Barry Adam, "The biomedical and the social in HIV prevention"

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Reaching undetectability ,[object Object],[object Object],~9,300 HIV+ people do not know they have HIV infection 35% 1,700 diagnosed but not in care, i.e. have not had a viral load test 6% 3,440 in care but not on ARV 13% 3,630 in care, on ARV, and have detectable viral load 14% 8,470 have undetectable viral load 32%

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There is a prevalence of HIV AIDS in the society among men and women and there is gender disparity in the prevalence of HIV AIDS. Biological and other factors are pointing to the fact that the women are more vulnerable and therefore have more possibilities of spreading it. This study was done in Fako Division in the South West Region of Cameroon. The general objective of this study was to investigate the factors leading to the gender disparity in the prevalence of HIV AIDS. The research is a descriptive survey. The target population was the HIV AIDS patients that are treated in the Limbe and Buea Regional Hospitals. These hospitals were purposively selected with a purposive sampling of 50 males and female. This research involves the use of both primary and secondary data with the use of questionnaires, check list and review of secondary data on problems leading to a gender difference in the prevalence of HIV AIDS in these areas. Analysis of data was done with the use of windows SPSS. Findings of the study show that there is a high gender difference of about 39.21 in Buea Regional Hospital and a gender difference of 24.4 in Limbe Regional Hospital. Some factors were found responsible for this disparity that include early start of sexual activities for females, low level of education, multiple sexual partners, unemployment for females and others. Recommendations have been made to the government, the women themselves, health professionals, NGOs and other significant stakeholders. Bisong Prisca Mboh "Factors Influencing Gender Disparities in the Prevalence of HIV/AIDS in Fako Division Cameroon: Case Study of Limbe and Buea Regional Hospitals" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29236.pdf Paper URL: https://www.ijtsrd.com/medicine/other/29236/factors-influencing-gender-disparities-in-the-prevalence-of-hivaids-in-fako-division-cameroon-case-study-of-limbe-and-buea-regional-hospitals/bisong-prisca-mboh

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A B S T R A C T Purpose: Hispanic/Latino adolescents and young adults are disproportionately impacted by the HIV/AIDS epidemic; yet little is known about the best strategies to increase HIV testing in this group. Network-based approaches are feasible and acceptable means for screening at-risk adults for HIV infection, but it is unknown whether these approaches are appropriate for at-risk young Hispanics/Latinos. Thus, we compared an alternative venue-based testing (AVT) strategy with a social and sexual network-based interviewing and HIV testing (SSNIT) strategy. Methods: All participants were Hispanics/Latinos aged 13e24 years with self-reported HIV risk; they were recruited from 11 cities in the United States and Puerto Rico and completed an audio computer-assisted self-interview and underwent HIV screening. Results: A total of 1,596 participants (94.5% of those approached) were enrolled: 784 (49.1%) through AVT and 812 (50.9%) through SSNIT. HIV infection was identified in three SSNIT (.37%) and four AVT (.51%) participants (p ¼ .7213). Conclusions: Despite high levels of HIV risk, a low prevalence of HIV infectionwas identified with no differences by recruitment strategy. We found overwhelming support for the acceptability and feasibility of AVT and SSNIT for engaging and screening at-risk young Hispanics/Latinos. Further research is needed to better understand howto strategically implement such strategies to improve identification of undiagnosed HIV infection.

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1. Directions: Using reputable websites, such as the CDC.gov, NIH.gov, or WHO.gov (do NOT use blogs, wikis, or any site ending in .com or .net) write discussions listing all questions mentioned The efficiency of transmission for any respiratory virus has important implications for containment and mitigation strategies. The current study indicates an estimated basic reproduction number (R0) of 2.2, which means that, on average, each infected person spreads the infection to an additional two persons. Until this number falls below 1.0, it is likely that the outbreak will continue to spread. Recent reports of high titers of virus in the oropharynx early in the course of disease arouse concern about increased infectivity during the period of minimal symptoms. China, the United States, and several other countries have instituted temporary restrictions on travel with an eye toward slowing the spread of this new disease within China and throughout the rest of the world. Community spread in the United States could require a shift from containment to mitigation strategies such as social distancing in order to reduce transmission. Such strategies could include isolating ill persons (including voluntary isolation at home), school closures, and telecommuting where possible. Share your thoughts on this. Are we, the US and other affected countries, succeeding or failing in stopping the transmission of the pandemic? What lesson(s) are learned? Every outbreak provides an opportunity to gain important information, some of which is associated with a limited window of opportunity. For example, a mean interval of 9.1 to 12.5 days between the onset of illness and hospitalization. This finding of a delay in the progression to serious disease may be telling us something important about the pathogenesis of this new virus and may provide a unique window of opportunity for intervention. Achieving a better understanding of the pathogenesis of this disease will be invaluable in navigating our responses in this uncharted arena. Furthermore, genomic studies could delineate host factors that predispose persons to acquisition of infection and disease progression. Share your thoughts on this. What do you believe are the 3 most crucial strategies for an intervention of this pandemic? 2. Before the sexual revolution initiated by 'the pill,' men were a more integral part of family planning and other reproductive health concerns than they are today. If a couple wished to use contraception, their options were limited primarily to methods requiring a man's participation - withdrawal, periodic abstinence or condoms. Hormonal methods for women, beginning with the first oral contraceptives in 1960, and the subsequent development of intrauterine devices and modern surgical sterilization, led to the development of a family planning services community focused on women, often to the exclusion of men. Today's challenge, as expressed by the 1994 International Conference on.

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Journal of Aging and Health 24(8) 1399 –1420 © The Author(s) 2012 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0898264312459347 http://jah.sagepub.com 459347 JAH24810.1177/0898264312459347Jo urnal of Aging and HealthDavis and Zanjani © The Author(s) 2012 Reprints and permission: sagepub.com/journalsPermissions.nav 1University of Kentucky, Lexington, KY, USA 2SREB Scholar (Southern Regional Education Board) 3NIH BURCWH Scholar (Building Interdisciplinary Research Careers in Women’s Health) Corresponding Author: Tracy Davis, MA, University Of Kentucky–Gerontology, 740 South Limestone, J 525 Kentucky Clinic, Lexington, Kentucky 40536-0284, USA Email: [email protected] Prevention of HIV Among Older Adults: A Literature Review and Recommendations for Future Research Tracy Davis, MA1,2 and Faika Zanjani, PhD1,3 Abstract Objective: This study reviews the existing literature on the prevention of HIV among older adults, including universal and indicated prevention pro- grams and prevention strategies. Method: A literature search was conducted between September and October of 2011 to identify studies for this review. Several different elec- tronic databases and a combination of keywords were used to conduct the search. In addition, the reference section of each article was reviewed for additional articles. Results: A total of 18 articles were identified and reviewed. Three of the articles examined universal prevention, five of the articles examined indicated prevention, and the remainder of the articles provided strategies and recommendations for the prevention of HIV among older adults. Discussion: The existing studies document evidence for preventing future cases of HIV/AIDS among older adults. Additional studies and universal and selected interventions are needed in an effort to reduce the number of older adults being diagnosed with HIV. at UNIV OF MIAMI on February 17, 2016jah.sagepub.comDownloaded from 1400 Journal of Aging and Health 24(8) Keywords older adults, HIV, prevention, intervention Introduction In recent years, the number of older adults being diagnosed with HIV and dying from AIDS has increased dramatically. Unfortunately, older adults are seldom included in prevention efforts, thereby contributing to the increasing number of individuals being diagnosed with HIV and AIDS. The number of older adults grew 14% each year between the years of 2004 and 2007(Justice, 2010). According to the Centers for Disease Control and Prevention, approximately 31% of those living with HIV are above the age of 50 (Administration on Aging [AOA], 2012 citing CDC). It is estimated that by 2015, 50% of those living with HIV will be above the age of 50 (Effros et al., 2008). Despite the increasing numbers of older adults being diagnosed with HIV there remain relatively few published studies regarding the prevention of HIV among older adults. There are several potential reasons f.

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