Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Now showing 1 - 10 of 19
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    Exploring Factors That Underlie Racial/Ethnic Disparities in HIV Risk among Young Men Who Have Sex with Men
    (2010) Garofalo, Robert; Mustanski, Brian; Johnson, Amy; Emerson, Erin
    Abstract available at publisher's web site.
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    The Tuskegee Legacy: AIDS and the Black Community
    (1992) Jones, James
    No scientific experiment inflicted more damage on the collective psyche of black Americans than the Tuskegee study. After Jean Heller broke the story in 1972, news of the tragedy spread in the black community. Confronted with the experiment's moral bankruptcy, many blacks lost faith in the government and no longer believed health officials who spoke on matters of public concern. Consequently, when a terrifying new plague swept the land in the 1980s and 1990s, the Tuskegee study predisposed many blacks to distrust health authorities, a fact many whites had difficulty understanding.
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    Belief in AIDS as a Form of Genocide: Implications for HIV Prevention Programs for African Americans
    (1997) Quinn, Sandra Crouse
    The purpose of this article is to examine factors associated with belief that AIDS is a form of genocide and trust in federal government reports on AIDS in a cross-sectional sample of 1,054 black church members. Reports in both the professional literature and mass media have documented fears that AIDS is a form of genocide unleashed on black Americans, and distrust of reports on AIDS.Results from this study demonstrate that a substantial number of participants believe that belief in genocide is not accounted for by levels of AIDS knowledge. Belief in genocide may be a modern urban legend that need not be a barrier for AIDS education. Implications for development of AIDS education sensitive to the cultural context of African Americans are described.
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    The uneven impact of AIDS in a polarized society
    (2007) Marais, Hein
    Literature on the impact of serious AIDS epidemics anticipates severe outcomes, and places special emphasis on the epidemic’s likely effects on productive and governance capacities. Implicit in many impact scenarios is the assumption that the effects are distributed more or less uniformly across society, and are channeled ‘naturally’ through and across sectors. This article examines evidence of the AIDS epidemic’s impact at household level, and in the health, education and economic sectors of South Africa. It shows that the epidemic’s impact is strongly shaped by the highly unequal distribution of power, entitlement, risk and responsibility in South Africa. The article concludes that many of the costs associated with the AIDS epidemic are being displaced into the lives, homes and neighbourhoods of poorer South Africans, especially black African women - thus deepening poverty trends, as well as reproducing and hardening the polarized character of South African society. Priority steps to remedy these trends are outlined.
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    HIV/AIDS Case Profile of African Americans--Guidelines for Ethnic-Specific Health Promotion, Education, and Risk Reduction Activities for African Americans
    (2003) Williams, P Bassey
    There are discrepancies in health care services for the poor and ethnic minorities in the United States. Within the past decade widespread concerns regarding the need to reform the nation's health care services, including the problem of human immunodeficiency virus/acquired immune syndrome (HIV/AIDS) among African Americans has continued. These inequalities have been the cornerstone of the U.S. Healthy People 2010 national priority objectives.1 The objectives focus on health and social outcomes such as low quality of life and mortality rates, poverty, lak of accessibility to and appropriateness of care, and the prevalence of certain degenerative conditions and infectious diseases. The dearth of preventive health services for the high-risk groups, particularly children, adolescents, young adults, and older African American adults undermines early intervention efforts, including prompt HIV/AIDS identification and diagnosis, prevention education, health promotion, effective substance abuse treatment, and counseling services. This work reviews the magnitude of HIV/AIDS among African Americans between 1996 and 1999 by race/ethnicity, gender, and age groups. It also addresses the major factors responsible for the continued upward trend in the distribution and rate of infectiousness of HIV/AIDS among African Americans. The study recommends and discusses culturally sensitive and ethnic-specific intervention strategies for the prevention and control of HIV/AIDS among African Americans.
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    HIV Infections and Associated Costs Attributable to Syphilis Coinfection Among African Americans
    (2003) Chesson, Harrell W; Pinkerton, Steven D; Voigt, Richard; Counts, George W
    Objectives. We estimated the number and cost of syphilis-attributable HIV cases among African Americans. Methods. A mathematical model of HIV transmission was used to estimate the number of partnerships consisting of HIV-discordant African Americans in which infectious syphilis was present and the number of new HIV cases attributable to syphilis in these partnerships. Results. In 2000, an estimated 545 new cases of HIV infection among African Americans could be attributed to the facilitative effects of infectious syphilis, at a cost about $113 million. Conclusions. Syphilis prevention could reduce HIV incidence rates and the disproportionate burden of HIV/AIDS on the African American community, resulting in substantial reductions in future HIV/AIDS medical costs.
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    HIV and AIDS Risk Behaviors in Juvenile Detainees: Implications for Public Health Policy
    (2003) Teplin, Linda A; Mericle, Amy A; McClelland, Gary M; Abram, Karen M
    HIV and AIDS are increasingly diseases of minorities and the disadvantaged.1,2 These same groups are disproportinately involved in the justice system.3 Detained youths may be at particular risk. Sexually transmitted diseases, related to HIV and AIDS,4-6 are prevalent among detained youths. Moreover, although HIV seropositivity is infrequent among detained youths,4 studies of adult detainees suggest that detained youths are at great risk for developing HIV as they age.
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    HIV and AIDS Surveillance Among Inmates in Maryland Prisons
    (2001) Kassira, Edward N; Bauseman, Robert L; Tomoyasu, Naomi; Caldeira, Ellen; Swetz, Anthony; Solomon, Liza
    The prevalence of those with human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) is higher among inmates of correctional facilities than among general population. This raises the need to identify inmates living with or at risk of HIV/AIDS and to provide counseling and appropriate services for HIV treatment and prevention. The Maryland Division of Corrections (DOC) offers voluntary testing to all inmates on entry and tests inmates when clinically indicated. We reviewed all 1998 HIV antibody tests and confirmed AIDS cases in the Maryland DOC. Inmate demographics, testing acceptance, rates of seropositivity, and AIDS cases and comparisons based on gender, race.ethnicity, and age were examined. Comparisons were also made to HIV testing and AIDS cases from the nonincarcerated Maryland population. Trends in DOC AIDS diagnoses and AIDS-related deaths over time were also examined. Of the inmates, 39% were voluntarily tested for HIV on entry to the Maryland DOC in 1998 (38% of males and 49% of females). Overall, HIV seropositivity was 3.3% (5% for females and 3% for males). The 888 cumulative AIDS cases diagnosed in the DOC inmate population were concentrated among males (90% vs. 77% statewide), African Americans (91% vs. 75% statewide), and among IDUs (84% vs. 39% statewide). Due to high rates of HIV and AIDS, inmate populations are a crucial audience for HIV/AIDS testing, treatment, and prevention efforts, especially women. Prison-based programs can identify significant numbers of HIV and AIDS cases and bring HIV prevention interventions to a population characterized by frequent high-risk behavior.
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    Factors Affecting Health Status in African Americans Living with HIV/AIDS
    (2001) Stoskopf, Carleen H; Richter, Donna L; Kim, Yang K
    This study surveyed face-to-face 111 African American newly diagnosed and living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) from the Washington D.C. area, to ascertain the use of, and need for, early intervention services. The survey instrument included sections on demographics, level of health functioning and health indicators, social and financial support, and needed services. This article constructs a health status proxy variable from survey items and examines its relationship to biological and social variables. Variables found to have a significant relationship with health status are gender, type of health insurance, employment, receiving Social Security Disability Income, and level of education. A log-linear model for selection of parsimony found that the type of health insurance was most highly predictive of health status, when controlling for other variables. Persons who receive Medicaid report no better levels of health status than those without health insurance. Having private health insurance is associated with a 5.3-fold greater chance of having good or excellent health status.
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    Association of Co-Occurring Psychosocial Health Problems and Increased Vulnerability to HIV/AIDS Among Urban Men Who Have Sex With Men
    (2003) Stall, Ron; Mills, Thomas C; Williamson, John; Hart, Trevor; Greenwood, Greg; Paul, Jay; Pollack, Lance; Binson, Diane; Osmond, Dennis; Catania, Joseph A
    Objectives. We measured the extent to which a set of psychosocial health problems have an additive effect on increasing HIV risk among men who have sex with men (MSM). Methods. We conducted a cross-sectional household probability telephone sample of MSM in Chicago, Los Angeles, New York, and San Francisco. Results. Psychosocial health problems are highly intercorrelated among urban MSM. Greater numbers of health problems are significantly and positively associated with high-risk sexual behavior and HIV infection. Conclusions. AIDS prevention among MSM has overwhelmingly focused on sexual risk alone. Other health problems among MSM not only are important in their own right, but also may interact to increase HIV risk. HIV prevention might become more effective by addressing the broader health concerns of MSM while also focusing on sexual risks.