Behavioral Interventions for Prevention and Control of Sexually Transmitted Diseases


Book Description

Before AIDS, the role of behavioral interventions in preventing transmission of sexually transmitted diseases was acknowledged in text books and journals but rarely promoted effectively in public health practice. This book addresses the complexities and social contexts of human behaviors which spread STDs, the cultural barriers to STD education, and the sociopolitical nuances surrounding treatment.




Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.







Latino Gay Men and HIV


Book Description

With research based on focus group and individual interviews in the United States, as well as a thorough and integrative review of the current literature, Latino Gay Men and HIV discusses the six main sociocultural factors in Latino communities -- machismo, homophobia, family cohesion, sexual silence, poverty and racism--which undermine safe sex practices. In an attempt to explain the alarmingly high incidence of unprotected intercourse in this population, this in-depth cultural and psychological analysis shows how an apparent incongruence between knowledge or intention and behavior can possess its own sociocultural logic and meaning.




Hispanics and the Future of America


Book Description

Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.




Health Issues in the Latino Community


Book Description

Sweeping in scope, this book identifies and offers an in-depth examination of the most critical health issues that affect Latino's health and health care within the United States.




AIDS and Behavior


Book Description

HIV is spreading rapidly, and effective treatments continue to elude science. Preventive interventions are now our best defense against the epidemicâ€"but they require a clear understanding of the behavioral and mental health aspects of HIV infection and AIDS. AIDS and Behavior provides an update of what investigators in the biobehavioral, psychological, and social sciences have discovered recently about those aspects of the disease and offers specific recommendations for research directions and priorities. This volume candidly discusses the sexual and drug-use behaviors that promote transmission of HIV and reports on the latest efforts to monitor the epidemic in its social contexts. The committee reviews new findings on how and why risky behaviors occur and efforts to develop strategies for changing such behaviors. The volume presents findings on the disease's progression and on the psychosocial impacts of HIV and AIDS, with a view toward intervention and improved caregiving. AIDS and Behavior also evaluates the status of behavioral and prevention aspects of AIDS research at the National Institute of Mental Health, the National Institute on Drug Abuse, and the National Institute on Alcohol Abuse and Alcoholism. The volume presents background on the three institutes; their recent reorganization; their research budgets, programs, and priorities; and other important details. The committee offers specific recommendations for the institutes concerning the balance between biomedical and behavioral investigations, adequacy of administrative structures, and other research management issues. Anyone interested in the continuing quest for new knowledge on preventing HIV and AIDS will want to own this book: policymakers, researchers, research administrators, public health professionals, psychologists, AIDS advocates and service providers, faculty, and students.




Compañeros


Book Description

Telling the affecting stories of eighty gay, bisexual, and transgender (GBT) Latino activists and volunteers living in Chicago and San Francisco, Compañeros: Latino Activists in the Face of AIDS closely details how these individuals have been touched or transformed by the AIDS epidemic. Weaving together activists' responses to oppression and stigma, their encounters with AIDS, and their experiences as GBTs and Latinos in North America and Latin America, Jesus Ramirez-Valles explores the intersection of civic involvement with ethnic and sexual identity. Even as activists battle multiple sources of oppression, they are able to restore their sense of family connection and self-esteem through the creation of an alternative space in which community members find value in their relationships with one another. In demonstrating the transformative effects of a nurturing community environment for GBT Latinos affected by the AIDS epidemic, Ramirez-Valles illustrates that members find support in one another, as compañeros, in their struggles with homophobia, gender discrimination, racism, poverty, and forced migration.




Mobility, Sexuality and AIDS


Book Description

Over the past two decades, population mobility has intensified and become more diverse, raising important questions concerning the health and well-being of people who are mobile as well as communities of origin and destination. Ongoing concerns have been voiced about possible links between mobility and HIV, with calls being made to contain or control migrant populations, and debate linking HIV with issues of global security and surveillance being fuelled. This volume challenges common assumptions about mobility, HIV and AIDS. A series of interlinked chapters prepared by international experts explores the experiences of people who are mobile as they relate to sexuality and to HIV susceptibility and impact. The various chapters discuss the factors that contribute to the vulnerability of different mobile groups but also examine the ways in which agency, resilience and adaptation shape lived experience and help people protect themselves throughout the mobility process. Looking at diverse forms of migration and mobility – covering flight from conflict, poverty and exploitation, through labour migration to ‘sex tourism’ – the book reports on research findings from around the world, including the USA, the UK, sub-Saharan Africa, Australia, Central America and China. Mobility, Sexuality and AIDS recognises the complex relationships between individual circumstances, population mobility and community and state response. It is invaluable reading for policy makers, students and practitioners working in the fields of migration, development studies, anthropology, sociology, geography and public health.