First published in 1997. Routledge is an imprint of Taylor & Francis, an informa company.

This study draws on feminist theory, cultural studies, the philosophy of science, and gay and lesbian studies to problematize the factual scientific discourse about AIDS, and interpret it as a political discourse. Waldby argues that much AIDS discourse relies on an implicit and unconscious equation between sexual health and heterosexual masculinity. In this equation, women, bisexual and gay men are the targets of preventative programmes, while heterosexual men tend to remain unaddressed by such programmes. Drawing upon examples of preventative policies from Australia, Britain and the USA, Waldby investigates the concept of public health and questions whose interests are represented in a "healthy society". It demonstrates the extent to which established ideas about the virus: the immune system, the HIV test and the epidemiology of the disease, rely upon unexamined, conservative assumptions about sexual identity and sexual difference.

This is not another book about how AIDS is out of control in Africa and Third World nations, or one complaining about the inadequacy of secured funds to fight the pandemic. The author looks objectively at countries that have succeeded in reducing HIV infection rates...along with a worrisome flip side to the progress. The largely medical solutions funded by major donors have had little impact in Africa, the continent hardest hit by AIDS. Instead, relatively simple, low-cost behavioral change programs--stressing increased monogamy and delayed sexual activity for young people--have made the greatest headway in fighting or preventing the disease's spread. Ugandans pioneered these simple, sustainable interventions and achieved significant results. As National Review journalist Rod Dreher put it, "Rather than pay for clinics, gadgets and medical procedures--especially in the important earlier years of its response to the epidemic--Uganda mobilized human resources." In a New York Times interview, Green cited evidence that "partner reduction," promoted as mutual faithfulness, is the single most effective way of reducing the spread of AIDS. That deceptively simple solution is not merely about medical advances or condom use. It is about the ABC model: Abstain, Be faithful, and use Condoms if A and B are impossible. Yet deeply rooted Western biases have obstructed the effectiveness of AIDS prevention. Many Western scientists have attacked the ABC approach as impossible and moralistic. Some Western activists and HIV carriers have been outraged, thinking the approach passes moral judgment on their behaviors. But there is also a troubling suspicion among a growing number of scientists who support theABC model that certain opponents may simply be AIDS profiteers, more interested in protecting their incomes than battling the disease. This book is a bellwether in the escalating controversy, offering persuasive evidence in support of the ABC approach and exposing the fallacies and motivations of its opponents.

Delve into the uncharted territory of the "hidden" drug addict--users who are not in treatment, not incarcerated, and not officially accessible for research purposes through traditional means. AIDS and Community-Based Drug Intervention Programs describes short-term interventions used to reduce the odds that these drug users will get infected by the Human Immunodeficiency Virus (HIV). The book explains new methods that are being developed, such as targeted sampling, social network analysis, geomapping, and other amalgams of both quantitative and qualitative approaches, that need to be forged to overcome the challenges of the war against AIDS. The research described in this important book was conducted under the Cooperative Agreement for AIDS Community-Based Outreach/Intervention Research funding mechanism of the National Institute on Drug Abuse (NIDA). Chapters include research on several ethnic groups, including Alaska natives, Puerto Ricans, and Navaho teens. AIDS and Community-Based Drug Treatment Programs, written by experts in the field, is a broad-based treatment of the subject by those who are actually doing the work in the trenches. Authors cover topics such as: the use of goal-oriented counseling and peer support to reduce HIV/AIDS risk quantitative and qualitative methods to assess behavioral change among injection drug users (IDUs) the importance of sampling from hidden populations in research a public health model for reducing AIDS-related risk behavior among IDUs and their sexual partners characteristics of female sexual partners of IDUs strategies used to implement random sampling strategies in the recruitment of out-of-treatment crack and IDUs ethnographic analysis of intravenous drug use analysis of contact tracing strategies employed to combat the AIDS epidemic the use of pile sorts to enhance other tools used by drug prevention programsAIDS and Community-Based Drug Intervention Programs is full of current research and useful information for professionals interested in learning about strategies for conducting HIV/AIDS research among hard-to-reach populations. Substance abuse researchers, treatment professionals, and people involved in AIDS prevention programs, state and county health departments, and criminal justice systems will find much relevant and important information to use in their daily work.

This much-needed book presents an introduction and overview of multicultural AIDS issues in social work practice. In a culturally diverse nation, it is essential that professionals look at AIDS within a cultural context in order to find the most effective treatment and prevention strategies for everyone. Emphasizing this need for a culturally sensitive approach, Multicultural Human Services for AIDS Treatment and Prevention increases social workers'often limited knowledge and experience with various social and ethnic groups. It provides specific suggestions and recommendations for program development and acts as a foundation upon which to build new strategies for policy, research, and practice. Multicultural Human Services for AIDS Treatment and Prevention emphasizes the importance of encouraging and sharing research that addresses AIDS and minority populations and assessing prevention, education, and behavioral change strategies from culturally specific and relevant perspectives. It includes chapters focusing on African Americans, Native American Indians, Hawaiians, Puerto Ricans, and Mexican prostitutes--groups that often suffer disproportionately from poverty and its myriad effects. Some topics discussed in the book are: helping clients reduce cultural dissonance how to enhance behavior change child welfare and permanency planning empowerment of clients and health care models knowledge, attitudes, and behaviors regarding HIV/AIDS cultural contradictions and ambivalence in response to AIDSMulticultural Human Services for AIDS Treatment and Prevention is an extremely useful and informative book for all professionals in social work and human services who want to be better prepared to help all groups of people. The book is also an ideal text for upper-level social work students studying topics such as multicultural issues in social work practice, AIDS in a cultural context, and health policy and health care systems.

Despite educational efforts, the majority of Americans are still under the misconception that they are not at risk from HIV/AIDS infection. In addition, the federal government only spends 2% of the total designated federal AIDS funding toward prevention. Thus, information in respect to AIDS and health communication in any comprehensive nature is almost nonexistent.; This book aims to rectify the situation by presenting detailed analysis and actions necessary to confront the AIDS pandemic on every level of the communication realm. Contributors are experienced researchers, educators, government officials, and physicians. They examine the issue from a number of standpoints, including: communication, adolescent medicine, public administration, psychology, journalism, audiology, speech and language pathology, neurological surgery, preventive medicine and public health.

Prevention through appropriate behavior is the best weapon available to fight further spread of HIV infection. However, individuals take necessary actions to prevent diseases such as AIDS only when they are properly informed and they feel motivated to respond to the information they possess. In order to achieve a clearer understanding of these two facets of the prevention process, this book examines the interplay of the messages individuals receive about AIDS at the public level and the messages exchanged between individuals at the interpersonal level. The specific purpose of the book is to provide a theoretical and conceptual foundation for understanding the pragmatic concerns related to the AIDS crisis in the United States and other parts of the world. The book represents the first systematic examination of how theory informs our understanding of AIDS and communication processes. Contributors explore the issues from a variety of theoretical and conceptual viewpoints. Their goal is to stimulate thought which will lead to the pragmatic application of the ideas presented. The chapters focus on four general communication concerns: * interpersonal interaction as it relates to choices individuals make about safer sex practices, * theory and practice of public campaigns about AIDS, * intercultural issues, and * critical and descriptive approaches for understanding news coverage of AIDS.

Written by researchers at a federally funded outreach program to combat the spread of AIDS, this book analyzes the efforts of the Miami Community Outreach Project to intervene in AIDS-related risk behavior among intravenous drug users and their sexual partners. The work provides background information on the history of AIDS, the risk behaviors of drug abusers, and federal intervention programs. It discusses the prevalence of the HIV virus in the Miami area and gives a detailed description of the project, discussing the theoretical basis for the project, the intervention strategies used, the rationale behind those strategies, and the results achieved. Appendixes provide information on the health of the subjects, the material used, and the Belle Glade Community Outreach Project modeled after the Miami project. The book begins with background information on the history of AIDS, the risk behaviors of drug abusers and their sexual partners, and federal attempts to combat the spread of AIDS. It then discusses the prevalence of the HIV virus in the Miami area, drug abusers in the community, and the Miami Community Project. Providing a detailed description, the authors discuss the theoretical basis for the Project, the intervention strategies used, the rational behind those strategies, and the results achieved. Appendixes provide information on the health of the subjects, the research manual and educational materials used, and the Belle Glade Community Outreach Project modeled after the Miami project. The book will be of interest to drug abuse and AIDS researchers as well as to clinicians and counselors.

Because of the special needs of IV drug abusers and their sexual partners, an AIDS intervention program designed for this population should address multiple objectives and requires multilevel, highly integrated interventions. This book suggests that the intervention should be community-based to be effective in reaching the greatest numbers of the target population, particularly any hidden population such as the IV drug abuse treatment programs. Such interventions should be designed to: (a) prepare various members of the community for forthcoming AIDS preventitive efforts, (b) overcome barriers to high-risk-behaviour change, and (c) bring about high-risk behaviour change among those in the community.

AIDS and the virus that causes it have challenged the world's scientists, health care systems, and public health policies as much or more than any medical problem in recorded history. Perhaps this is so because this particular infirmity constitutes more than a merely medical problem: it is enmeshed in psychological, social, cultural, political, and economic contexts. This book examines the need for pragmatic and research-based suggestions on how to address some important problems related to these contexts. Although much basic research in virology and immunology can be accomplished within the biomedical domain, biobehavioral disciplines such as behavioral medicine offer more opportunities for the comprehensive approach necessary to confront the AIDS/HIV problem. The editors of this groundbreaking volume suggest that the very nature of this constantly evolving problem encourages an approach to research and intervention/prevention efforts that emphasizes flexibility of response to changing knowledge, patterns of the pandemic, new treatments, and shifts in public opinion and behavior. A major triumph in dealing with this phenomenon would include a bridging of the gap between research and applied efforts, which has been the largest obstacle for progress to date. In this book, such previously uncharted territory is explored, opening a host of new possibilities for dealing with the very real threat of AIDS.

This book provides an overview of background information on the epidemiology, biology, and pathophysiology of HIV infection. It presents the spectrum of HIV disease from acute infection to specific syndrome. The book reviews the management of specific opportunistic infections.

In the slums of Nairobi, artist and volunteer Charles DeSantis chronicles the creation and implementation of an art immersion program, and shows how educating children to have another voice allows them to be heard.In 2006, author Charles DeSantis was selected with 11 other Georgetown University faculty members to travel to Nairobi, Kenya, as part of a program called the Kenya Immersion Group. Once there, DeSantis and the others visited many aspects of the Kenyan culture, confronting the perils of HIV/AIDS, poverty, and the challenges of mixed tribal cultures living within one region. While in Nairobi, DeSantis visited a Jesuit school for AIDS orphans, St. Aloysius Gonzaga, located in Kibera, the largest slum on the African continent. In just one square mile, Kibera is home to more than one million people.At St. Al's, DeSantis and Associate Dean Margaret Halpin both realized that the children living in such abject poverty had no form of art curriculum whatsoever at their school. After inquiring with the administration about the desire for such a program, DeSantis and Halpin received encouragement, and so spent the next year developing an Art Immersion program to be delivered over a two-week period and piloted in 2008. The program was a huge success, and DeSantis was asked to return again in 2009 and 2010, implementing updated phases of the program. He also plans to create the means by which the program can be offered annually for Kibera students. This book chronicles the path of the Art Immersion program and its incredible impact on some of the most impoverished children of Kenya. Its contents is drawn on the blogs DeSantis kept in 2008 and 2009: http: //artinkibera2008.blogspot.com/

The AIDS crisis reshaped life in Los Angeles in the 1980s and 1990s and radicalized a new generation of queer Asian Americans with a broad vision of health equity and sexual freedom. Even amid the fear and grief, Asian American AIDS activists created an infrastructure of care that centered the most stigmatized and provided diverse immigrant communities with the health resources and information they needed. Without a formal blueprint, these young organizers often had to be creative and agitational, and together they reclaimed the pleasure in sex and fostered inclusivity, regardless of HIV status. A community memoir, Love Your Asian Body connects the deeply personal with the uncompromisingly political in telling the stories of more than thirty Asian American AIDS activists. In those early years of the epidemic, these activists became caregivers, social workers, nurses, researchers, and advocates for those living with HIV. And for many, the AIDS epidemic sparked the beginning of their continued work to build multiracial coalitions and confront broader systemic inequities. Detailing the intertwined realities of race and sexuality in AIDS activism, Love Your Asian Body offers a vital portrait of a movement founded on joy.

AIDS, like Pandora's box, has unleashed and focused issues upon our twentieth century society that have caused apprehension and anticipation. This text presents realistic approaches to the prevention of HIV infection by looking at health and behavior from an environmental perspective. The text demonstrates that health cannot be separated from the total environment if we are to be effective in planning for health and HIV prevention. The view of AIDS as simply a bio-medical problem is challenged, and individual responsibility for health is enlarged. Those making decisions about HIV prevention need to respond to and attempt to understand complex social and cultural issues like sexuality, drug use, and alternative lifestyles to be effective.

"The Environmental Contexts of AIDS" begins with the history of AIDS, focusing on North America. Behavior change is viewed as essential, so precepts of health promotion and health belief models used to predict motivation and risk behavior are discussed. Particular environments are examined with chapters on the general public, homosexuals/bisexuals, drug users, adolescents/street youths, and women/minorities/special needs groups. Finally, the implications of an environmental perspective are reviewed. This book is essential reading for AIDS researchers, public health administrators and policymakers, health care practitioners, and sociologists.

AIDS has grown in just two decades from a rare disease to one that has already killed millions of men, women, and children worldwide. To help high school and college students understand the history and current status of AIDS as a social, political, psychological, public health, and cultural phenomenon, this documentary history provides 228 short and highly readable selections from primary and secondary sources of information about AIDS and HIV. Its scope covers the entire history of the epidemic from its beginnings to early 1997. The documents, many of which cannot easily be found elsewhere, will help the reader to understand and debate the many perspectives and points of view on this controversial topic.

Douglas A. Feldman, one of the country's leading specialists in international and domestic AIDS social research, and Julia Wang Miller, a research consultant, have selected documents and provided explanatory introductions to them to help readers gain a deeper understanding of the sociocultural ramifications of AIDS. Following a narrative historical overview of the AIDS crisis, the work is organized into nine topical chapters: the history of HIV/AIDS; the impact of the epidemic in the United States and globally; HIV/AIDS within communities and populations; AIDS in the developing world; the human side of AIDS; the politics of AIDS; education and behavioral change; legal and ethical issues; and the future of AIDS. Each chapter contains an introductory narrative overview of the topic, brief explanatory introduction to each document, and list of suggested readings. A glossary of terms and an AIDS resource directory of organizations to contact for further information complete the work. This important documentary history belongs on the shelves of every public school and college and university library.

Cancer incidences increase in people living with HIV/AIDS. Over 2 million people currently live with HIV/AIDS in the US. This number will increase as HAART prolongs the average lifespan and as (at least in some states) the number of new HIV infections increase again. As this population ages their incidence rates for cancer will increase, as well.

Recently, new rational targets for cancer therapy have emerged. But their application to the care of HIV+ patients is slow, because of concerns about the weakened immune status of the patients, because of possible drug interactions with HAART and because some of the AIDS defining cancer are rare.

In a series of case studies of sexually transmitted disease and HIV/AIDS from around Africa, contributors examine the social, cultural, and political-economic bases of risk, transmission, and response to epidemic disease. This book brings together major contributions to the historical study of epidemic disease in developing countries and considers how particular constellations of cultural, social, political, and economic factors in different countries have affected the historical patterns of disease and collective (official and community) response to them. This book is a companion volume to "Sex, Disease, and Society: A Comparative History of Sexually Transmitted Diseases and HIV/AIDS in Asia and the Pacific" (Greenwood, 1997).

From this endeavor to provide insight into the conjunctions and disjunctions between the histories of STDs and the AIDS pandemic in Sub-Saharan Africa certain common issues have emerged. These include medical ambiguity and epidemiologic diversity; cultural change; racism; gender, labor migration, and economic instability; and the practice of biomedicine and epidemiology in African contexts. All of these factors are embedded in the colonial legacy and post-colonial political economic conditions across the continent.

This book provides human resource managers with the information necessary to cope with the ethical, legal, and financial issues surrounding AIDS--a disease that will eventually affect almost every workplace in the world. Masi offers a comprehensive Program Integration Model approach to managing the disease and shows how to develop effective policies, implement educational programs, and adapt existing Employee Assistance Programs to provide the most cost-effective and comprehensive service to employees dealing with AIDS. Unlike other books on the subject, AIDS Issues in the Workplace addresses the particular concerns of all populations affected by the disease including health-care workers, police and fire workers, persons in the arts, restaurant and hotel employees, and employees overseas. Women and minorities, substance-abusers, and the families of those afflicted with AIDS are addressed specifically. The author provides current legal information to help the employer avoid costly litigation and reviews actual policies employed by major corporations in both the public and private sectors. The result is the most comprehensive presentation of the issues related to AIDS in the workplace yet available in book form.

Masi begins by examining the latest medical information on AIDS and its transmission as well as the legal issues involved. She then turns to a discussion of company policy development, demonstrating both why a clearly stated policy is important and what it should cover. Subsequent chapters point to the critical importance of continuous education in the workplace, discuss why EAPs have so far failed to be substantially involved in AIDS, and suggest roles that EAPs could serve. Three chapters address the needs and concerns of special populations and how employers can best serve these needs without appearing discriminatory. A separate chapter includes interviews with individuals who have experienced a range of AIDS-related issues in the workplace. The volume concludes with a list of resources and an appendix containing original documents from such sources as the Centers for Disease Control's Universal Precautions, their Recommendations for Health Care Settings, and handicapped legislation. Anyone confronted with the challenge of developing appropriate human resource strategies to deal with AIDS will find this book an indispensable resource.

In the global race to reach the end of AIDS, why is the world slipping off track? The answer has to do with stigma, money, and data. Global funding for AIDS response is declining. Tough choices must be made: some people will win and some will lose. Global aid agencies and governments use health data to make these choices. While aid agencies prioritize a shrinking list of countries, many governments deny that sex workers, men who have sex with men, drug users, and transgender people exist. Since no data is gathered about their needs, life-saving services are not funded, and the lack of data reinforces the denial. The Uncounted cracks open this and other data paradoxes through interviews with global health leaders and activists, ethnographic research, analysis of gaps in mathematical models, and the author's experience as an activist and senior official. It shows what is counted, what is not, and why empowering communities to gather their own data could be key to ending AIDS.

As the AIDS crisis spread and gained momentum, Protestant, Catholic, and Jewish clergy in the United States and the United Kingdom became involved in sometimes surprising ways. Using quantitative and qualitative data from the early 1990s and from follow-up interviews conducted later in the decade, the authors show that many clergy became involved in the pastoral care for and counseling of people stigmatized by AIDS, including gay and bisexual men, despite expressions of antipathy from their denominations. Sociological theories concerning clergy roles, social movements, social space, and social capital provide a framework for analyzing the initial findings and the data from subsequent interviews. The study concludes that this small but dedicated group of clergy who ministered to the needs of this suffering population were part of a social movement that addressed a community problem despite both obstacles and opposition.

Using data obtained from structured interviews and responses to questionnaires concerning clergy responses to real and hypothetical situations involving people who are HIV-positive or who have AIDS, the authors illustrate how clergy and organized religious groups confronted a new and acute fatal illness that was initially associated with stigmatized behavior. They demonstrate that many clergy saw their roles as advocates for these individuals and as providers of pastoral and spiritual care, in spite of the rhetoric of conservative and fundamentalist clergy who condemned the victims as an example of the wrath of God against gay and bisexual men. The study also shows that even those who were less actively engaged in AIDS pastoral care and counseling demonstrated tolerance for those affected by it. Follow-up interviews indicate, finally, that as AIDS became more of a chronic illness, the social movement to provide religious and spiritual care and counseling began to wane.

This volume contains selected contributions from individuals who attended the Sec ond International Conference of the International Council for Global Health Progress (ICGHP) held at UNESCO in Paris, France, on January 15-17, 1996. This conference brought together experts in many disciplines that deal with the devastating diseases of cancer and AIDS with a focus on the concerns for quality of life. The ICGHP fosters mul ticultural and, multidisciplinary approaches to global health problems to help influence governments and other international health organizations to emphasize prevention and care of diseases and to understand their scientific, social, and cultural features. The Coun cil encourages the interchange of information on health problems and policy and supports educational funding for the public at large. Its objective is to effect diseases-free lives in the world community. Participants of the conference included scientists, sociologists, government leaders, physicians, health care providers, epidemiologists, religious leaders, company officials, ethicists, and philosophers. They examined and discussed the many variables involved in quality of life for people affected with cancer and with AIDS. The volume's text begins with introductory comments by officials attending the JCGHP conference. Subsequently, a chapter is dedicated to one aspect of quality of life, be it definition, scientific research, evolution, cultural changes, ethics, measurements, or other issues dealing with health care and treatment survival. The second part of the volume includes commentaries dealing with fi ve aspects of quality of life which merit consideration."

This volume aims at presenting the latest international research and discoveries in the neurocognitive aspects and complications in HIV/AIDS, and how this understanding can shape and inform how we think about clinical practice and patient care in HIV/AIDS as well as lead to a better understanding of the underlying neuropathogenesis. The chapter, "Metabolic Syndrome and Cardiovascular Disease Impacts on the Pathophysiology and Phenotype of HIV-Associated Neurocognitive Disorders", of this book is available open access under a CC BY 4.0 license at link.springer.com

The early 2020s marked the fortieth anniversary of the first confirmed cases of AIDS and a new wave of historical interest in the ongoing epidemic. This edited collection showcases some of this exciting new work, with a particular focus on less well-known histories from western Europe. Featuring research from social, cultural and public historians, sociologists and area studies scholars, its eight chapters address experiences, events and memories across regions and nations including Scotland, Wales, Italy, Norway and the Netherlands, paying careful attention to often-overlooked groups including drug users, sex workers, nurses, mothers and people in prison. Offering new perspectives on the development and implementation of policy, the nature of activism and expertise and which (or whose) histories are remembered, it is essential reading not only for historians of health but also for all those working in HIV/AIDS studies. Electronic versions of chapters 3, 4, 6, 7 and 8 are available under a creative commons licence: www.manchesterhive.com/view/9781526151223/9781526151223.xml -- .

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.

This book examines the HIV/AIDS epidemic in the United States using the concept of syndemics to contextualize the risk of both well-known, and a few lesser-known, subpopulations that experience disproportionately high rates of HIV and/or AIDS within the United States. Since discovery, HIV/AIDS has exposed a number of social, psychological, and biological aspects of disease transmission. The concept of "syndemics," or "synergistically interacting epidemics" has emerged as a powerful framework for understanding both the epidemiological patterns and the myriad of problems associated with HIV/AIDS around the world and within the United States. The book considers the disparities in HIV/AIDS in relation to social aspects, risk behavior and critical illness comorbidities. It updates and enhances our understanding of the HIV/AIDS epidemic in the United States and contributes to the expanding literature on the role of syndemics in shaping the public's health.