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FutureStarrThe Black Community Of HIV In The South
HIV is a serious health issue affecting Black communities in the South, having an immense effect on those living with it and their families.
Socioeconomic factors contribute to the disproportionate prevalence of HIV infection in South Asia, such as income inequality, poverty and worse health outcomes.
The Black Community Of HIV In The South faces numerous barriers to prevention, education, care and treatment. Many of these issues stem from HIV stigma and discrimination.
Stigma is a group of negative attitudes or beliefs that negatively impact a person's mental, physical and social wellbeing. It also makes people with HIV less likely to disclose their status or seek medical care.
Social isolation, inadequate housing, unemployment and poverty can have a devastating impact on individuals' quality of life. Making recovery from illness more challenging makes for an overall poorer quality of life for many people.
Discrimination against people living with HIV can take place in everyday settings, such as the workplace or restaurant. It may also be due to a lack of knowledge about HIV.
There are a few steps you can take to combat discrimination. The most effective way is education - which can be accomplished by speaking with a healthcare professional who will answer any queries and offer tips on how to avoid it.
You can advocate for yourself and those living with HIV by speaking up. Doing so helps normalize HIV as a manageable health condition and reduces judgment and stereotyping of those living with it.
In many parts of the world, a health stigma and discrimination framework has been developed to better comprehend how different types of stigma impact people's lives. This framework can be utilized for assessing the risks, effects of stigmatization and discrimination as well as supporting prevention, education, care and treatment initiatives.
Stigma can be a significant barrier to health-seeking behavior and engagement in care [1,] treatment adherence, and other population health outcomes. Its causes and contributors include sociocultural context, personal experience/practice, and policy.
Intergenerational poverty is a systemic issue that manifests as an endless cycle of low-income individuals becoming poorer and poorer over time. These people lack the opportunities to rise above poverty line and become self-sufficient due to factors like lack of educational opportunities, food insecurity, unsafe living conditions, as well as increased risks of violence or incarceration.
In the Black Community Of HIV In The South, there are numerous intergenerational poverty issues that impact both women and children. Mother's health status has a direct bearing on their offspring's wellbeing; thus, providing more resources can help alleviate intergenerational poverty by providing more opportunities for these families.
Studies have demonstrated that poverty increases a child's likelihood of contracting diseases such as HIV and also hinders their academic progress. Therefore, taking steps to protect these kids from developing the illness and assist them in reaching their educational goals are important steps that can be taken.
Intergenerational poverty is another factor that contributes to intergenerational hardship, such as orphans who often have no parents. Orphans tend to live in challenging circumstances and suffer from inadequate healthcare, education and nutrition.
Intergenerational poverty can be addressed by providing more educational opportunities to children, which will give them the tools needed for greater success in school and the workplace. Furthermore, this increases their social capital, giving them more chances to break free of this cycle and climb up the economic ladder.
Additionally, policies that promote global health and provide free healthcare to impoverished children, supplementary nutrition for pregnant women, and contraceptives should be implemented. These interventions will prevent the spread of diseases like HIV and help alleviate intergenerational poverty.
The devastating prevalence rates of HIV/AIDS on Africa have had a devastating impact on the continent, decimating human capital and institutions, perpetuating intergenerational poverty and inequality, and endangering populations and countries alike. Therefore, policymakers and governments must implement an extensive strategy to combat this pandemic across all sectors within the region.
Despite advances in biomedical treatments that have transformed HIV from a death sentence to chronic disease, certain racial/ethnic groups and sexual minorities continue to bear an increasingly heavy burden of the illness. In America, this includes gay, bisexual, other men who have sex with men (MSM); Black people; Latinos; Native American/Alaska Natives; and Asian Americans.
According to the Centers for Disease Control and Prevention (CDC), 37% of new HIV diagnoses were among Black and African Americans; 30% among Hispanic/Latinx people; 3% among multiple race groups; and 1% among non-Hispanic/Latino populations in 2018. These numbers are especially alarming considering that nearly 2 million Americans live with HIV in America today.
Many people living with HIV face difficulty accessing affordable and culturally competent healthcare. A variety of social, economic and geographic factors can impact a person's ability to obtain or retain these services such as housing, employment, education, transportation and the availability of medical insurance. Furthermore, HIV testing and antiretroviral therapy may not be affordable for lower-income individuals.
Black MSM face unique obstacles when seeking and accessing health care services due to their low socio-economic status, lack of adequate coverage, and higher likelihood of unemployment or incarceration than other people. These barriers, combined with stigma and discrimination, may cause them to delay seeking help which in turn leads to higher rates of morbidity and mortality.
One promising opportunity to improve HIV-related outcomes for racial/ethnic and sex minority people is by building partnerships with faith-based organizations and congregations to develop and implement locally based programs that promote HIV prevention and care in their communities. Churches have the capacity to deliver these services by offering resources, providing training courses or developing specialized programs.
Unfortunately, some churches may not be able to implement such activities without external help and technical support. This is especially true for smaller churches in the Deep South who lack capacity and are overwhelmed by competing demands. Therefore, collaboration among public health and philanthropic partners is necessary in order to give FBOs access to resources they need for successful HIV prevention and care initiatives within their community.
African Americans, who make up 14% of the population but account for more than 44% of HIV infections, are disproportionately affected by this illness. The South is particularly hard-hit with higher rates of poverty and unemployment than other regions in America. Despite this disproportionate burden, federal funding for prevention and care has largely gone to urban north regions; leaving communities most in need without sufficient resources to address their needs.
One way to address disparity in access to health services is through structural intervention. Structural solutions aim to increase access and create healthier outcomes by decreasing residential segregation, providing affordable housing, increasing public and private health insurance coverage, modernizing hospital infrastructure, or creating community-based programs that encourage healthy behaviors among others.
FBOs and churches are ideal venues to implement and disseminate these types of interventions within the Black Community Of HIV In The South. Furthermore, FBOs and their clergy are widely seen as pillars in the African American community, often having strong social networks which can shape member behaviors.
Research has demonstrated that many Faith-Based Organizations (FBOs) lack the technical capacity to create and sustain healthy ministries. This is especially true for rural African American churches where lack of funding and inadequate staff resources make it difficult to offer health care or related support services to their parishioners.
Unfortunately, many churchgoers are less likely to get involved in HIV prevention efforts. For instance, they're less likely to use pre-exposure prophylaxis (PrEP), one of the most successful ways to reduce HIV infection and AIDS-related mortality.
Stigma is a significant obstacle to engaging in biomedical HIV prevention. Studies show that among African Americans, stigma is associated with delays in diagnosis, decreased use of HIV medications and an increased risk for viral suppression - leading to greater HIV transmission rates and higher HIV-related death rates.
Thankfully, many faith-based organizations have begun to address this problem. For instance, the 9th District of the African Methodist Episcopal (AME) Church in Alabama developed and implemented a series of regionally focused three-hour HIV trainings for clergy and faith leaders called Love with No Exceptions. These sessions included messages about HIV awareness, condom use and the need to prevent transmission among communities.