Community-Based Organization Adaptations to the Changing HIV Prevention and Care Landscape in the Southern United States

2018 ◽  
Vol 30 (6) ◽  
pp. 516-527 ◽  
Author(s):  
Ekaterine Shapatava ◽  
Aisha Rios ◽  
Gene Shelley ◽  
Jesse Milan ◽  
Shuenae Smith ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Hiv Prevention ◽  
Holistic Approach ◽  
The United States ◽  
Structural Factors ◽  
The South ◽  
Community Based ◽  
Persons Living With Hiv ◽  
Hiv Aids

Community-based organizations (CBOs) provide HIV prevention services throughout the United States, including the South where HIV/AIDS burden is high. We assessed Southern CBO response to changes in the HIV prevention landscape, including the National HIV/AIDS Strategy, and the Centers for Disease Control and Prevention's (CDC's) High Impact Prevention. Both strategies aim to improve outcomes for people living with or at high risk for HIV. Inductive qualitative analysis of interviews and consultations with CBOs, capacity building assistance providers, and CDC staff revealed CBOs are building clinical service capacity and cross-agency partnerships to adapt, but face inadequate or reduced funding. A holistic approach to HIV prevention and care in the South is critical, where stigma and other socio-structural factors limit health care options for persons affected by HIV. Health care organizations may benefit by partnering with CBOs because CBOs have the skillsets and community rapport to effectively improve health outcomes of persons living with HIV.

Sociocultural Factors Influencing The Transmission of HIV/AIDS in The United States

2017 ◽  
Author(s):  
Robert E Fullilove
Keyword(s):  
United States ◽  
Criminal Justice ◽  
Correctional Facility ◽  
The United States ◽  
Hiv Care ◽  
Sociocultural Factors ◽  
Effective Interventions ◽  
Persons Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

This chapter discusses the unique impact that social disadvantage in general and the criminal justice systems in the United States in particular have on the conditions that drive the HIV/AIDS epidemic in this country. HIV/AIDS is classified as an important racial/ethnic health disparity because residents of marginalized black and Hispanic communities are overrepresented among persons living with HIV/AIDS in the United States. Members of black and Hispanic communities are also overrepresented in the criminal justice; in terms of the epidemic, approximately one out of seven persons living with HIV/AIDS will pass through a U.S. correctional facility in any given year. A history of incarceration is associated with poor treatment outcomes for HIV illness. Improving the quality of HIV care in correctional facilities and in the communities to which incarcerated persons will return is imperative, as is effective interventions in incarcerated populations and communities. Having AIDS activists, scientists, and healthcare workers join in efforts to reform incarceration policies and practices will improve efforts to prevent and treat HIV/AIDS, particularly in communities that confront high rates of HIV/AIDS and incarceration.

scholarly journals Clostridium difficile Infection

2017 ◽  
Vol 65 (4) ◽  
pp. 180-180
Author(s):  
Jennan A. Phillips ◽  
Stephanie Hammond
Keyword(s):  
Infectious Disease ◽  
United States ◽  
Health Care ◽  
Clostridium Difficile ◽  
Opportunistic Infection ◽  
The United States ◽  
Community Based ◽  
Common Cause ◽  
National Priority ◽  
Health Care Associated Infections

Preventing Clostridium difficile, the most common cause of health care–associated infections in hospitals and infectious disease death in the United States, is a national priority. Increased rates of infection among low-risk individuals in the community call for community-based prevention efforts to halt the increasing spread of this highly contagious opportunistic infection.

scholarly journals Advances in the prevention of heterosexual transmission of HIV/AIDS among women in the United States

2011 ◽  
Vol 3 (1) ◽  
pp. 6 ◽  
Author(s):  
Nadine E. Chen ◽  
Jaimie P. Meyer ◽  
Sandra A. Springer
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Partner Violence ◽  
Hiv Transmission ◽  
Risk Groups ◽  
The United States ◽  
Political Support ◽  
Heterosexual Transmission ◽  
Recent Advances ◽  
Hiv Aids

Despite recent advances in testing and treatment, the incidence of HIV/AIDS in the United States has remained stagnant with an estimated 56,300 new infections every year. Women account for an increasing proportion of the epidemic. The vulnerability of women to HIV stems from both increased biologic susceptibility to heterosexual transmission and also the social, economic, and structural disadvantages they often confront. This review describes the main reasons for the increased vulnerability of U.S. women to HIV transmission with particular emphasis on specific high-risk groups including: non-Hispanic blacks, women who use drugs, women with a history of incarceration, and victims of intimate partner violence. Although behavioral approaches to HIV prevention may be effective, pragmatic implementation is often difficult, especially for women who lack sociocultural capital to negotiate condoms with their male partners. Recent advances in HIV prevention show promise in terms of female-initiated interventions. These notably include female condoms, non-specific vaginal microbicides, and antiretroviral oral and vaginal pre-exposure prophylaxis. In this review, we will present evidence in support of these new female-initiated interventions while also emphasizing the importance of advocacy and the political support for these scientific advances to be successful.

Criminal Justice: Corrections

2013 ◽  
Author(s):  
C. Aaron McNeece
Keyword(s):  
United States ◽  
Health Care ◽  
Criminal Justice ◽  
Social Workers ◽  
The United States ◽  
Prison Inmate ◽  
Community Based ◽  
Faith Based ◽  
Current Trends ◽  
The Future

The United States has more than 7 million adults under correctional supervision, with more than 2 million incarcerated. The history and theories behind incarceration are described, along with the current jail and prison inmate populations. Specific problems of juveniles and women are mentioned. Current trends and issues in corrections are discussed, including community-based corrections, privatization, faith-based programs, and health care. The roles of social workers in the correctional system are outlined. Comments are made on the future of incarceration.

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