Analyzing HIV/AIDS and Alcohol and Other Drug Use as a Social Problem

Most prevention and intervention activities directed toward HIV/AIDS and alcohol and other drug use separately as well as the combining of the two (e.g., those who are both HIV/AIDS and using alcohol and other drugs) comes in the form of specific, individualized therapies without consideration of social influences that may have a greater impact on this population. Approaching this social problem from the narrowed view of individualized, micro solutions disregards the larger social conditions that affect or perhaps even are at the root of the problem. This paper analyzes the social problem of HIV/AIDS and alcohol and other drug abuse using three sociological perspectives—social construction theory, ethnomethodology, and conflict theory—informing the reader of the broader influences accompanying this problem.     

Social Protection in a Context of HIV/AIDS: A Closer Look at South Africa

Abstract

South Africa is unusual in that it is experiencing high levels of AIDS morbidity and mortality, but is also able to afford a relatively developed system of social assistance. However, HIV/AIDS is affecting poverty in some unique ways and compounding other challenges such as unemployment. Its nature is such that it demands immediate action, balanced with a focus on long-term development. This is requiring a conceptual shift from ‘social security’ to ‘social protection’, since social assistance is not managing to address all dimensions of poverty and is also creating perverse incentives for people not to maximise their health. In South Africa, household studies comprise the most useful evidence to explore the particular challenges posed by HIV/AIDS. They indicate a need to review policies in all the social sectors and to focus on the issue of human capital.     

Social support on Weibo for people living with HIV/AIDS in China: a quantitative content analysis

The Internet has recently become an important source of social support. People living with HIV/AIDS (PLWHA) in China created an online support group (the HIV/AIDS Weibo Group) on Weibo, the Chinese equivalent of Twitter, in January 2011. To investigate social support in the HIV/AIDS Weibo Group, the content of all 7215 messages posted in this Weibo group since its launch on 18 January 2011, was analyzed. The analysis demonstrates that the majority of messages fell into the category of social support. Moreover, social support provisions were far more frequent than social support requests. The results also show that informational support, compared with emotional and instrumental support, was the most frequently requested and provided type of support in this Weibo group.     

Social Order through a Prism: Color as Collective Representation

Although color has rarely been examined as a sociological topic, the meaning of color is linked to numerous social domains and serves as a collective representation. Color contributes to social meanings in institutional orders, stratification systems, and identity. While color has some meaning separate from its linkage to particular objects, in most cases colors are situated. We perceive not color, but colored objects. Any given color has multiple meanings that are understood in context. Through our examination of a range of domains in which color has social significance, we suggest that the examination of this field has considerable promise. We conclude by linking the analysis of color to the model of cultural formation suggested by Schudson (1989), focusing on retrievability, rhetorical force, resonance, institutional retention, and resolution.     

Returning to work with HIV/AIDS: a qualitative study

In addition to being an outcome, workforce reentry is a process: People with HIV/AIDS attempting to go back to work must make initial decisions to engage in such an attempt, they then must go through a series of steps that may include re-education or retraining, job searches, résumé development, and other activities. Sustaining employment, in turn, entails its own set of activities. People attempting workforce reentry may also experience barriers on their journeys back to work, they may employ certain strengths to reach their goals, and they may use resources to facilitate preparation for work. Few studies have attempted to study this process. This study was designed to provide an initial attempt to study the process of workforce reentry. Abstracted information from the progress notes of 104 people with HIV/AIDS attempting workforce reentry was qualitatively analyzed using a grounded theory approach to identify themes. Three major themes emerged with reliability: Barriers to workforce reentry, staff-identified strengths, and resources used in workforce-reentry efforts. Although none predicted successful workforce reentry, participants in the study experienced substantial barriers in their workforce-reentry efforts, staff identified significant strengths, and participants used appropriate resources in their efforts to go back to work. Implications for workforce-reentry programs for people with HIV/AIDS are discussed.     

HIV/AIDS stigma in Chinese Internet forums: a content analysis approach

This study examines the stigmatization of HIV/AIDS and people living with HIV/AIDS (PLHA) on three popular Chinese Internet forums. A corpus of 275 entries discussing AIDS and PLHA was coded, based on a scheme of five stigmatizing behaviors. A high percentage of postings showed at least one and often several stigmatizing behaviors. These findings suggest that participants openly revealed their fears and biases about AIDS and PLHA online. In addition, when sexual behaviors were identified in the entries, a higher likelihood to stigmatize, a greater absence of empathy, and more intense negative emotions were shown. Further investigation of the five variables of stigmatization shows that labeling, negative attribution, and responsibility were the most frequent stigmatizing behaviors in these messages. Implications of this tendency to feel free to stigmatize HIV/AIDS and PLHA in online forums are discussed. The study also provides suggestions to health practitioners and policy makers for how to address online AIDS stigmatizing behavior.     

The Economics of HIV/AIDS: A Survey

This article surveys the main economic issues associated with the HIV/AIDS epidemic, paying special attention to sub–Saharan Africa. It explores the economic and behavioural determinants of HIV transmission, the microeconomics of market failures associated with high HIV prevalence, the prospects for regional development from a macroeconomic perspective and the efficient design of policies for coping with the epidemic. In line with the recent appeal by the UN Secretary General, the article argues that, without a decisive effort to halt HIV/AIDS, people living in the region are bound to experience a further fall in their standard of living in both relative and absolute terms. However, to be effective, anti–AIDS programmes must be rooted in sound economic principles.     

HIV/AIDS Prevention in the African American Community:

The high rate of AIDS cases among African Americans, especially women, suggests that HIV risk reduction behavior change programs and messages have not been highly successful in preventing HIV transmission among this population. This paper recommends that the situational and environmental context of African Americans' lives, and their responses to HIV/AIDS be addressed and incorporated into HIV prevention programs in an effort to make these programs more relevant to high risk African Americans. A multilevel system intervention approach grounded in an ecosystem perspective which focuses on the community as the primary target level of intervention is proposed to increase the effectiveness of HIV prevention efforts among African Americans.     

Clients as Co-Developers of Multimedia Software: Two HIV/AIDS Training Programs for Kids

SUMMARY

Most educators using multimedia have difficulty determining how best to structure and present curriculum material to difficult audiences, such as at-risk youth. This article describes a process whereby kids played significant roles as co-developers and subject matter experts in the development of two multimedia training modules on HIV/AIDS for kids ages 6–9 and 9–12. It presents the development process, the resulting software, the results of the formal evaluation, issues, problems, and lessons learned. It concludes that client involvement in software is effective as well as therapeutic and empowering. However, developing software in controversial areas, such as HIV and AIDS, results in problematic distribution and continued enhancement.     

Who Can Help People with HIV/AIDS in Africa? Governance of HIV/AIDS and Civil Society

This paper locates NGOs dealing with HIV/AIDS problems in sub-Saharan Africa into the larger governance context within which they function. This aims at a theoretical shift to assess the aspirational characteristics for the agency of NGOs that are used to legitimate contracting out implementation of internationally designed HIV/AIDS policies to these organizations. The paper interrogates the nature and impact of the governance structure on NGOs and then looks at the implications of this for HIV/AIDS. The questioning is based on a juxtaposition of the perspective of international policy fora in relation to civil society organizations with the way NGO work is perceived by the people at the receiving end of the policies. The paper suggests that as part of the international governance structure, NGOs are limited within the policy frameworks created by this structure. Furthermore, due to their organizational characteristics, NGOs lack capacity to establish sustainable long-term interventions relevant for sociocultural change as perceived by people themselves.     

Women in India: The Context and Impact of HIV/AIDS

ABSTRACT

The response to the HIV/AIDS epidemic on the Indian subcontinent has been hampered by several factors, including societal stigma, lack of educational resources, lack of economic opportunities, and the competing priorities for a nation just growing and developing an infrastructure for education, industry, and health. In particular, Indian women are silent victims in this epidemic because they do not readily have a respected voice in decision making and priority setting for the government. The epidemic is increasingly affecting and infecting Indian women (e.g., female commercial sex workers, married women, and pregnant women). The status of Indian women has placed them at extreme disadvantage because India is a country with socially progressive laws but has been slow to change its social norms. The reported HIV prevalence is low although many researchers agree a large amount of underreporting occurs. For India to address this emerging epidemic among women appropriately, it should focus on three intervention areas: (1) short-term solutions such as treatment options for those already infected with HIV to prevent further infection to sexual partners and children; (2) intermediate solutions such as education for those who are uninfected but engaging in behaviors that may put them at risk, such as injection drug use, engaging in commercial sex work, engaging in extramarital sexual relations, and having sexual partners who are not monogamous; and 3) long-term solutions such as addressing the root causes of inequality (e.g., disparities in education and employment and unwillingness to change social norms).     

Participation as a Health Communication Strategy in HIV/AIDS Intervention Projects: an Examination of a Project Targeting Commercial Sex Workers in India

This article examines how participation frames health communication strategies in the Sonagachi Project. The current research, which involves a study of 37 commercial female sex workers in a red-light district of India, investigates how the participation of target audiences in the enunciation of health problems in HIV/AIDS intervention projects engenders change. The study analyzed how a participatory framework in an HIV/sexually transmitted infection intervention project among sex workers addresses sociostructural constraints that affect the lives of the sex workers. The article aims to investigate how participation engages the sex workers in roles of power and decision-making within a health intervention program directed toward curbing sexually transmitted infections.     

阿拉伯国家艾滋病问题现状综述

本文概述了阿拉伯国家艾滋病问题的现状，分析了阿拉伯国家自身的文化、社会结构特点与艾滋病传播的关系，指出艾滋病已成为当今阿拉伯各国不可忽视的重要问题，同时也对阿拉伯国家防治艾滋病的前景做出了较乐观的估计。     

阿拉伯国家艾滋病问题现状综述

本文概述了阿拉伯国家艾滋病问题的现状,分析了阿拉伯国家自身的文化、社会结构特点与艾滋病传播的关系,指出艾滋病已成为当今阿拉伯各国不可忽视的重要问题,同时也对阿拉伯国家防治艾滋病的前景做出了较乐观的估计.     

Cross-National Coverage of HIV/AIDS: A Community Structure Approach

Community structure analysis compared cross-national coverage of responsibility to fight HIV/AIDS in newspapers in 18 countries, selecting articles of 250+ words from May 7, 2003, to September 13, 2013. The resulting 291 articles were coded for “prominence” and “direction” (“government,” “society,” including nongovernmental organizations [NGOs]/foreign aid or “balanced/neutral” coverage), and combined for composite scores in each newspaper's “Media Vector” (range = .4974 to ?.1465). Newspaper support for governmental versus societal involvement was 9 to 9 (50/50). Pearson correlations revealed significant relationships in privilege and vulnerability categories: public knowledge of HIV/AIDS preventative measures and general health of the population. Regression of national characteristics against Media Vectors yielded percentage of women who know condom use prevents HIV (63.7% of variance), percentage of men who know condom use prevents HIV, and percentage of population undernourished, collectively totaling 84.8% of variance, all correlated with support for government intervention. A second regression analysis excluding self-report variables found that “% population undernourished” and “% females in the workforce” (combined 52.8% of variance) were linked to coverage supporting government responsibility. “AIDS incidence” (13.6% of variance) was linked to support for “societal” intervention. Most of the variance was linked to coverage supporting government responsibility for HIV/AIDS.     

Chapter 2: The Ecological Context of HIV/AIDS Counseling:

The HIV/AIDS epidemic has brought on social changes bearing considerable impact upon the lives of gay and lesbian communities. An ecological perspective on the counseling process in human services for those impacted by the epidemic is recommended. Issues in counseling which are shaped by the epidemic include fostering support systems within the context of an often hostile social environment; addressing the essential need for shifting assessment paradigms to those which emphasize strengths; recognizing the impact of multiple traumatic occurences and multiple losses on everyday life transactions; and using interventions which promote empowerment, self-acceptance, and healthy lifestyles.