Monday, December 1, 2014

AIDS in America


What is it?
HIV” stands for Human Immunodeficiency Virus. This virus hides in the body for a long time unlike the other infections that the immune system can detect. When the internal body’s environment is favorable the HIV starts to invade particular type of cells called T-cells. The invading virus forces the infected cell to make copies of the virus and destroy T-cells.

            AIDS is Acquired Immunodeficiency Syndrome. It is the last stage of HIV; although people who have HIV not always progress to AIDS. There is a treatment that helps the HIV virus to stop growing. Due to the fact that AIDS is an accumulation of more than one disease it is referred to as a syndrome (What is AIDS?, 2002).


What is Driving The Epidemic?

The AIDS epidemic is a health threat that touches the livesof many Americans today. AIDS is a silent killer that takes no prisoners and favors neither the young nor the old. The affect that a disease like AIDS can have on a population is no doubt devastating, but there are also troubling factors that come to light when the statistics are analyzed. These figures reveal a deeper cause of the persistence of the AIDS epidemic in America.

HIV has infected more than 1.2 million people the United States and roughly 14 % these people don’t know that they are living with an HIV infection. In the past 10 years, the amount of people living with HIV has increased http://www.cdc.gov/hiv/risk/gender/msm/facts/index.html/ (CDC, 2014). It is believed that around 50,000 of people acquire new HIV infections per year (HIV & AIDS in USA, 2013).  According to the CDC 48 thousand people were diagnosed with HIV and 28 thousand people were diagnosed with AIDS in 2012.
According to the HIV & AIDS in USA (2013), “Since the beginning of the HIV and AIDS epidemic, 600,000 people have died of AIDS-related illnesses”.  About 13 thousand of the people who have been diagnosed with AIDS died in the year of 2011, although their deaths are not always be related to AIDS.

Who is Most Affected?

CDC. HIV prevalence estimates—United States, 2006MMWR 2008;57:1073-76.
  • Those Living at or below the poverty line
  • Minorities; African American, Latino etc.
  • Men who engage in sexual activities with other men
  • Those who engage in sharing needles or other intravenous drug use.



HIV Prevalence Rate, by Race/Ethnicity
According to Derrer (2014) African Americans make up 14% of the US population but they represent 44% of new HIV cases.  Together African American and Latino populations make up 68% of new infections in our country (Avert, 2014).  African Americans also account for 48% of the deaths from HIV and in 2010 HIV was the fifth leading cause of death among African Americans (Kaiser Family Foundation, 2014). 
 The picture is even bleaker in black women, teens, and children. Among youths and women those of African American and Latino descent also make up a larger percentage of new infections, among women African Americans made up 64% of new infections in 2010 while African American youths (13-24 years) made up 33% of new infections (Kaiser Family Foundation, 2014).  This gross racial disparity must be addressed through better AIDS education programs and health resources being made available to minorities, particularly women.
In addition to the disproportionate racial makeup of AIDS victims there is also a large difference in how it affects those living in poverty. According to a CDC study (as cited in HIV/AIDS Epidemic, 2014) Individuals living below the poverty line were twice as likely to be HIV infected as those who lived in the same community but lived above the poverty line, (2.3% prevalence vs. 1%).
These figures point to the existence of a socioeconomic disparity in those who contract aids. There is a need in impoverished communities for services such as affordable healthcare to help combat the AIDS crisis. In order to effectively fight AIDS the underlying causes of racial inequality and poverty must be addressed.
Perhaps the most affected by HIV/AIDS is the LGTBQ community.  While homosexual males only constitute an estimated 2% of the population they make up the largest number of new infections at 63% (Kaiser Family Foundation, 2012).  Lack of preventative education and lack of awareness of their infection status are both causes for the prevalence of HIV infection among this population (Wejnert, 2013).  A study that collected data in 2008 and 2011 on HIV infection awareness among gay men found that men in 2011 were more aware of their infection status than in 2008.  Of those men who knew their status it was reported that age, income and education were important factors in whether or not men of this community were aware of their infection status (Wejnert, 2013).  Despite increasing awareness only 66 percent of homosexual men living with HIV know that they are infected, this lack of awareness accounts for the diseases high transmission rates among this population (Avert, 2014). 
How do we combat the Issue?         
While lack of awareness is a serious factor in the transmission rate there are other elements that education and access to health care can address.  Below are some transmission means that education and awareness can help circumvent:
1.     HIV/AIDS is a sexually transmitted disease. HIV infection can be transmitted though some body fluids like; pre-seminal fluid, semen, vaginal and rectal fluids. The transmission of HIV can be prevented by using condoms and other contact barriers.
Solution; Providing sex education and easy affordable access to condoms.
2.     Intravenous drug use and sharing syringes can also spread the disease. 
Solution; Providing easy access to needle swap programs, drug rehab and drug safety education.
3.Blood transfusion: transferring contaminated blood to a healthy patient or using and infected instrument.
           Solution; Following strict protocol for blood testing prior to transfusion and donation.
3.     Breast milk: infected mother can transfer the infection to her infant via breast-feeding.
Solution; Increasing awareness of infection status, access to infant formula, medication and changing cultural stigma regarding HIV status.
7. Sharing the personal tools like toothbrush: if the infected person has a bleeding gum or even through saliva, although this method is less likely.
Solution; Increasing awareness of infection status, and decreasing the cultural stigma surrounding being HIV positive.  If you are not worried about feeling ashamed of admitting to your infection status then you are able to protect those around you from engaging in activities that may put them at risk of infection.  By being honest with them you make them you put yourself in a position to educate them on ways to protect themselves.
8.  Kissing if the infected person has an open wound in lips or bleeding gum according to how do you get HIV or AIDS (2014).
                        Solution; Increasing awareness of infection status, and decreasing the cultural stigma s                         surrounding being HIV positive.

Group 17;

         
Written by: Madeline Ritter, Wejdan Hawsawi,  Isaac Ross and Juwairiyah Rashidahmed. (12/01/2014).

References
 AVERT.(2014, February 6). HIV & AIDS among African Americans. Retrieved November 20, 2014, from http://www.avert.org/hiv-aids-among-african-americans.htm#footnote4_cr3p4kj

Bowers, J. R., Branson, C. M., Fletcher, J. B., & Reback, C. J. (2012). Predictors of HIV sexual
            risk behavior among men who have sex with men, men who have sex with men and
women, and transgender women. International Journal of Sexual Health, 24(4), 290-302.

Centers for Disease Control and Prevention. (n.d.). HIV among gay and bisexual men fact sheet. Retrieved November 18, 2014, from http://www.cdc.gov/hiv/risk/gender/msm/facts/index.html/

Derrer, D. (2014, January 1). HIV and AIDS in Blacks: An Alarming Crisis. Retrieved November 29, 2014, from http://www.webmd.com/hiv-aids/hiv-aids-in-blacks-alarming-crisis

Guilarte, T. R. (2001). Is methamphetamine abuse a risk factor in parkinsonism?.
 Neurotoxicology, 22(6), 725-731.

HIV Among Gay and Bisexual Men Fact Sheet. (n.d.). Retrieved November 18, 2014, from 

HIV & AIDS Among African Americans. (2014, February 6). Retrieved November 20, 2014, from http://www.avert.org/hiv-aids-among-african-americans.htm#footnote4_cr3p4kj

How do you get hiv or aids. (2014, June 16). Retrieved November 18, 2014, from

HIV, H., & LONG, H. (2002). What is AIDS?. Medical Care, 916, 874-7720.

Kaiser Family Foundation. (2014, July 7). The HIV/AIDS epidemic in the United States. Retrieved November 18, 2014, from http://kff.org/hivaids/fact-sheet/the-hivaids-epidemic-in-the-united-states/
                                        

Selik, R. M., Castro, K. G., Pappaioanou, M., & Buehler, J. W. (1989). Birthplace and the risk of
 AIDS among Hispanics in the United States. American Journal of Public Health, 79(7), 836-839.
Today's HIV/AIDS Epidemic. (2014, January 1). Retrieved December 1, 2014, from http://www.cdc.gov/nchhstp/newsroom/docs/hivfactsheets/todaysepidemic-508.pdf

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