AI/AN Research
Advancing
HIV/AIDS Prevention Among American Indians Through Capacity Building and
the Community Readiness Model PDF - 85KB
This article looks at community readiness based on existing
community capacity and has experiences a high level of success in building capacity
for effective prevention and interventions. This will guide the community through
the process of understanding the importance of the measure of readiness.
The Changing Face of HIV/AIDS Among Native Populations PDF
- 5000KB
This article
presents some of the biological, social, economic and behavioral cofactors related
to HIV/AIDS in the Native Communities and the potential considerations for prevention
needs.
Determinants of Survival for
Native American Adults with HIV Infection PDF
- 144KB
This study aims to evaluate
the impact of HAART and review determinants of survival in a cohort of AI/AN
persons receiving treatment for HIV in a real life clinical setting.
Environmental, Social,
and Personal Correlates of Having Ever Had Sexual Intercourse Among American
Indian Youths PDF - 142KB
HIV Perceptions and Testing History
of American Indians in one Northwest Tribal Community (2005) PUB
- 228KB
The HIV
Testing Survey (HITS) was developed by the CDC to facilitate
local HIV surveillance activities. The survey was designed to elicit information
from high-risk adults regarding: 1) their willingness to obtain HIV testing;
2) perceived obstacles to HIV testing; and 3) knowledge of HIV testing and reporting
laws and policies. In 2001, the Northwest Portland Area Indian Health Board (NPAIHB)
and Oregon Health & Science University (OHSU) collaborated on a survey project
to collect this data. Urban and tribal community members helped modify the original
survey.
HIV/AIDS Prevention
Early Intervention and Health Promotion PDF
- 967KB
This
is a self-study module that contains information about the prevention, diagnosis, early
intervention, and health promotion as related to HIV disease in Native American
clients.
HIV/AIDS Protective Factors Among Urban American Indian Youth PDF
- 126KB
This article reviews how specific factors (family and individual) influence
3 co-factors of HIV risk: multiple sex partners, substance use and condom non-use.
HIV - Related Risk Behaviors,
Perceptions of Risk, HIV Testing and Exposure to Prevention Messages and
Methods Among Urban American Indians and Alaska Natives (2006) PDF
- 177KB
Native Americans and HIV/AIDS: Key Issues and Recommendations for
Health Departments
The
National Alliance of State and Territorial AIDS Directors (NASTAD) report is
intended to serve as a resource for health departments seeking to work with Native
American communities to address existing health disparities, particularly those
related to HIV/AIDS. PDF - 612KB
Racial Misidentification of American Indians/Alaska
Natives in the HIV/AIDS Reporting Systems of Five States and One Urban Health
Jurisdiction, U.S., 1984–2002 PDF - 153KB
This study aims to evaluate and review racial misidentification of American Indians/Alaska
Natives (AI/AN) reported to the human immunodeficiency virus (HIV)/acquired immunodeficiency
syndrome (AIDS) Reporting Systems (HARS) of five US states and one county. Of
particular interest, this study looks at misidentification in California, which
has a large AI/AN population and has not been a part of the 33-state CDC HIV/AIDS
surveillance report through 2005. It will be interesting to monitor HIV incidence
as all 50 states are captured in the state reporting system over the next couple
years.
STD / HIV Prevention Integration – NASTAD
Report (2002) PDF - 400KB
The Work
Group alsorecommends policies that promote implementation of
effective HIV/AIDS and STD prevention and care services. One goal of the Work
Group is to promote and encourage the implementation of prevention strategies
for persons testing positive for HIV or another STD.
Surveillance Systems
Monitoring HIV/AIDS and HIV Risk Behaviors Among American Indians and Alaska
Natives PDF - 1,200 KB
Data from national surveillance systems were examined to
describe the spread of HIV/AIDS and the prevalence of HIV-related risk behaviors
among AI/AN people.
Within the Hidden Epidemic: Sexually
Transmitted Diseases and HIV/AIDS Among American Indians and Alaska Natives PDF
- 193 KB
Kaufman CE, Shelby L, Mosure DJ, Marrazzo
J, Wong D, de Ravello L, Rushing SC, Warren-Mears V, Neel L, Jumping Eagle S,
Tulloch S, Romero F, Patrick S, Cheek JE; for the Task force on STD Prevention
and Control Among American Indians and Alaska Natives.
OBJECTIVES: To review the epidemiology, research, and prevention
programs for sexually transmitted diseases in American Indians and Alaska Natives
(AI/ANs). STUDY DESIGN: We reviewed the current national and regional trends
in sexually transmitted diseases (STDs) for AI/ANs from 1998-2004, peer-reviewed
studies from January 1996, through May 2006, and reports, unpublished documents,
and electronic resources addressing AI/AN STD prevention and control. RESULTS:
STD prevalence among AI/ANs remains high. For example, the case rate of C. trachomatis
in the North Central Plains AI/AN populations is 6 times the overall US rate.
Trends for C. trachomatis also show sustained increases. Little research exists
on STDs for this population, and most is focused on HIV/AIDS. Fear of compromised
confidentiality, cultural taboos, and complex financial and service relationships
inhibit effective surveillance, prevention, and management. CONCLUSIONS: Recommendations
for STD control in this population include improved local surveillance and incorporation
of existing frameworks of health and healing into prevention and intervention
efforts. Research defining the parameters of cultural context and social epidemiology
of STDs is necessary.
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