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What is the stigma attached to hiv persons
What is the stigma attached to hiv persons
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My preparation for this assignment began with a review of the Healthy People initiative that was developed by the Department of Health and Human Services. There are many ongoing health issues that our healthcare system is currently dealing with. The Healthy People initiative is a set of goals and objectives designed to guide national health promotion and disease prevention to improve the health of all people in the United States (U.S. Department of Health and Human Services, 2010). The population health issue I’ve chosen for my policy developing campaign is HIV stigma reduction. In this assignment I will illustrate the significant impact of the stigma towards the population infected with HIV/AIDS and suggest a potential advocacy campaign to decrease the incidence of this epidemic. I will also address some of the legal, regulatory and ethical considerations regarding this initiative.
An Overview: HIV Epidemic
“In 1980, a life-threatening human immune dysfunction of unknown origins was noticed in Central Africa, Europe, and the United States” (Poindexter, 2007, p. 6). In 1981, in the United States, the disease was first reported to the Centers for Disease Control (CDC). HIV stands for human immunodeficiency virus. It is the virus that can lead to acquired immunodeficiency syndrome, or AIDS. Unlike numerous other viruses, the human body cannot rid itself of HIV. That means that once you have HIV, you have it for life (Centers for Disease Control and Prevention, 2013). Currently, no cure exists for HIV. Thankfully, with giant leaps in today’s medical and technological advancements in pharmaceutical research this disease is now considered to be a chronic condition. Today, with proper medical management and compliance the infected p...
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... Dhanireddy, S. (2012). HIV/AIDS: Legal & Ethical Issues. Retrieved from http://depts.washington.edu/nwaetc/presentations/uploads/79/legal_issues_and_hiv.pdf
Milstead, J. A. (2013). Health Policy and Politics (4th ed.). Burlington, MA: World Headquarters Jones & Bartlett Learning, LLC
Poindexter, C. C. (2007). Management Successes and Struggles for AIDS Service Organizations. Administration in Social Work, 31(3), 5-23.
U.S. Department of Health and Human Services. (2010). Healthy People 2020. Retrieved from http://www.healthypeople.gov/2020/TopicsObjectives2020/pdfs/HP2020_brochure_with_LHI_508.pdf
Zukoski, A. P., & Thorburn, S. (2009, November 4). Experience of Stigma and Discrimination among Adults Living with HIV in a Low HIV-Prevalence Context: A Qualitative Analysis. AIDS Patient Care and STDs, 23(), 267-275.
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Steiner, John E. (2013). Problems in health care law: challenges for the 21st century (10th ed.). Burlington, MA: Jones & Bartlett Learning.
From alcoholics, drug addicts, people of obesity, those carrying HIV/AIDS, or people of mental illness, stigma has caused discrimination and abuse to those characterized into these groups. Stereotyping, a form of stigma, is when something is labeled and linked with undesired characteristics. From the documentary, the audience learns that alcoholics and drug addicts are stereotyped in many parts of the community. In healthcare for example, addicts seeking help are only treated for addiction symptoms such as dehydration or anxiety, and not the underlying problem. An important part in in recovery is “the construction of a positive sense of self” (Hill, Leeming, 2014). Beverely Haberle, a former cancer patient in The Anonymous People, could not understand how she is offered support and outreach of treatment but those of addiction do not. The standard of care is found to be unequal do to public perception, and it must take those to speak out to make a differences in the stigma evolved around addiction. Until those attributes are addressed, many will suffer limited resources and unequal
One of the most controversial topics in the United States in recent years has been the route which should be undertaken in overhauling the healthcare system for the millions of Americans who are currently uninsured. It is important to note that the goal of the Affordable Care Act is to make healthcare affordable; it provides low-cost, government-subsidized insurance options through the State Health Insurance Marketplace (Amadeo 1). Our current president, Barack Obama, made it one of his goals to bring healthcare to all Americans through the Patient Protection and Affordable Care Act of 2010. This plan, which has been termed “Obamacare”, has come under scrutiny from many Americans, but has also received a large amount of support in turn for a variety of reasons. Some of these reasons include a decrease in insurance discrimination on the basis of health or gender and affordable healthcare coverage for the millions of uninsured. The opposition to this act has cited increased costs and debt accumulation, a reduction in employer healthcare coverage options, as well as a penalization of those already using private healthcare insurance.
Peterson, Mark A. "It Was A Different Time: Obama And The Unique Opportunity For Health Care Reform." Journal Of Health Politics, Policy & Law 36.3 (2011): 429-436.Academic Search Complete. Web. 23 Mar. 2014.
Longest Jr., B.B (2009) Health Policy making in the United States (5th Edition). Chicago, IL: HAP/AUPHA.
Acquired Immune Deficiency Syndrome (AIDS) was first recognized as a new disease in 1981 when increasing numbers of young homosexual men succumbed to unusual opportunistic infections and rare malignancies (Gallant49).During this time, many people were contacting this disease because it was not discovered yet and people did not have knowledge about it.Scientists believe HIV came from a particular kind of chimpanzee in Western Africa. Humans contracted this disease when they hunted and ate infected animals. A first clue came in 1986 when a morphologically similar but antigenically distinct virus was found to cause AIDS in patients in western Africa (Goosby24). During this time, scientists had more evidence to support their claim about this disease. Once discovered this disease was identified as a cause of what has since become one of the most devastating infectious diseases to have emerged in recent history (Goosby101). This disease was deadly because it was similar to the Black Death, it was killing majority of the population. Since its first identification almost three decades ago, the pandemic form of HIV-1 has infected at least 60 million people and caused more than 25 million deaths ...
Reese, Philip. Public Agenda Foundation. The Health Care Crisis: Containing Costs, Expanding Coverage. New York: McGraw, 2002.
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
According to the Public Health Agency of Canada HIV – the Human Immunodeficiency Virus - is a virus that attacks the immune system, resulting in a chronic, progressive illness that leaves people vulnerable to opportunistic infections and cancers. (Canada 2008) Essentially over time, when your body can no longer battle the virus it progresses into a disease know as Acquired Immunodeficiency Syndrome or AIDS. The transmition of HIV occurs when a person’s contaminated body fluids enter another individual. Unprotected sexual intercourse (vaginal, anal or oral), sharing needles, using unsterilized equipment for body modification, mother to infant transmition, as well as occupational exposure in health care are all ways HIV can be spread. HIV/AIDS as an illness is relatively new. The first reported case of AIDS in the world was in 1981, and a year later in Canada. Scientists all around the world are busy searching for a cure or vaccine to treat the millions of people internationally dying of HIV/AIDS.
Berman, M. L. (2011). From Health Care Reform to Public Health Reform. Journal of Law, Medicine & Ethics, 39(3), 328-339. doi:10.1111/j.1748-720X.2011.00603.x
Centers for Disease Control and Prevention, (2012). Refocusing national attention on the hiv crisis in the united states. Retrieved from website: http://www.cdc.gov/nchhstp/newsroom/docs/2012/AAAFactSheet-0712-508c.pdf
...s been made evident that disclosure can cause loss of employment, the breakdown of relationships and families as well as rejection from sexual partners. Consequently, those who suffer from the issues that come with disclosure also suffer from poor mental health and low self-esteem. Additionally, the article also states that, “leading a double life is psychologically disturbing” positing the unseemly notion that experiencing discrimination due to HIV status is not harmful to an individual’s mental health, despite copious evidence that it has an extremely detrimental affect on mental health, and in some cases, physical health.
Stigma is a powerful tool of social control. Stigma can be used to marginalize, exclude and exercise power over individuals who show certain characteristics. While the societal rejection of certain social groups (e.g. 'homosexuals, injecting drug users, sex workers') may predate HIV/AIDS, the disease has, in many cases, reinforced this stigma. By blaming certain individuals or groups, society can excuse itself from the responsibility of caring for and looking after such populations. This is seen not only in the manner in which 'outsider' groups are often blamed for bringing HIV into a country, but also in how such groups are denied access to the services and treatment they need.
HIV has always been a disease people fear the most and would stigmatize anyone associated with this disease, especially in Africa. Mbonye et. al. (2013) explains how deep the stigma goes and why people continually live in fear of sharing their status. For instance in Uganda, individuals who are diagnosed with this virus go through the withdrawal stage as they are extremely afraid of anyone finding out their status so they pull away and manage or control the diseases as best as they ‘think’ they can. Another example is, one of the Muslim women part of the study completely withdrew from the public when her status was confirmed; she felt an immense about of shame and remained fearful of w...
This study conducted a quantitative survey of 238 adult HIV positive patients and followed the stigma index questionnaire developed by the International Planned Parenthood Federation (IPPF) in partnership with the Joint United Nations Program on HIV/AIDS (UNAIDS), the Global Network of People Living with HIV (GNP+), and the International Community of Women Living with HIV (ICW). Data were collected by using face-to-face interview technique. To determine the prevalence of internal stigma among these 238 patients, an internalized stigma scale was developed. This scale included 15 questions from the section “Internal stigma (the way you think about yourself) and your fear” of the stigma index questionnaire. These 15 items covered three domains of internalized stigma (self-acceptance, self-exclusion, and social withdrawal). The fir...