Series Information:
Social Aspects of AIDS

Since 1981, AIDS has had an enormous impact upon the popular imagination. Few other diseases this century have been greeted with quite the same fear, loathing, and prejudice against those who develop it. The mass media, and in particular, the news media, have played a vital part in "making sense" of AIDS. This volume takes an interdisciplinary perspective, combining cultural studies, history of medicine, and contemporary social theory to examine AIDS reporting. There have been three major themes dominating coverage: the "gay-plague" dominant in the early 1980s, panic-stricken visions of the end of the world as AIDS was said to pose a threat to everyone, in the late 1980s; and a growing routinising of coverage in the 1990s. This book lays bare the sub-textual ideologies giving meaning to AIDS news reports, including anxieties about pollution and contagion, deviance, bodily control, the moral meanings of risk, the valorisation of drugs and medical science. Drawing together the work of cultural and politicaltheorists, sociologists and historians who have written about medicine, disease and the body, as well as that of theorists in Europe and the USA who have focused their attention specificaiiy on AIDS, this book explores the wide theoretical debate about the importance of language in the social construction of illness and disease. This text offers insights into the sociocultural context in which attitudes towards people with HIV or AIDS and people's perceptions of risk from HIV infection are developed and the responses of governments to the AIDS epidemic are formulated.

Drawing on the findings of the Social Aspects of the Prevention of AIDS (SAPA) project established in 1986, this volume presents new data on the sexual and sociological responses to the AIDS epidemic in Australia, assisting both government and non-government HIW AIDS agencies, federal and state, in policy formulation on gay and bisexual men and in the development of prevention education programmes. In a region heavily hit by the AIDS epidemic, the communities have made significant efforts at preventing the spread of the virus and the SAPA project was devised to assess the effectiveness of these efforts. The research in the SAPA project and its follow-up study, The Triple S or SAPA: Sustaining Safe Sex survey, was carried out using theories and practice of theory from the emerging field of the social construction of sexuality. It adopts a broad perspective confirming analyses carried out in other countries.

Providing a cross-cultural perspective on the social construction of AIDS in Brazil, this book presents research by authors who have a decades experience in AIDS activism and social research.

This book is a major empirical study of sexual behaviour in the UK. It is based on the findings of project SIGMA - whch is the major British initiative in the AIDS field, funded by the Department of Health and the Medical Research Council. Using in-depth qualitative analysis, the authors have developed new theories of sexuality. They have collected detailed information from over 1000 men in high-risk categories and examined their behavioural changes in response to HIV/AIDS over a four year period 1987-1991. The book presents the latest research on knowledge of HIV, attitudes to AIDS and the uptake of safer sex practices. It reports on the sexual lives of gay men in England and Wales against the backdrop of the HIV epidemic.

A guide to the theory and practice of systemic HIV counselling that helps in identifying, assessing, and managing the psychological problems commonly associated with HIV infection. Annotation copyright Book News, Inc. Portland, Or.

This edited book includes new policy-relevant research on women's health issues in Africa. Scholars explore critical topics from different disciplinary traditions using a variety of research methodologies and data sources. The contributors include African scholars with in-depth knowledge of their home contexts, who can furnish nuanced interpretations of local health issues and trends; international researchers who bring vigorous comparative viewpoints; emerging scholars adding to scientific knowledge; and more established researchers with a deep global knowledge of women's health issues. The range of women's health issues is vast, including the HIV epidemic and its impacts; domestic violence; the persistence of homebirths; and abortion. In addition, the book investigates emerging health concerns such as CVDs and cancers. Readers will learn that, while old health issues have persisted and assumed new dimensions, newer concerns have materialized and are now gaining momentum. The inability of health systems to tackle these issues complicates matters in Africa, creating a sense of desperation that can only be successfully confronted through strong political will and strategic planning, grounded in further research. The chapters in this book were originally published in the journal Health Care for Women International.

The Guide to AIDS is succinct review of HIV/AIDS from a human-interest perspective. Chapters focus on some of the common patterns and prevention of HIV transmission and debunks misconceptions about HIV and AIDS. Brief descriptions the human immune system and epidemiology of HIV are included. The cultural component of disease, treatment and living with AIDS is central to much of this guide intended to synthesize, explain and de-mystify HIV and AIDS.

In February 1989, the 3rd conference on Social Aspects of AIDS took place at South Bank Polytechnic. Social researchers working in psychology, socio logy, anthropology and education were represented, along with health care workers and members of statutory and voluntary organisations. The confe rence's themes emphasised the individual, cultural and policy dimen sions of HIV disease, and under these broad headings a wide range of paper s were given. This book contains many of the papers given at this conference as well as a number of additional contributions. The book is representative of a range of research currently under way. Some of the chapters are empir ical in their emphasis, some are more concerned with reporting on parti cular health education and health policy interventions, and some begin to develop a critique of some of the assumptions that operate in and aroun d contemporary social research agendas.

First Published in 1989. Routledge is an imprint of Taylor & Francis, an informa company.

Music at the Edge invites the reader to experience a complete music therapy journey through the words and music of the client, and the therapist's reflections. Francis, a musician living with AIDS, challenged Colin Andrew Lee, the music therapist, to help clarify his feelings about living and dying. The relationship that developed between them enabled Francis the opportunity to reconsider the meaning of his life and subsequent physical decline, within a musical context. First published in 1996, Music at the Edge is a unique and compelling music therapy case study. In this new edition of the highly successful book, Colin retains the force of the original text through the lens of contemporary music therapy theory. This edition also includes more detailed narrative responses from the author and his role as a therapist and gay man. Central to the book are the audio examples from the sessions themselves. The improvisations Francis played and his insightful verbal explorations provide an extraordinary glimpse into the therapeutic process when working in palliative and end-of-life care. This illuminating book offers therapists, musicians, related professionals and those working with, or facing, illness and death a unique glimpse into the transcendent powers of music. It is also relevant to anyone interested in the creative account of a pianist's discovery of life and death through music.

First published in 2001. Routledge is an imprint of Taylor & Francis, an informa company.

In the early 1980s we witnessed the birth of one of the most complex and perplexing social problems faced by modern society: the epidemic of infection with human immunodeficiency virus (HIV), which causes acquired immunodeficiency syndrome (AIDS). Originally published in 1993 this title looks at the social psychology surrounding HIV and AIDS. The organization of the volume centres upon two themes: The Theoretical Roots of Prevention and The Dilemma of the PWA (person with AIDS). The goal of this volume is not to evaluate previous attempts to answer these social problems, but to provide theoretical analyses of some of the basic sociopsychological processes that underlie the problems. Over 20 years on this is a snapshot of research into HIV and AIDS and attitudes of the time looking at social problems that are very much still with us.

Speech and Song at the Margins of Global Health tells the story of a unique Zulu gospel choir comprised of people living with HIV in South Africa, and how they maintained healthy, productive lives amid globalized inequality, international aid, and the stigma that often comes with having HIV. By singing, joking, and narrating about HIV in Zulu, the performers in the choir were able to engage with international audiences, connect with global health professionals, and also maintain traditional familial respect through the prism of performance. The focus on gospel singing in the narrative provides a holistic viewpoint on life with HIV in the later years of the pandemic, and the author's musical engagement led to fieldwork in participants' homes and communities, including the larger stigmatized community of infected individuals. This viewpoint suggests overlooked ways that aid recipients contribute to global health in support, counseling, and activism, as the performers set up instruments, waited around in hotel lobbies, and struck up conversations with passersby and audience members. The story of the choir reveals the complexity and inequities of global health interventions, but also the positive impact of those interventions in the crafting of community.

Critical health communication scholars point out that the acceptance of HIV risk prevention methods are bound inside inequitable structures of power and knowledge. Nicola Bulled's in-depth ethnographic account of how these messages are selected, transmitted and reacted to by young adults in the AIDS-torn population of Lesotho in southern Africa provides a crucial example of the importance of a culture-centered approach to health communication. She shows the clash between traditional western perceptions of how increased knowledge will increase compliance with western ideas of prevention, and mixed messages offered by local religious, educational, and media institutions. Bulled also demonstrates how structural and geographical forces prevent the delivery and acceptance of health messages, and how local communities shape their own knowledge of health, disease and illness. This volume will be of interest to medical anthropologists and sociologists, to those in health communication, and to researchers working on issues related to HIV.

The worldwide impact of HIV/AIDS is well recognized. This book provides for the first time a thorough and critical overview of current aspects, recent developments, and trends in the formulation and drug delivery concerning anti-HIV microbicides by leading scientists in the field. Additionally, pertinent regulatory aspects and socioeconomical issues related to the subject are discussed. In the absence of a cure, prophylaxis represents a cornerstone in the battle against infection. One promising strategy comprises the use around the time of sexual intercourse of vaginal/rectal products containing antiviral compounds, termed microbicides. It is now recognized that specific development of drug dosage forms and/or drug delivery systems is an indispensable aspect for the success of microbicides. Different groups strived over the last decade to optimize the biophysical and technological performance of traditional dosage forms (gels, tablets, and suppositories) to fulfill the specificities of microbicides use, without neglecting users' preferences and affordability issues. Moreover, new formulation approaches, such as vaginal rings and films, nanotechnology-based systems, stimuli-sensitive formulations, targeted drug delivery systems, among others have been proposed and are currently undergoing pre-clinical or even clinical testing.

It has now been 25 years since the apocryphal report in the CDC Morbidity and Mortality Weekly Report dated June 5, 1981 entitled, "Pneumocystis Pneumonia - Los Angeles", which announced what was to become HIV/AIDS. HIV has now affected virtually all countries that have looked for it and has had a devastating impact on the public health and medical care infrastructure around the world. HIV/AIDS has also disproportionately affected nations with the least capacity to confront it, especially the developing world nations in Sub-Saharan Africa, South and Southeast Asia, and the emerging republics of Eastern and Central Asia. The pandemic, unlike any other disease of our time, has had profound impacts on the practice of public health itself: bringing affected communities into decision making; demanding North-South partnerships and collaborations; and changing the basic conduct of clinical and prevention trials research. While much has been written in scholarly publications for medical, epidemiologic and disease control specialists, there is no comprehensive review of the public health impact and response to HIV/AIDS in the developing world. This edited volume seeks to systematically describe the emergence and form of the epidemics (epidemiology), the social, community and political response, and the various measures to confront and control the epidemic, with varying levels of success. Of particular importance are strategies that appear to have been useful in ameliorating the epidemic, while contrasting the situation in a neighboring country or region where contrasting prevention or care initiatives have had a deleterious outcome. Common to all responses has been the international multi-sectoral response represented by the Global Fund for HIV/AIDS, Malaria and Tuberculosis, the President's Emergency Plan for AIDS Relief, and the Gates Foundation, among others, to promote HIV pharmacologic therapy in resource-poor settings. The chapter authors will explore the political challenges in meeting HIV/AIDS prevention and care in concert with the public health realities in specific country and regional context.

This book is a successor to the earlier and widely-used Business Organization. In this book the author helps the student to develop his or her own critical and conceptual understanding of the subject. As the author reviews the various approaches - classical, human relations, behavioural science, systems and contingency theories - he shows that none of them offers a simple progression from error to truth, but that all of them combine to contribute to a broader view of the field. The final chapter summarizes the author's viewpoint, applying the different approaches to a particular case study.

The essential work in HIV for providers and pharmacists, updated for 2021. Includes CME access code for 2021 AAHIVS, AAHIVP, or AAHIVE study materials and accreditation! An end-to-end clinical resource for the treatment of individuals with HIV/AIDS, Fundamentals of HIV Medicine has served as a key resource for clinicians preventing and treating HIV for over a decade. Now updated for 2021, Fundamentals of HIV Medicine 2021 offers state-of-the-art continuing education for physicians, pharmacists, nurse practitioners, nurses, and other professionals working in the care of HIV patients. With this volume, practitioners will have immediate, indexed access to the most updated science, research, and guidelines related to all aspects of HIV care and prevention. This revised edition features key clinical updates across classic domains of HIV medicine along with recent research in HIV medicine including HIV workforce strains and PrEP, newly emerging antiretroviral treatment options, and the evolving effects of COVID-19 on HIV care. Embodying the American Academy of HIV Medicine's commitment to excellence in the care of seropositive patients, Fundamentals of HIV Medicine 2021 is a must-have for health professionals across HIV care, treatment, and prevention. Note: This edition includes a login for online CME questions and accreditation

First published in 1996. The incidence of HIV/AIDS in society has reached epidemic levels. People of all ages are contracting the disease, and with the advances in medication and treatment, those with the disease are living longer. This book discusses the unique issues facing older adults with HIV/AIDS and addresses living with the disease.

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.

This edited collection brings together the social dimensions of three key aspects of recent biomedical advance in HIV research: Treatment as Prevention (TasP), new technologies such as Pre-Exposure Prophylaxis (PrEP), and the Undetectable equals Untransmittable (U=U) movement. The growth of new forms of biomedical HIV prevention has created hope for the future, signalling the possibility of a world without AIDS. In this context, the volume discusses the profound social, political and ethical dilemmas raised by such advances, which are to do with readiness, access, equity and availability. It examines how HIV prevention has been, and is, re-framed in policy, practice and research, and asks: How best can new biomedical technologies be made available in a profoundly unequal world? What new understandings of responsibility and risk will emerge as HIV becomes a more manageable condition? What new forms of blame will emerge in a context where the technologies to prevent HIV exist, but are not always used? How best can we balance public health's concern for adherence and compliance with the rights of individuals to decide on what is best for themselves and others? Few of these questions have thus far received serious consideration in the academic literature. The editors, all leaders in the social aspects of HIV, have brought together an innovative and international collection of essays by top thinkers and practitioners in the field of HIV. This book is an important resource for academics and professionals interested in HIV research. Chapters "Anticipating Policy, Orienting Services, Celebrating Provision: Reflecting on Scotland's PrEP Journey", "How the science of HIV treatment-as-prevention restructured PEPFAR's strategy: The case for scaling up ART in 'epidemic control' countries", "Stigma and confidentiality indiscretions: Intersecting obstacles to the delivery of Pre-Exposure Prophylaxis to adolescent girls and young women in east Zimbabwe" and "The drive to take an HIV test in rural Uganda: a risk to prevention for young people?" are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

A COMPREHENSIVE NEW REFERENCE WORK ON STRUCTURAL APPROACHES TO PREVENTING HIV Structural interventions - changes to environment aimed at influencing health behaviors - are the most universal and cost-effective tool in preventing new incidences of HIV. They are not easy to get right, however. Structural Interventions for HIV Prevention offers an authoritative reference for both understanding these programs and instituting them to greatest effect. Whether through changes to policy, environment, social/community norms, or a combination of each, this volume offers actionable and attainable blueprints to creating and evaluating programs in any setting or country. It is an essential resource for researchers and practitioners in the continuing fights against HIV.

This book covers a wide range of topics relating to the health and wellbeing of the construction workforce. Based on more than a decade of work examining various aspects of workers' health and wellbeing, the book addresses a key topic in construction management: how the design of work environments, construction processes and organisation of work impact upon construction workers' physical and psychological health. Occupational health is a significant problem for the construction industry. However, the subject of health is usually treated as an afterthought in other books which emphasise safety issues. Traditional management approaches (focused on the prevention of accidents and injuries) are arguably ill-suited to addressing issues of workers' health and wellbeing. The evidenced informed approach in this book provides a rich analysis of how construction workers' health and wellbeing are impacted by working in the construction industry, and critical information about how organisations (and decision-makers within them) can create workplaces and practices that are supportive and enable construction workers to maintain healthy and productive working lives. Including chapter summaries and discussion questions to encourage student readers to reflect on and formulate their own viewpoints about the issues raised in each chapter, the book has the potential to be used as a textbook in undergraduate or postgraduate occupational health and safety, or construction management courses dealing with occupational health and safety. It could also be used as supplementary, recommended reading in undergraduate or postgraduate programs in architecture, engineering or management.