With the development of effective antiretroviral therapies (ART) in the mid-1990s, HIV became a treatable although serious condition, and people who are adherent to HIV medications can attain normal or near-normal life expectancies. Because of the success of ART, people 50 and older now make up a majority of people with HIV in high-income countries and other places where ART is accessible. The aging of the HIV epidemic is a global trend that is also being observed in low- and middle-income countries, including countries in sub-Saharan Africa, where the greatest number of older people with HIV reside (3.7 million). While globally over half of older adults with HIV are in sub-Saharan Africa, we have little information about the circumstances, needs, and resiliencies of this population, which limits our ability to craft effective policy and programmatic responses to aging with HIV in this region. At present, our understanding of HIV and aging is dominated by information from the U.S. and Western Europe, where the epidemiology of HIV and the infrastructure to provide social care are markedly different than in sub-Saharan Africa. Aging with HIV in Sub-Saharan Africa addresses this gap in our knowledge by providing current research and perspectives on a range of health and psychosocial topics concerning these older adults from across this region. This volume provides a unique and timely overview of growing older with HIV in a sub-Saharan African context, covering such topics as epidemiology, health and functioning, and social support, as well as policy and program implications to support those growing older with HIV. There are very few published volumes that address HIV and aging, and this is the first book to consider HIV and aging in sub-Saharan Africa. Most publications in this area focus on HIV and aging in Uganda and South Africa. This volume broadens the scope with contributions from authors working in West Africa, Botswana, and Kenya. The range of topics covered here will be useful to professionals in a range of disciplines including psychology, epidemiology, gerontology, sociology, health care, public health, and social work.

As we approach the 21st century, we also approach the third decade of the AIDS epidemic. Mental health care providers must face the crucial fact that the human immunodeficiency virus (HIV) and the condition it causes, Acquired Immune Deficiency Syndrome (AIDS) is the leading cause of death among Americans aged 25-44 years.

HIV Mental Health for the 21st Century provides a roadmap for mental health professionals who seek to develop new strategies aimed at increasing the longevity and quality of life for people living with HIV/AIDS, as well as at controlling the future spread of the disease. Divided into five sections, this volume covers basic concepts in HIV/AIDS mental health; specialized aspects of HIV/AIDS clinical care; models of clinical care; program evaluation; and HIV mental health policy and programs. Chapters treat issues such as feelings of caregivers, the role of spirituality in mental health care, rural practice, mental health home care, and working with children.

This innovative collection offers a wide-ranging palette of psychological, public health, and sociopolitical approaches toward addressing the multi-level prevention needs of gay men living with HIV and AIDS. This book advances our understanding of comprehensive health care, risk and preventive behaviors, sources of mental distress and resilience, treatment adherence, and the experiences of gay men's communities such as communities of color, youth, faith communities, and the house ball community. Interventions span biomedical, behavioral, structural, and technological approaches toward critical goals, including bolstering the immune system, promoting safer sexual practices, reducing HIV-related stigma and discrimination, and eliminating barriers to care. The emphasis throughout these diverse chapters is on evidence-based, client-centered practice, coordination of care, and inclusive, culturally responsive services. Included in the coverage: Comprehensive primary health care for HIV positive gay men From pathology to resiliency: understanding the mental health of HIV positive gay men Emerging and innovative prevention strategies for HIV positive gay men Understanding the developmental and psychosocial needs of HIV positive gay adolescent males Social networks of HIV positive gay men: their role and importance in HIV prevention HIV positive gay men, health care, legal rights, and policy issues Understanding Prevention for HIV Positive Gay Men will interest academics, researchers, prevention experts, practitioners, and policymakers in public health. It will also be important to research organizations, nonprofit organizations, and clinical agencies, as well as graduate programs related to public health, consultation, and advocacy.

Much has happened since the first appearance of AIDS in 1981: it has been identified, studied, and occasionally denied. The virus has shifted host populations and spread globally. Medicine, the social sciences, and world governments have joined forces to combat and prevent the disease. And South Africa has emerged as ground zero for the pandemic.

The editors of "HIV/AIDS in South Africa 25 Years On" present the South African crisis as a template for addressing the myriad issues surrounding the epidemic worldwide, as the book brings together a widely scattered body of literature, analyzes psychosocial and sexual aspects contributing to HIV transmission and prevention, and delves into complex intersections of race, gender, class, and politics. Including largely overlooked populations and issues (e.g., prisoners, persons with disabilities, stigma), as well as challenges shaping future research and policy, the contributors approach their topics with rare depth, meticulous research, carefully drawn conclusions, and profound compassion. Among the topics covered:

The relationship between HIV and poverty, starting from the question, "Which is the determinant and which is the consequence?"

Epidemiology of HIV among women and men: concepts of femininity and masculinity, and gender inequities as they affect HIV risk; gender-specific prevention and intervention strategies.

The impact of AIDS on infants and young children: risk and protective factors; care of children by HIV-positive mothers; HIV-infected children.

Current prevention and treatment projects, including local-level responses, community-based work, and VCT (voluntary counseling and testing) programs.

New directions: promoting circumcision, vaccine trials, "positive prevention."

South Africa's history of AIDS denialism.

The urgent lessons in this book apply both globally and locally, making" HIV/AIDS in South Africa 25 Years On "uniquely instructive and useful for professionals working in HIV/AIDS and global public health.

This book, written decades into the HIV epidemic, reflects critically on the idea that the socially excluded populations often focused on in HIV research are in fact difficult to access and reach. The author broadly applies the concept 'hard to reach' to characterize populations that researchers find difficult to engage with. Social factors that produce marginalization and ultimately result in people choosing not to engage in research are not captured by the concept of 'hard to reach'. Limited attention has focused on how researchers can address the social factors that result in decisions to not engage in research. Disrupting the ways in which people are conceptualized as 'hard to reach' so as to refocus on transforming social systems and personal values, beliefs and approaches is understudied. This book uses case examples based on HIV research with Indigenous youth, internally displaced women, LGBTQ communities in the Global North and Global South, and persons at the intersection of these identities, to identify successful approaches to working with marginalized and often vulnerable communities and groups. The chapters signal the need for attention to five key social factors when developing successful approaches: context and storytelling; cultural humility; critical hope; imagination and possibility; and love, intimate inquiry, and the beloved community, if nations, individuals and communities are to address the epidemic in a sustainable and impactful way.

Grunge. Flannel. Generation X. In 1993, Seattle was the capital of the world, Nirvana was king, and slackers were everywhere. When the Red Hot organization, a group of activists dedicated to raising money and awareness of AIDS, released their third compilation CD featuring the biggest bands of the era--Soundgarden, Smashing Pumpkins, Beastie Boys, The Breeders, Nirvana and more it quickly became the touchstone of a generation.  Rolling Stone called No Alternative a "jaw-dropping compilation of musical gems." This book takes a look back at what happened to the bands involved with the No Alternative. In includes new interviews with the musicians and others behind the record, and chronicles the downfall of an industry, the taming of a devastating illness, and the arrival of another global pandemic. It's about growing up, saying goodbye, and proving once more that you can't go home again (even if that's where you left all of your CDs).

HIV continues to be a profound challenge facing communities nationally and internationally. Until a vaccine or a cure is found, prevention remains a most crucial line of defense. However, the successes made to reduce exposure and transmission have not benefited all communities equally. HIV continues to affect vulnerable communities, and HIV-related health disparities are growing. The work documented in Innovations in HIV Prevention Research and Practice through Community Engagement spotlights the effectiveness of community involvement to reduce HIV infections in the United States. This timely resource introduces the concepts of community engagement, partnership, and community-based participatory research (CBPR). Contributors provide detailed examples of these concepts in which diverse research partners blend their unique insights and skills to arrive at an authentic understanding of phenomena and inform the translation of best practices and processes to enhance equity in HIV prevention and treatment. Equitable interactive collaboration is central to these efforts, in which community members and representatives from organizations, the scientific and medical sectors, and other relevant agencies nurture long-term health improvement through sustained teamwork. Challenges and barriers to effective engagement are identified, as are characteristics of successful partnerships. Included in the book: Details of a multigenerational HIV prevention intervention in a rural southeastern community. The challenges and successes of developing, implementing, and evaluating an intervention for higher-risk predominately heterosexual black men in college. The history of gay community involvement in HIV prevention and its contributions to the theory and current practice of engagement. Next steps in the integration of HIV-related policy change and research. Community engagement within American Indian communities. Keys to sustaining a CBPR partnership to prevent HIV within ethnic, sexual, and gender minority communities. Innovations in HIV Prevention Research and Practice through Community Engagement offers researchers and practitioners in public health, community health, and medicine guidance on community engagement that is both inspiring and realistic. "Community engagement and knowledge continue to be essential to prevent HIV infections. This book is a compilation of the state-of-the-science of engagement and delves deeper into the meaning and utilization of community-based participatory research, with implications that reach beyond the HIV epidemic to public health and medicine in general." - Laura C. Leviton, PhD, Senior Advisor for Evaluation, Robert Wood Johnson Foundation, Princeton, NJ

This book offers an original anthropological approach to the AIDS epidemic in South Africa. Based on a more than fifteen years association with the region, it demonstrates why AIDS interventions in the former homeland of Venda have failed and possibly even been counterproductive. It does so through a series of ethnographic encounters, from kings to condoms, which expose the ways in which biomedical understanding of the virus have been rejected by and incorporated into local understandings of health, illness, sex, and death. Through the songs of female initiation, AIDS education, and wandering minstrels, the book argues that music is central to understanding how AIDS interventions operate. This book elucidates a hidden world of meaning in which people sing about what they cannot talk about, where educators are blamed for spreading the virus, and in which condoms are often thought to cause AIDS. The policy implications are clear: African worldviews must be taken seriously if AIDS interventions in Africa are to become successful.

After reviewing related theories on stigmatisation of people living with HIV/AIDS (PLWHA), this book applies social exclusion theory, actor theory and stigma theory to the study of social mechanisms of stigmatisation of PLWHA in China to show the influence and mechanism of stigmatisation on them, and tries to construct the policy framework to tackle stigmatisation from the perspective of welfare pluralism. Qualitative analysis was used and data was obtained during the field interview. Thirty PLWHA and seventeen healthy people (non-infected people and staff of ASO Service Organizations) were selected by using random sampling and snowball sampling for semi-structured depth interviews. The research examines the treatments and living conditions of those PLWHA, aiming to explore the influence of HIV on them in education, employment, medical care, economy, welfare and social relations. The book is intended for graduate students, researchers interested in this field and relevant policymakers.

HIV & AIDS together constitute one of the most serious challenges to human life in our time. The consequences are often grave for individuals, families, whole communities and nations. How can Christians respond to this worldwide problem? This book is designed to equip church leaders and their communities with the means to save, protect and prolong lives, and, above all, enable people to live positively in the face of the HIV & AIDS epidemic. The authors forcefully argue this involvement to be seen, not as an additional activity to ministry, but as a calling that enriches ministry's essential meaning and value. Byamugisha's straightforward explanation of HIV & AIDS and suggestions for Christian responses are complemented by case studies from around the globe.

This book examines the responses of African Initiated Churches to HIV in Zimbabwe. It describes the changing attitudes of African Initiated Churches to the pandemic, exploring the adjustments that have been undertaken to both doctrine and practice within the movement. The contributors show how the rigidity that often characterizes African Initiated Churches (such as opposing the use of condoms, insisting on polygamy and insisting exclusively on faith healing) have gradually given way to more constructive approaches to HIV and AIDS .

This book considers the change in rhetoric surrounding the treatment of AIDS from one of crisis to that of 'ending AIDS'. Exploring what it means to 'end AIDS' and how responsibility is framed in this new discourse, the author considers the tensions generated between the individual and the state in terms of notions such as risk, responsibility and prevention. Based on analyses public health promotions in the UK and the US, HIV prevention science and engaging with the work of Foucault, this volume argues that the discourse of 'ending AIDS' implies a tension-filled space in which global principles and values may clash with localised needs, values and concerns; in which evidence-based policies strive for hegemony over local, tacit and communal regimes of knowledge; and in which desires compete with national and international ideas about what is best for the individual in the name of 'ending AIDS' writ large. As such, it will appeal to scholars of sociology and media studies with interests in the sociology of medicine and health, medical communication and health policy.

Almost four decades since AIDS was first reported in Africa, the epidemic has reached a watershed moment where progress in prevention, care and support programs confronts intransigent socioeconomic and gender rights barriers and emerging funding uncertainties. While there are grounds for cautious optimism that the incidence of HIV infections and AIDS-related mortality can be further reduced, they cannot, by themselves, end the epidemic. This will require overcoming gendered inequalities, HIV stigma and neglect of high-risk youth and socially peripheralized groups.

This groundbreaking book presents compelling data and research which reveals the shocking social and economic impact of HIV/AIDS on a global scale. Barnett and Whiteside—experts in the field for over 15 years—argue that it is vital to not only look at the disease in terms of prevention and treatment, but to also consider consequences which affect households, communities, companies, governments, and countries. This is a major contribution toward understanding the global public health crisis, as well as the relationship between poverty, inequality, and infectious diseases.

Womanist AIDS Activism in the United States: "It's Who We Are" is an in-depth exploration of AIDS advocacy work among Black women. HIV/AIDS has had a disproportionate impact on Black women. In addition to high infection and mortality rates, they are likely to be responsible for the caretaking of family, friends, and community members with HIV. Angelique Harris and Omar Mushtaq conducted interviews with 36 activists from across the nation to examine the ways in which race, gender, and identity influence the motivations and approaches behind their work. The authors use womanism - an epistemological framework that centers the world views of women of color - to better situate this activism within a larger sociocultural and historical context. They also argue that womanism better encapsulates the experiences of Black women than feminism or Black feminism. The authors provide an in-depth analysis of womanism and propose how it can be applied more broadly in examinations of community engagement among women of color, specifically Black women.

This book provides a unique comparative approach to the politics of HIV/AIDS throughout the world.It features a stellar line-up of scholars including Nana Poku, Tony Barnett, Dennis Altman, Suzanne Leclerc-Madlala, Steven Robins, May Chazan, Beril Egero and Mikael Hammarskjold. It is an excellent accompaniment to Barnett and Whiteside's AIDS in the Twenty-First Century - going deeper into issues explored there. It places African case studies in comparative perspective with Asia, Australasia, Latin America and Europe.HIV/AIDS is the major political challenge of our time. Based on empirical observations from all over the world, this book examines how HIV/AIDS has become increasingly transnational, as nation states have extended their programmes across borders, and transnational networks have increased their activities.

This book considers the change in rhetoric surrounding the treatment of AIDS from one of crisis to that of 'ending AIDS'. Exploring what it means to 'end AIDS' and how responsibility is framed in this new discourse, the author considers the tensions generated between the individual and the state in terms of notions such as risk, responsibility and prevention. Based on analyses public health promotions in the UK and the US, HIV prevention science and engaging with the work of Foucault, this volume argues that the discourse of 'ending AIDS' implies a tension-filled space in which global principles and values may clash with localised needs, values and concerns; in which evidence-based policies strive for hegemony over local, tacit and communal regimes of knowledge; and in which desires compete with national and international ideas about what is best for the individual in the name of 'ending AIDS' writ large. As such, it will appeal to scholars of sociology and media studies with interests in the sociology of medicine and health, medical communication and health policy.

Syringe exchange programs and safe injection services are outside-the-box interventions increasingly being used by governments, nonprofits and citizens to address dire issues percolating in tandem with America's burgeoning opioid epidemic. People who inject drugs (PWID)-almost a million Americans annually-commonly use painkillers such as heroin and fentanyl, as well as methamphetamine, benzodiazepines, barbiturates and cocaine. Yet the users themselves are often obscured or marginalized by the bigger picture. This collection of essays covers policies and practices aimed at preventing both opioid-related deaths and related infections of hepatitis and HIV.

Across Africa, HIV/AIDS is slowly killing millions of people in the prime of their lives, weakening state-structures, deepening poverty and reversing the gains in life expectancy achieved over the past century. Although many who study the dynamics of Africa's AIDS crisis accept that, to some degree, its entrenchment is a socially produced phenomenon, few have examined the contributions of the continent's ubiquitous poverty, the impact of the pervasive Structural Adjustment Programmes or Africa's marginalization in the process of globalization, on the course and intensity of the epidemic - until now. This book explores the socio-economic context of Africa's vulnerability to HIV/AIDS as well as assessing the politics of domestic and global response. Using primary and secondary data, the book charts the power relations driving Africa's HIV/AIDS epidemic, frustrating the possibility of alleviation and recovery as well as working to relegate the continent to a bleak and vulnerable future. In this sense, this book marks a radical departure by providing a comprehensive analysis of Africa's vulnerability to AIDS and the challenges confronting policy makers as they seek to reverse the escalating prevalence of AIDS on the continent. The volume will be of immense value to all those interested in Africa's socio-political and economic development. It will be essential reading for students of comparative politics, international relations, and globalization.

Sub-Saharan Africa is a region devastated by HIV/AIDS. The extent of the epidemic is only now becoming clear, as increasing numbers of people with HIV are becoming ill. In the absence of massively expanded prevention, treatment and care efforts, the AIDS death toll on the continent is set to escalate rapidly. Despite progress being achieved in localized settings, the alarming statistics reflect the continuing failure of advanced countries to mount a response that matches the scale and severity of the African HIV/AIDS crisis. Over and above the colossal personal suffering, the dire social and economic consequences for fragile nation-states are already being felt, not only in health but in education, industry, agriculture, transport, human resources and economies in general. Countries already crippled by drought, poverty, debt, forced migration and civil war must now contend with massive deterioration in child survival rates and life expectancy, the erosion of the economic family base, massive and insupportable demands on health and public services, chronic labour shortages and volatile national security. Through a critical and detailed exploration of specific case studies, this invaluable volume brings together an unparalleled array of international contributors to redefine the political and economic contours of this calamitous epidemic. It examines the impact of the shortfalls in the 'Global Fund' allocation, the slow pace of administrative processing of aid and the weaknesses of institutional responses to the crisis from African countries and their partners in the global health community. It is essential reading for all concerned with public health, epidemiology, HIV/AIDS research, globalization, development, Africa and indeed our shared future. Features include: " Unique assessments of HIV/AIDS and its impact on democracy and governance in African states " Wide-ranging regional and country studies by the foremost thinkers in their fields " Multi-disciplinary contributions from areas including: Politics, Sociology, Public Health and Development Studies " Compelling and convincing evidence, thematic in approach " Innovative and culturally specific insights for long-term planning, care and support

This book addresses the impact of HIV on populations of men who have sex with men in Africa and local responses to the issue. It documents the enduring existence of a rich variety of same-sex practices between men. More critically, it analyses how the denial and social rejection of same-sex sexuality, together with the legacy of criminalization by former colonial rulers, has not only fueled the transmission of HIV between men, but has also impeded an effective response. The book also documents some of the outstanding progress that has been made and acknowledges the differences between African countries. Through its focus on lived realities and grassroots activism in Africa, this book will appeal to researchers, policy makers and practitioners alike.

Identifying the existing challenges and shortfalls of China's current HIV/AIDS programming, this book provides an understanding of the history of HIV/AIDS in China, comparing government responses to global best practice in prevention and treatment. Considering three key populations in China, namely, female sex workers, people who inject drugs and floating migrants, Living in the Shadows of China's HIV/AIDS Epidemics highlights the effects of high mobility and marginalisation on the spread of HIV in China. It is argued that these groups often suffer from stigmatisation and a lack of human security, resulting in sub-optimal outcomes for HIV/AIDS intervention and prevention efforts and the reinforcement of high-risk behaviours, further contributing to the transmission of the virus to the general population. In adding to the emerging body of literature, this book further elucidates the myriad of challenges posed by HIV/AIDS epidemics, allowing sustained engagement and a fresh insight into how governments might respond to the needs of individuals living with HIV/AIDS, both in China and globally. Including case studies which give voice to research participants in a rich and engaging way, this book will appeal to students and scholars of Chinese Studies, Asian Studies, International Relations and Political Science, as well as those engaged in epidemiological studies in the Health Sciences.

Following the detection of the first HIV infections in the early 1980s, by the 1990s Thailand was routinely depicted as having the world's fastest moving HIV/AIDS epidemic. However, by the early 2000's the bulk of scholarly and medical AIDS literature portrayed the epidemic as being largely under control, and claimed that Thai AIDS prevention efforts during the 1990s had been successful. Based on long-term ethnographic research conducted in Northern Thailand this book makes an in-depth study of the social construction of Thailand's HIV/AIDS epidemic over this period. In addition to his own field research the author draws on an extensive corpus of English and Thai language social science and medical HIV/AIDS literature to examine the modeling of Thailand's AIDS epidemic, and addresses concepts and issues such as risk groups, risk behaviour, alcohol use, gender and class, masculinity, the scapegoating of female prostitutes and men in the underclass, the reporting of the HIV/AIDS epidemic in Thailand's indigenous Thai language media, and sexual activity amongst Thai youth. The analysis demonstrates the contribution of anthropology as an interpretative social science, and the use of anthropological theory and research methods, to finding alternative ways of framing the problems of Thai AIDS and of posing new questions that will lead to more effective points of intervention. It emphasises the necessity for critically reflexive approaches that question the 'taken for granted' and demonstrates how qualitative research techniques guided by social theory have the potential to take account of local meanings in complex social contexts where traditional values and cultural practices are rapidly transforming due to economic and social change. The book offers a sustained and powerful criticism of the limitations of the normative model of the Thai AIDS epidemic and, in its aim of promoting critically reflexive AIDS research techniques in order to produce a better understanding of issues 'on the ground' and hence better health policy and more effective AIDS interventions, speaks not only to the Thai AIDS epidemic but to AIDS epidemics throughout Southeast Asia and elsewhere. This is the only English language study of Thailand's HIV/AIDS epidemic to draw on long-term qualitative research in Northern Thailand as well as on a broad range of Thai (and some Khmer language) materials. Its contextualised and subtly nuanced analysis of the AIDS epidemic and of the impact of AIDS control initiatives, in concert with the theoretical and methodological contributions it makes to AIDS research and policy and behavioural interventions, makes it a timely publication of vital interest to scholars in the social sciences, as well as to the members of non-governmental organisations and international organisations working in the HIV/AIDS, health and development fields.

This volume examines how local actors respond to Africa's high dependence on donor health funds. It focuses on the large infusion of donor money to address HIV and AIDS into Malawi and Zambia and the subsequent slow-down in that funding after 2009. How do local people respond to this dynamic aid architecture and the myriad of opportunities and constraints that accompany it? This book conceptualizes dependent agency, and the condition in which local actors can simultaneously act and be dependent, and investigates conditions under which dependent agency occurs. Drawing upon empirical data from Malawi and Zambia collected between 2005 and 2014, the work interrogates the nuanced strategies of dependent agency: performances of compliance, extraversion, and resistance below the line. The findings elucidate the dynamic interactions between actors which often occur "off stage" but which undergird macro-level development processes.

The tragedies arising from HIV and AIDS are problems faced on every continent in the world. Case studies of carefully selected countries, representative of every region of the world, are presented in this unique volume. Students, teachers, and researchers can make cross-cultural comparisons to discover how the problem is viewed in different countries, how the problem is changing, what kinds of research is being conducted worldwide to find appropriate interventions for the problem and other details of how this disease affects different societies.

Each chapter is divided into similar subsections including the history of HIV and AIDS, the prevalence of HIV and AIDS, public and political views of the problem, and preventative measures. Readers can choose one or more of these aspects and compare how each differs from country to country. Here they will find that perceptions of the problem and the perceptions of degree to which people are taking preventative measures against the disease does not always reflect the reality. This worldview will help students and scholars to think critically about how building a better understanding of how a specific social issue is viewed and handled worldwide can help build a better world community.