HIV/AIDS: Global Frontiers in Prevention/Intervention
Routledge – 2009 – 578 pages
HIV/AIDS: Global Frontiers in Prevention/Intervention provides a comprehensive overview of the global HIV/AIDS epidemic. The unique anthology addresses cutting-edge issues in HIV/AIDS research, policymaking, and advocacy.
Key features include:
· Nine original essays from leading scholars in public health, epidemiology, and social and behavioral sciences
· Comprehensive information for individuals with varying degrees of knowledge, particularly regarding methodological and theoretical perspectives
· A look into the future progression of HIV transmission and scholarly research
HIV/AIDS: Global Frontiers in Prevention/Intervention is will serve as a precious resource as a textbook and reference for the university classroom, libraries, and researchers
"Cynthia Pope, Renee T. White, and Robert Malow, in collaboration with an interprofessional team of 108 colleagues, offer a compendium of essays and articles that advance our understanding of the complex challenges that HIV/AIDS poses for public health practitioners and public health infrastructure globally. The book includes contributions from professionals, advocates and HIV activists who have made HIV and AIDS their life's work. Contributors include internationally respected experts in their respective fields as well as emerging voices that will carry the dialogue of HIV and its influence on human populations and environments into the future. This book covers emerging issues in HIV risk, prevention, and treatment. It includes sections on (a) evolving theories of harm reduction and HIV risk, (b) gender, sexuality, and HIV risk, (c) critical intersections between biomedicine, behaviour, and HIV, (d) exploration of new forms of intervention and prevention, (e) social structural policy responses to HIV, (f) the role of the media in HIV/AIDS, (g) HIV vulnerabilities and vulnerable populations, (h) living and caring for persons with HIV/AIDS, and a concluding section dedicated to (i) globalizing theory on HIV/AIDS for the future. Each section opens with a framing essay to provide students of public health, related professions, and the lay reader with context for the discussion that unfolds. The editors have skillfully selected exemplars from the broad geographies and perspectives that influence persons affected by HIV disease. Not only does the book discuss the geographical and geopolitical environments around the globe that provide the contexts in which HIV exists and sometimes flourishes, but it also covers the internal geographies of persons living with HIV disease. This internal or human geography highlights the complexities of the interrelationships between host and disease vector and how these factors become more complex when viewed from the spatial and temporal elements of the broader global environments."
-- Craig Phillips, University of British Columbia, Nurse Education Today, January 2009
"In this original edition of HIV/AIDS: Global Frontiers in Prevention/Intervention, Cynthia Pope, Renee T. White, and Robert Malow provide an impressive examination of HIV/AIDS from a historical, social, political, and biomedical perspective while transcending issues of culture, gender, and global impact. By making minimal assumptions about the reader’s knowledge and with an outstanding range of insightful articles, the editors make accessible a comprehensive and highly readable introduction to HIV and AIDS on a global scale…The editors begin with an overview that addresses global convergences and emerging issues in HIV risk, prevention, and treatment. This overview, with its discussion of the importance of using an interdisciplinary and structural approach to the conceptualization of the complex dynamics that encourage or mitigate HIV prevention, transmission, and treatment worldwide, provides the foundation for the remainder of the book. As the title clearly implies, Pope, White, and Malow methodically explore the omnipresent concept of HIV/AIDS from a global viewpoint in terms of evolving theories of harm and risk reduction, gender and sexuality, the interrelationship of biomedicine and behavior, exploration of new forms of intervention and prevention, policies of justice, media and HIV, vulnerable populations, caring for individuals with HIV/ AIDS, and globalizing theory on HIV/AIDS. To achieve this noteworthy and comprehensive goal, the book is divided into nine sections and has a total of 37 chapters. Each section begins with a framing essay that sets the stage for the chapters within the section…The editors conclude this comprehensive overview of the global HIV/AIDS epidemic with a section addressing the concept of a globalizing theory on HIV/ AIDS and frameworks for future prevention and intervention. The last of the nine framing essays focuses on the global impact of the HIV/AIDS epidemic in terms of other large-scale social and economic processes, many of which have been addressed throughout this voluminous text… In this textbook and reference, Pope, White, and Malow have meticulously assembled a resource that offers myriad cutting-edge issues in HIV/AIDS research, policy making, and advocacy from a global perspective… Without question, this book provides a wealth of information and presents a unitary geographical, sociological, and public health frame of reference for the analysis of HIV/AIDS prevention and intervention on a global scale."
-- Eric Fenkl, Visiting Clinical Assistant Professor, Florida International University, Miami, JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE, Vol. 20, No. 3, May/June 2009
"I would use this book for a general introductory HIV/AIDS course, a more specific HIV/AIDS preventioncourse, or I would use individual sections and chapters for an introductory development or public health course. The section essays will remain temporally relevant even as new developments (such as a possible vaccine and changes in the ebb and flow of international funding) rapidly evolve. Overall, this book offers a solid and provocative foundation for complex problems that biomedical research, social science, and active organizations address. The editors’ determination to encourage interdisciplinary conversations that are practical and timely is evident in each section and each chapter."–Stephanie Brooker, University of Colorado (2010)
Foreword: Peter Aggleton and Richard Parker, "Globalization, Vulnerability, and the response to HIV and AIDS."
Examination of the ways in which a number of key processes associated with globalization in the late 20th and early 21st centuries have shaped the HIV epidemic.
Introduction to the Book
Presents the importance of using an interdisciplinary global approach to conceptualize the complex dynamics that encourage or mitigate HIV prevention, transmission, and treatment and highlighst a structural approach to understanding the spread of HIV worldwide.
Section 1: Evolving Theories of Harm Reduction and HIV risk
Using an ecological model, this paper reviews international evidence that laws and law enforcement practices influence risk for Injection Drug Users.
Discusses the particular hazards of carceral environments regarding HIV transmission and treatment and how the prevalence of HIV/AIDS in jails and prisons affects public health on a scale far exceeding the millions of individuals residing behind bars.
4) Michael Duke, JiangHong Li, and Merrill Singer. "Drug use, Syringe Sharing and HIV Risk in the People’s Republic of China"
Presents the results of a pilot study of syringe sharing in Guangdong province in the south of China, highlighting how the unique changing economy and social circumstances in China will lead to increasing HIV rates there.
Discusses the role of stereotypes in determining Rio cocaine users’ perceptions of HIV transmission and oral HIV testing.
Section 2: Gender, Sexuality and HIV Risk
Reviews the ways in which gender inequalities contribute to women and men’s vulnerability to HIV and discusses key principals for fostering HIV prevention among women and men, and lays out a framework for addressing gender inequalities within the context of HIV prevention programming.
Discusses the oft- neglected role of women’s biology, its role in HIV behavioral interventions and the challenges to researchers that are posed by the genomic era.
Describes the cultural systems that produce sex work in Karnataka and Rajasthan, India as a community sanctioned occupation and provides a critical review of prevention programs designed to prevent HIV/AIDS and Sexually Transmitted Infections in these communities.
Provides a brief overview of the history and current HIV/AIDS situation in Ukraine, and analyzes key challenges for moving forward in the fight against HIV/AIDS, especially the need for developing gender sensitive approaches that respond to the unique and growing needs of HIV positive women in the region..
Provides a chronological analysis of key events in the history of male Central Asian homosexuals covering four critical periods. Shows how the HIV/AIDS epidemic aggravated prejudice and discrimination. Yet, the pandemic provided individuals with an extraordinary opportunity to fight for the rights of homosexuals.
Analyzes how sexuality in Africa is imagined by internationally driven AIDS campaigns and how this fits with the cultural, political, economic, and moral processes that shape the construction of sexualities in specific regions of sub-Saharan Africa.
In order for the chain of HIV/AIDS transmission to be interrupted in seemingly low risk female populations, prevention strategies to reduce male risk behavior are critical. The Philippines is an example of this successful strategy.
Section 3: Critical Intersections between Biomedicine, Behavior, and HIV
The author describes the evolution of HIV drug therapy from AZT to HAART, from the perspective of both researchers and persons living with HIV; explores past and current issues related to ARV drug resistance and medication adherence; and concludes with a brief discussion of HIV drug therapy in the 21st century.
Microbicide research investment needs to increase dramatically since the face of the AIDS epidemic is increasingly female. HIV prevention methods should be responsive to women’s unique biological, social, cultural, structural and interpersonal needs.
Examines the neuropsychology of HIV. Controversial and contemporary issues are highlighted including the impact of HAART on neuropsychology performance in people living with HIV, methodological issues, co-infection with Hepatitis C, and the neuropsychology of HIV in the developing world.
Describes the barriers to achieving optimal levels of ARV adherence, theoretical conceptualizations of these barriers, factors facilitating ART adherence, and research on the behavioral strategies evaluated to promote adherence. Jane
The chapter documents that adherence mastery of an ART treatment plan involves a complex set of behaviors, including maintenance of near-perfect compliance.
Section 4: Explorations in New Forms of Intervention and Prevention
The threat of acquiring a sexually transmitted infection (STI) is one of the most significant public health risks facing adolescents today. From an economic and social perspective, these infections continue to exact a significant toll on adolescents and society, in general, worldwide.
This chapter discusses the history, methods, and significance of a Community Readiness Model of behavioral risk prevention and presents an application of its use in the U.S. Virgin Islands.
This chapter discusses issues surrounding barriers to HIV medical treatment in Haiti by drawing on historical and socio-cultural research.
This essay presents a health policymakers’ insider view of the much-lauded ABC prevention strategy, and how international donors have influenced the propagation of this model.
Kathy Goggin, Megan Pinkston, Nceba Gqaleni, Thandi Puoane, Douglas Wilson, Jannette Berkley-Patton, and David A. Martinez
This chapter provides the first published data demonstrating that South African Traditional Health Providers provide effective prevention and treatment services to HIV-positive and at-risk individuals, THPs are using hematology reports in their practices, and that they are willing to make referrals to allopathic health care.
Section 5: Policies of (In)Justice: Structural Responses to HIV
This essay examines how structural violence has influenced HIV vulnerability and access to heath care and life-saving drugs.
This chapter posits whether calling the AIDS epidemic in Sub-Saharan Africa a genocide is viable. The author posits that it holds the possibility for generating greater visibility to a situation that exists in part because of government response; for holding scientists in the public and private sectors accountable to the downstream implications of their research; and for raising questions about the humanitarian contradictions of intellectual property regulation.
Reviews the successes and failures in the fight against HIV/AIDS in Latin America: particularly governmental response to secondary problems people living with HIV/AIDS face and the need for sexuality education.
Presents the ethical and clinical experience of public sector physicians during the post-Apartheid period in South Africa, who were faced with poverty, medical scarcity and government resistance in treating people with HIV. This chapter shows that the onset of the government’s "roll-out" of anti-retroviral therapy (ART) in 2003, providing drugs to public sector patients, has not put an end to the rationing of care that characterized the pre-ART period.
The formative influence of national healthcare institutions on HIV/AIDS policies is explored here through a comparison of the treatment-related policy choices made by the United States and the United Kingdom since the start of the epidemic.
A lack of health care services and lack of HIV/AIDS trained physicians contribute to the medically underserved nature of the border region. Solutions that involve bi-national cooperation between Mexico and the United States can be successful, but the current dynamics along the US-Mexico border preempt cooperation and the provision of medical care in the area.
Section 6: Media and HIV/AIDS
The chapter discusses the roles that both ‘old’ and ‘new’ media have played in HIV/AIDS prevention, examining the broad literature on HIV/AIDS mass communication campaigns (old media) as well as emerging literature on computer-based interventions, many of which are Internet-based (new media).
Exploration of the impact of photojournalist Gideon Mendel’s photographs on the representation and self-presentation of people living with HIV/AIDS in South Africa. Argues that his photographs contested how HIV/AIDS was constructed by state discourse
Explores the Sabido methodology of disseminating HIV prevention messages and the reasons why this theory-based approach to behavior change communication has been so successful. Why do audiences from the Philippines, to India, from Tanzania to Ethiopia, and from Mexico to Bolivia find these HIV-related dramas irresistible – and much more than merely educating in an entertaining way?
An autobiographical account of a woman living with AIDS since 2000. Currently based in the Capitol Phnom Penh as a Technical Advisor for the Internews Europe Mekong Project, her responsibility is to improve media coverage of the epidemic, particularly to enhance the positive voices in the media.
Section 7: Vulnerable Populations: Conflict, Natural Disaster, and Migration
A call to refashion state response to the needs of displaced persons with HIV/AIDS. Failure to provide comprehensive HIV prevention, care and treatment to these individuals and groups will affect both host populations and the host country.
A description of the current state of knowledge about the effects of hurricanes, such as Katrina (2006), and similar natural disasters on adolescent psychological well-being, with a particular focus on psychological morbidity and negative health behaviors in the form of Post-Traumatic Stress Disorder, substance use, and HIV-risk behavior.
The chapter analyzes some of the impacts of globalization on HIV/AIDS in Africa, including internal and international migrant labor flows and the consequences for HIV proliferation, the role of globalization in fostering inequality and poverty in weaker economies, and increasing vulnerability for women and girls.
Addresses HIV/AIDS and migration in the region, with specific reference to those mobile groups classified as high-risk based on their vulnerability to contracting and possibly spreading the virus. This includes commercial sex workers, men who have sex with men, and street children.
This article presents outcomes from study in the DRC, looking at HIV in an area of violent political conflict. The authors stress that it is important that HIV prevention and treatment programs not wait until a conflict is over until they mount campaigns.
The authors propose a human rights approach as a viable model for HIV prevention in northern Uganda. This essay emphasizes that individual behavior modification of HIV prevention must be understood in terms of structural constraints, such as war.
Section 8: Living and Caring for Individuals with HIV/AIDS
Captures current writing pertaining to the myriad implications of living with HIV/AIDS and thematic similarities among disparate groups in disparate places around the world. The risk of contracting and suffering from HIV/AIDS relates more to social stressors, such as poverty, gender power imbalances, migration status, low educational attainment, and stigma than to inherent biological risk.
Proposes strategies that utilize coalitions of policymakers and AIDS advocates in the United States in order to devise innovative responses to the AIDS pandemic.
Describes how female caregivers in rural East African communities draw on their experiences to function as community organizers and advocates.
A personal narrative uncovers the daily challenges and rewards of service provision in Nima, Ghana. Work in the field shifts from relationship building to health care to the emotional maintenance needed to be effective to patients.
Examines the experiences of caregiving to children with HIV/AIDS in the low income country of Togo, West Africa. The paper examines resilience and the ascribed meanings seropositive parents and seronegative caregivers gave to their experiences as ways of effectively coping with the challenges of caregiving.
Section 9: Globalizing theory on HIV/AIDS: Frameworks for the future
Focuses on globalization and other large-scale social and economic processes (such as wars, falling profit rates, sociopolitical transitions, global warming, migration, slummification, and social movements). Illustrates how some of the pathways come to affect different groups of human beings differently and what this tells us about what should be done.
Draws on human geography to explore how the diseased body represents a site of struggle and contestation. HIV/AIDS is incorporated into the world of everyday life in which literal place and place in the world (status and identity) are linked to appearance, demeanor, and feelings.
Debates have arisen concerning the efficacy of the World Health Organization’s 3X5 Program to deliver HIV antiretrovirals to three million people by 2005. By focusing on the dissemination of HIV-ARVs and risk reduction education as the two distinct strategies adopted by proponents of the 3X5 Program, the chapter illustrates the challenges inherent in reconciling different frameworks used to translate science into public health policy.
The Middle East and North Africa (MENA) is a region where little research has been done and where there is a dire need for more. This chapter calls for strengthening and amplifying interdisciplinary research on HIV/AIDS issues in the Middle East.
The paper anchors the book as it shows how HIV epidemic produces globalization in new ways. Processes of internationalization have shaped how individuals interact as a global community.
Cynthia Pope is Associate Professor of Geography at Central Connecticut State University and Lecturer in Global Health at Yale University. Her work deals with the intersections of geopolitics, gender, and HIV risk in the developing world, particularly Latin America and the Caribbean.
Renee T. White is Professor of Sociology and co-director of Black Studies at Fairfield University. She is co-editor of the Journal of HIV/AIDS Prevention in Children and Youth. Her research focuses on health disparities, reproductive and AIDS-related social policy, urban inequalities and social justice.
Robert Malow is a Professor of Public Health at Florida International University and is associated editor of AIDS Education and Prevention. He has authored over 150 scientific publications and has led over a dozen National Institutes of Health-funded projects in the area of HIV and substance abuse.