents of social change. HIV-positive Black women’s activism has been understudied and input from the community in crisis has rarely been deemed as valuable to public health officials in HIV/AIDS prevention and interventions. Through the narratives of thirty HIV-positive Floridian Black women, I present HIV-positive Black women’s political …

Social Actors Fight The Rising Tide Of Hiv In U.S. Southern Poor, Courtenay Sprague, Sara E. Simon

Center for Peace, Democracy and Development Publications

The greatest number of persons living with HIV in the United States are now living in the South, and they face poorer health outcomes and increased AIDS-related deaths as compared to the rest of the country. The southern United States has a disproportionate share of low-income individuals, with many lacking access to health care and health insurance. Health facilities are also comparatively fewer and more difficult to reach than in other areas of the United States. The impacts of this already poor health infrastructure on low-income people living with HIV in the South can be life-threatening.

This policy brief summarizes …

Yes We Can: A Dyadic Investigation Of Cognitive Interdependence, Relationship Communication, And Optimal Behavioral Health Outcomes Among Hiv Serodiscordant Same-Sex Male Couples, Kristine Elizabeth Gamarel

Dissertations, Theses, and Capstone Projects

Research suggests that couples who adopt a "we" orientation in relation to illness demonstrate greater resiliency and an increased capacity to cope with stressors. HIV serodiscordant couples (one partner is HIV-positive, the other is HIV-negative) have been identified as a critical mode of HIV transmission. The present study integrates dyadic coping models and interdependence theory to examine whether cognitive interdependence (i.e., the extent to which couples include aspects of their partner into their self-concept) and communication strategies are associated with sexual behavior, antiretroviral therapy (ART) adherence, depressive symptoms, sexual satisfaction, and relationship satisfaction. The study also tested whether the associations …

Hiv And Sti Risk For Young Blacks In High Prevalence Areas: Implications For Health Equity In Communities Hosting Historically Black Colleges And Universities (Hbcus), Tanya Telfair Leblanc, Madeline Y. Sutton, Peter Thomas, Wayne A. Duffus

Journal of Health Disparities Research and Practice

Background

Every year, thousands of young, black, high school graduates who are seeking higher education, attend one of the 105 historically black colleges and universities (HBCUs) located primarily in the south and east. The objective of the research was to examine the geographic proximity of HBCUs to areas of high HIV and STI disease burden among college age people to assess infectivity of potential sex partners in the areas surrounding HBCUs.

Methods

We examined the 14 states reporting the greatest HIV diagnoses burden among persons age 20-24 years old and STI burden among persons age 15 to 24 years old …

To Test Or Not To Test: Barriers And Solutions To Testing African American College Students For Hiv At A Historically Black College/University, Naomi M. Hall-Byers, Jennifer Peterson, Malynnda Johnson

Journal of Health Disparities Research and Practice

Young African Americans are disproportionately affected by sexually transmitted infections, including HIV. The purpose was to identify reasons that African American college students at a historically Black college/university (HBCU) identified as barriers to HIV testing, and how these barriers can be removed. Fifty-seven heterosexual-identified undergraduate students (ages 18-25) attending an HBCU in the southeastern US participated in the study. Latent content analytic techniques were used to code the transcripts for themes and categories, and representative quotations were used in the findings. Qualitative data indicates three main themes used to avoid testing and three themes to encourage testing. Students were forthcoming …

The Human/Animal Interface: Emergence And Resurgence Of Zoonotic Infectious Diseases, Michael Greger

Michael Greger, MD, FACLM

Emerging infectious diseases, most of which are considered zoonotic in origin, continue to exact a significant toll on society. The origins of major human infectious diseases are reviewed and the factors underlying disease emergence explored. Anthropogenic changes, largely in land use and agriculture, are implicated in the apparent increased frequency of emergence and reemergence of zoonoses in recent decades. Special emphasis is placed on the pathogen with likely the greatest zoonotic potential, influenzavirus A.

Maximizing Doctor-Patient Communication Of A Positive Hiv/Aids Test Result: A Best Practices Approach, Vikki Yashandra Spann

Dissertations

The purpose of this study was to examine healthcare practitioner (HCP) communication of a positive human immodeficiency syndrome/acquired immunodeficiency syndrome (HIV/AIDS) test result in an effort to find best practices. The population of this study included healthcare practitioners who had to disclose a positive HIV/AIDS status to a patient. Data from specific accounts recalled by the healthcare practitioners were analyzed using grounded theory approach. The first research question was concerned with the strategies used by healthcare practitioners. The results indicated that there are two primary strategies used in HIV/AIDS disclosure: strategic interactive facilitation and strategic interactive force. The second and …

Dynamic Social Support Networks Of Younger Black Men Who Have Sex With Men With New Hiv Infection, Dexter R. Voisin

Faculty Scholarship

Rising rates of HIV infection among younger black men who have sex with men (YBMSM) in the USA have generated a public health emergency. Living with HIV requires deep and persistent social support often available only from close confidants. Enlisting endogenous support network members into the care of HIV-infected YBMSM may help shape sustainable supportive environments, leading to long-term improvements in mental and HIV-specific health outcomes. The present study examined trends in support network change over time after new HIV diagnoses among 14 YBMSM. Participants completed a social network survey that utilized sociograms to record support confidants (SCs) preceding HIV …

Understanding Hiv Care Delays In The Us South And The Role Of The Social-Level In Hiv Care Engagement/Retention: A Qualitative Study, Courtenay Sprague, Sara E. Simon

Center for Peace, Democracy and Development Publications

Introduction: In a significant geographical shift in the distribution of HIV infection, the US South - comprising 17 states - now has the greatest number of adults and adolescents with HIV (PLHIV) in the nation. More than 60% of PLHIV are not in HIV care in Alabama and Mississippi, contrasted with a national figure of 25%. Poorer HIV outcomes raise concerns about HIV-related inequities for southern PLHIV, which warrant further study. This qualitative study sought to understand experiences of low-income PLHIV on the AIDS Drug Assistance Program in engagement and retention in continuous HIV care in two sites in Alabama. …

“Because We Have Really Unique Art”: Decolonizing Research With Indigenous Youth Using The Arts, Sarah Flicker, Jessica Yee Danforth, Ciann L. Wilson, Vanessa Oliver, June Larkin, Jean-Paul Restoule, Claudia Mitchell, Erin Konsmo, Randy Jackson, Tracey Prentice

Psychology Faculty Publications

Indigenous communities in Canada share a common history of colonial oppression. As a result, many Indigenous populations are disproportionately burdened with poor health outcomes, including HIV. Conventional public health approaches have not yet been successful in reversing this trend. For this study, a team of community- and university-based researchers came together to imagine new possibilities for health promotion with Indigenous youth. A strengths-based approach was taken that relied on using the energies and talents of Indigenous youth as a leadership resource. Art-making workshops were held in six different Indigenous communities across Canada in which youth could explore the links between …

Bartram Healthy Lifestyles Initiative, James Barrett, James Seternus

Bridging the Gaps Posters 2014

No abstract provided.

Weathering The Storm: Botswana's Culture Of Care, Lengwe-Katembula Mwansa, Gloria Jacques

The Journal of Sociology & Social Welfare

Botswana, a semi-desert southern African state ranked among the poorest in the world in the 1960s and 1970s, has emerged as an upper middle income country in the new millennium and a beacon of democracy and good governance on the continent and in the world. Since the discovery of diamonds, Botswana has prudently utilized the ensuing wealth to improve the lives of her citizens. Through a succession of National Development Plans the state has provided social services that have addressed many of the needs of the population. This trend has continued into the challenging era of the world economic crisis …

Communication About Hiv In The Black Gay Community: Factors That Influence Willingness To Ask A Partner To Wear A Condom, Ask A Partner's Hiv Status, And Disclose One's Hiv Own Status, Deion Scott Hawkins

Theses, Dissertations and Capstones

The CDC (2013) reported an unparalleled 50 percent increase in HIV infections in young Black MSM from 2003 to 2009. Dense, homogenous sexual networks are believed to be a major contributing factor to unparalleled transmission rates; if so, communication within these networks about HIV status and condom use is essential to fighting this epidemic. Yet there is a dearth of research on how Black gay men communicate about condom use and HIV status. This study explored how perceived risk, HIV knowledge, perceived trust, desire for a masculine partner, and perceived mate value influenced three important HIV risk-reducing communication behaviors: willingness …

"It Was Nice To Wake Up From That One" : An Exploratory Qualitative Content Analysis Of Vivid Dreams And Nightmares Reported By People Living With Hiv/Aids As Side Effects Of Efavirenz, Joel C. Coburn

Theses, Dissertations, and Projects

This is an exploratory, qualitative content analysis of 50 vivid dream and nightmare narratives posted to an online forum by people living with HIV/AIDS and taking the anti-HIV drug Efavirenz. It examines thematic connections among the dreams with consideration of how these themes might be linked to and reflective of complex subjective experiences of living with HIV/AIDS. This thesis demonstrates that the phenomenon of vivid dreams and nightmares as purported side effects of Efavirenz is of substantial interest to people living with HIV/AIDS. Furthermore, it argues that vivid dreams and nightmares experienced by people living with HIV/AIDS and taking Efavirenz …

Hcv Among Male Injection Drug Users And Their Female Partners In Almaty, Kazakhstan: Implications For Hcv Treatment And Prevention, Nabila El-Bassel, Louisa Gilbert, Chris Beyrer, Assel Terlikbayeva, Elwin Wu, Xin Ma, Mingway Chang, Stacey Shaw, Baurzhan Zhussupov, Tim Hunt, Sholpan Primbetova, Yelena Rozental

Faculty Publications

HCV infection is a serious concern among people who inject drugs. Despite imposing a major disease burden in countries with high rates of injection drug use such as Kazakhstan, other Central Asian and East Asian countries, Eastern Europe, and Russia, HCV remains an understudied issue. This study includes 728 individuals (364 couples) from Almaty, Kazakhstan, where at least one member of the dyad reported recent injection drug use. Participants were recruited to participate in a couple-based HIV prevention study. We examine the prevalence of HCV and co-infections between HCV and HIV, correlates of HCV, and the association between HCV prevalence …

Mental Health Service Utilization Among People With Mental Illness : An Examination Of Predictors And The Influence Of Substance Abuse And Hiv, Man-Chun Chang

Legacy Theses & Dissertations (2009 - 2024)

Many people who could benefit from mental health services do not receive them. The objective of this study is to use nationally representative data to systematically investigate correlates of types of mental health treatments and examine the interaction effects between self-perceived treatment need and demographic characteristics.