Archive of Resources
Recorded cultural competency videos pertaining to improving HIV/AIDS health care.
These materials are 5 year and older, so have been removed from the active Knowledge Center. They are retained on this page for archival purposes.
Telehealth and HIV
- HIV is rare among low-risk heterosexual men and significant potential savings could occur through phone results. Bush MR, Williams H, Fairley CK. Sex Health. 2010 Dec;7(4):495-7.
- Design of a randomized trial to evaluate the influence of mobile phone reminders on adherence to first line antiretroviral treatment in South India--the HIVIND study protocol.
De Costa A, Shet A, Kumarasamy N, Ashorn P, Eriksson B, Bogg L, Diwan VK; HIVIND study team.
BMC Med Res Methodol. 2010 Mar 26;10:25.
- Routine, self-administered, touch-screen, computer-based suicidal ideation assessment linked to automated response team notification in an HIV primary care setting. Lawrence ST, Willig JH, Crane HM, Ye J, Aban I, Lober W, Nevin CR, Batey DS, Mugavero MJ, McCullumsmith C, Wright C, Kitahata M, Raper JL, Saag MS, Schumacher JE. Clin Infect Dis. 2010 Apr 15;50(8):1165-73.
- An e-health driven laboratory information system to support HIV treatment in Peru: E-quity for laboratory personnel, health providers and people living with HIV. García PJ, Vargas JH, Caballero N P, Calle V J, Bayer AM. BMC Med Inform Decis Mak. 2009 Dec 10;9:50.
- Three years experience with the implementation of a networked electronic medical record in Haiti. Lober WB, Quiles C, Wagner S, Cassagnol R, Lamothes R, Alexis DR, Joseph P, Sutton P, Puttkammer N, Kitahata MM. AMIA Annu Symp Proc. 2008 Nov 6:434-8.
- Care of HIV-infected Latinos in the United States: a description of calls to the National HIV/AIDS Clinicians' Consultation Center. Mahoney MR, Khamarko K, Goldschmidt RH. J Assoc Nurses AIDS Care. 2008 Jul-Aug;19(4):302-10.
- Long-distance interactive expert advice in highly treatment-experienced HIV-infected patients. Llibre JM, Domingo P, del Pozo MA, Miralles C, Galindo MJ, Viciana I, Moreno S, Schapiro JM, Clotet B. J Antimicrob Chemother. 2008 Jan;61(1):206-9.
Telehealth and Complementary and Alternative Medicine
- Complementary and alternative medicine use among Asian Indians in the United States: a national study. Asian Americans use complementary and alternative medicine (CAM) at a higher rate than Americans. This national study on Asian Indians (AIs), the third largest Asian-American subgroup in the United States, examined the CAM use by gender and its association with acculturation, health behaviors, and access to health care .
Source: PubMed 2010
- Development and evaluation of a complementary and alternative medicine use survey in African-Americans with acquired immune deficiency syndrome.
The purpose of the current study was to develop and evaluate the psychometric properties of a culturally- and stage-of-disease-appropriate measure of complementary and alternative medicine (CAM) use among a population of African-American individuals with acquired immune deficiency syndrome (AIDS) using a mixed-method design.
Source: JACM 2010
- Ayurvedic Medicine Fact Sheet
People with HIV often consult with Ayurvedic practitioners to help improve their overall health and energy level
Source: AIDS Info 2010
- Chinese Herbalism Fact Sheet
AIDS Info 2010 Illness is not defined by symptoms or the name of a disease like "HIV infection." Instead, a practitioner of Chinese medicine will talk about energy imbalances.
Source: AIDS Info 2010
- Chinese Acupuncture
Many people, however, believe that it has helped them improve their overall energy, or deal with the side effects of antiretroviral medications (ARVs).
Source: AIDS Info 2010 Fact Sheet
- Native American/Alaska Native Traditional Healing
In this fact sheet the term "Native American" is meant to include Native Americans and Alaska Natives. These traditions are not based on western science. Instead, they come from the tribe's beliefs about how individuals fit in the web of life. This web includes the tribe, all humanity, the earth, and the universe. Many healing traditions focus on harmony.
Source: Fact Sheet AIDS Info 2010
- Complementary and Alternative-Focus on Research and Care: The Art and Science of Natural Products
This article addresses the natural products in health food stores and supermarkets and do they work
Source: NCCAM 2010
- What is Ayurvedic Medicine? (Fact Sheet)
Source: AIDSInfo 2010
- Why do People with HIV Use Acupuncture (Fact Sheet)
Source: AIDSInfo 2010
- Native American/Alaska Native Traditional Healing (Fact Sheet)
Source: AIDSInfo 2010
- Complementary and Alternative Medicine: What is it?
This article reviews the increasing use of complementary and alternative medicine and what is regarded as CAM.
Source: Mayo Clinic 2009
- Complementary Therapies for HIV
EDH 2009 Many HIV patients turn to complementary and alternative treatment methods to help relieve their HIV symptoms, as well as side effects of their medications — some very successfully
- HIV and Complementary and Alternative Medicine
This article addresses the various complementary and alternative therapies that are available and how they may help relieve HIV symptoms, as well as side effects of medications.
Source: Everyday Health. May 2009
HIV Health Literacy
- HIV testing among sexually experienced Asian and Pacific Islander young women association with routine gynecologic care.
The purpose of this study was to determine the proportion of sexually experienced Asian and Pacific Islander (API) women tested for HIV during the past 12 months, and to investigate the extent to which routine gynecologic care (RGC) increases HIV testing among API women. Source: PubMed July-August 2009
- Ethno-cultural and linguistic transference and countertransference: From Asian perspectives
The multicultural counseling movement emerged in response to a diversified society and an increasing need to bring awareness of culture into clinical practice. Using postmodern theories, shifting from "discovering insights," which suggests an objective knowing, to "identifying meanings," which posits being aware of multiple subjective realities, this article delineates clinical examples of how ethno-cultural and linguistic transference and countertransference are manifested and either are neglected or used in the clinical practice from the perspectives of traditional Asian cultures. Source: PubMed 2009
- Chopsticks don't make it culturally competent: addressing larger issues for HIV prevention among gay, bisexual, and queer Asian Pacific Islander men.
This article explores what factors HIV prevention service providers and active volunteers who are also members of the groups that they serve believe need to be addressed before a culturally appropriate intervention strategy for gay, bisexual, and queer Asian Pacific Islander men can be developed. The authors interviewed 3 focus groups to collect qualitative data on how to make services more culturally competent.
Source: PubMed 2009
- Asian and Pacific Islander Americans (2006, NMAETC)
This fact sheet focueses on culture, the impact of the HIV epidemic, barriers to care and recommendations for providers serving the community
- Doctor/Patient Communication | Our Stories, Our Health
This video discusses how many Southeast Asian immigrants are unable to obtain adequate healthcare because of language barriers. They can't effectively communicate with healthcare providers, and are unable to navigate the complicated system
Source: PubMed 2010
- Older Latina Women and HIV/AIDS: An Examination of Sexuality and Culture as They Relate to Risk and Protective Factors.
Older Latina women are one of the least studied American demographic groups with regard to social, health, or sexual behavior. Currently, older Latina women are one of the fastest growing groups of new AIDS cases. The article addresses risk and protective factors related to gender roles, traditional Latino family values, religion, socioeconomic factors, health, and health care, with special attention to the triple jeopardy faced by this population by virtue of being female, seniors, and minorities. The article concludes with recommendations for the development of culturally competent practices with older Latinas and the development of a research agenda to better understand their risk-related and health-seeking behavior. Source: PubMed 2009
- Correlates of HIV, sexually transmitted infections, and associated high-risk behaviors among male clients of female sex workers in Tijuana, Mexico
Article examines the prevalence and correlates of HIV infection among female sex workers in two Mexico-US border. 2009
- The Impact of Acculturation on Utilization of HIV Prevention Services and Access to Care among an At-Risk Hispanic Population
The purpose of this study was to evaluate the relationship of acculturation with HIV and hepatitis C testing, and access to care among Hispanics at risk for HIV. HIV/AIDS disproportionately affects Hispanics in the United States, a diverse and heterogeneous population.
Source: J Health Care Poor Underserved. 2009
- HIV/ AIDS among Hispanic/Latinos
This Virgina Department of Health report shows that Virginia’s Hispanic/Latino population grew 59% between 2000 and 2008, based on US Census population estimates, and that one in 433 Hispanics/Latinos in Virginia are known to be living with HIV infection
Source VDH 2009
- Linking HIV-positive jail inmates to treatment, care, and social services after release: results from a qualitative assessment of the COMPASS Program
This article discusses linkages to HIV Primary Care in Jail Settings that aims to improve diagnosis and treatment services for HIV-positive jail detainees and link them to community-based medical care and social services upon release 2010
- The Health HIV Pulse Points 2010: Multiculturalism and Cultural Competency Survey
This survey reveals differing views between Hispanic/Latinos and Asian/Pacific Islanders with regards to the term multiculturalism
Source: HHIV 2010
- Sticking to Your Meds While Stuck Behind Bars: Tips from a Prison Doctor
This article identifies various tips for HIV positive prisoners to stay on track with their HIV meds while incarcerated
Source: TB 2009
- Voluntary rapid human immunodeficiency virus (HIV) testing in jails
Effects of providing human immunodeficiency virus (HIV) rapid testing to persons in jails, identify previously undiagnosed cases of HIV infection, and refer HIV-infected inmates to care, treatment, and prevention services 2009
- HIV Care in the Correctional Setting
This article outlines the delivery of health care in jails and prisons in particular the management of HIV where there are significant disparities between jails and prisons, and between local, city, state, and federal systems
Source: TB 2009
- HIV in Prisons, 2007-08 BJS 2009-2010
This report provides the number of state and federal prisoners who were infected with the human immunodeficiency virus (HIV) or had confirmed acquired immune deficiency syndrome (AIDS) at year end 2007 and 2008, categorized by gender, type of infection, and HIV infection by region and state
Lesbian, Gay, Transgendered
- HIV Prevalence Rates Among Men Who Have Sex with Men in the Southern United States: Population-Based Estimates by Race/Ethnicity
This is an article on estimated population-based HIV prevalence rates among MSM in the 17 southern states by race/ethnicity. Source: PubMed 2010
- HIV among Gay, Bisexual and Other Men Who Have Sex with Men (MSM)
Gay, bisexual, and other men who have sex with men (MSM) represent approximately 2% of the US population, yet are the population most severely affected by HIV and are the only risk group in which new HIV infections have been increasing steadily since the early 1990s
Source: CDC 2010
- Exploring factors that Underlie Racial/Ethnic Disparities in HIV Risk among Young Men who have Sex with Men
Young men who have sex with men (YMSM) are among the highest risk groups for HIV, and the risk distribution varies by race/ethnicity. Prevalence rates are consistently higher for minority YMSM.
Source: J Urban Health 2010
- T-SISTA: A Resource Guide for Adapting SISTA for Transwomen of Color UCSF
This is a guide to assist transwomen of color, SISTA (Sisters Informing Sisters about Topics on
AIDS) to reduce HIV risk behaviors.
Source: PubMed 2010
- What are transgender men’s HIV prevention needs? Fact Sheet UCSF
This fact sheet discusses the transgender community is diverse and not enough
research has been conducted with trans people in general. It also indicates there is limited information about transmen.
Source: PubMed 2010
- Transgender HIV/AIDS Health Services. Best practices Guidelines
This document discusses issues related to health needs of transgender individuals living with HIV/AIDS, and identifies ways to improve delivery of services to this community.
Source Pubmed 2010
- Medical treatment for men who have sex with men and are living with HIV/AIDS
The purpose of the study was to identify individual and service system characteristics that impact access, retention, and adherence to an HIV/AIDS medical treatment regimen. The study identified many men who were not likely to seek treatment after their initial HIV/AIDS diagnosis.
Source: PubMed 2009
- LGBT People of Color and People of Color Living with HIV 2009
This resource highlights results from the 2009 Lambda Legal's Health Care Fairness Survey. This survey is the first to examine experiences with refusal of care and barriers to health care access among LGBT and HIV communities on a national scale. (Fact Sheet)
- Medical Treatment for Men Who Have Sex With Men and are Living With HIV/AIDS
The purpose of the study was to identify individual and service system characteristics that impact access, retention, and adherence to an HIV/AIDS medical treatment regimen
Source: PudMed 2009
- The Design, Implementation and Evaluation of a Statewide Cultural Competency Training for North Carolina Disease Intervention Specialists
At least half of all new HIV cases in the United States occur among people under the age of 25 with a substantial proportion of these infections occurring among young men who have sex with men (MSM) (Centers for Disease Control and Prevention [CDC], 2007). Current HIV research reveals an urgent need to address macro-environmental factors such as social barriers (e.g., poverty, racism, and homophobia) that contribute to health inequalities for HIV-infected populations
Source: UMI 2009
- Asset-Based Approaches for Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, and Two-Spirit (LGBTQI2-S) Youth and Families in Systems of Care USF
This paper offers a public health approach for communities to meet the needs of families comprising a parent, child, or youth who is lesbian, gay, bisexual, transgender, questioning, intersex, two-spirit (LGBTQI2-S) or transitioning
Source: PubMed 2009
Men who have Sex with Men
Migrant and Immigrant Communities
- Impact of culture on healthcare seeking behavior of Asian Indians. This article explores the influence of culture at each of these stages in the context of Asian Indian culture. Although Asian-Indians constitute only 1.5% of the US population they are among the fastest growing minorities in the United States.
Source: PubMed 2010
- Improving communication between patients and providers using health information technology and other quality improvement strategies: focus on Asian Americans. Disparities in provider-patient communication have been shown to exist among Asian Americans, especially those who are low-income and have limited English proficiency.
Source: PubMed 2010
- Risk perception and beliefs regarding HIV infection among Ethiopian immigrants
In Ethiopia, approximately 7.5% of the urban population is HIV-positive. Nationally, 1.5 million people are living with HIV. Between 1990 and 2000, immigration into the United States by African-born immigrants increased by 130%. Individuals from Ethiopia comprise a significant portion of this immigrant population. Although there is a rich literature addressing the beliefs regarding HIV and risk perception among some immigrant populations in the United States, few studies target Ethiopian-born residents. Thus, a survey-based study addressing demographics, acculturation, awareness, beliefs and risk perception, attitudes toward susceptibility for infection, and risk behaviors targeted Ethiopian-born residents of San Diego, California.
Source: October 2009
- Healthcare experiences of limited english-proficient asian american patients: a cross-sectional mail survey. This survey evaluated the degree of health education and the quality of interpersonal care that occurs during patient visits, and their associations with patient satisfaction, in LEP Asian American patients.
Source: PubMed 2009
- Access to regular HIV care and disease progression among black African immigrants
The objective of this study wass to describe the characteristics of human immunodeficiency virus (HIV)-infected black African immigrants living in King County,Washington. Authors evaluated delay in HIV diagnosis, access to HIV care, and risk of progression to AIDS or death. Once having initiated HIV care, African-born blacks accessed HIV care and progressed to AIDS at similar rates compared to U.S.-born individuals. However, African-born blacks initiated care with more advanced HIV disease. Results underscore the need for health interventions promoting HIV testing among black African immigrants and reducing barriers to HIV testing.
Source: December 2009
- LGBT Immigrant and Immigrant Living with HIV
The report presents results of a survey of LGBT immigrants and immigrants living with HIV. The survey assessed experiences with health care refusal and other barriers to health care access.
Source: PubMed 2009
- HIV screening and care for immigration detainees.
The detention of immigrants in the United States is a rapidly expanding endeavor with serious health consequences for the detainees. This detainee population represents non-criminal immigrants who are detained because of a visa violation or other immigration issue but who are not charged with any crime and do not enter the criminal justice system. HIV-positive detainees are especially vulnerable to lapses in proper medical care. Press reports have highlighted deaths and adverse medical outcomes among HIV-positive detainees.
Source: PubMed 2009
- Health Programs for Immigrants
Overview of the African Services project and its methods of providing culturally appropriate care to African Immigrants Source: African Services Committee, New York 2009
Multimedia: Videos to View
- Aging with HIV 2009
This video talks about a relatively new generation: individuals over 50 living with HIV. But they're also an understudied population. Doctors say that unlike younger people with HIV, older individuals may have disclosure concerns and issues in terms of end of life care
- A lifelong battle: Teens living with HIV/AIDS 2009
This video addresses pPeople who are born HIV-positive often face a lifetime of medication and stigma. While improved treatment methods have decreased transmission from mother to child, doctors still say caring for children with the virus is an imperfect science
Native Hawaiians/Pacific Islander
- Asian Americans, Native Hawaiians, Pacific Islanders (AA & NHOPI) in the United States
This new data shows the increasing diversity of the AA&NHOPI population and the need for culturally and linguistically appropriate primary heath care services for these groups. Source: AAPCHO 2010 Fact Sheet
- Not One More: Fighting AIDS in Communities of Color
This document makes recommendations to improve HIV/AIDS Services to American Indians, Native Americans, Alaskan Natives and Native Hawaiians. Source: NMAC 2009
- Breaking Through the Silence: Key Issues and Recommendations to Address HIV/AIDS among Asian Americans, Native Hawaiians and Pacific Islanders in the United States
As HIV incidence rises in Asian American, Native Hawaiian, and Pacific Islander communities, many health departments, community based organizations, and communities remain ill prepared to respond to the increasing HIV prevention needs of these communities. There are significant barriers that challenge HIV prevention efforts targeted directly and indirectly to these communities.
Source: APIAHF May 2009
- Growing older with the epidemic: HI V and aging
This paper details what we know about HIV among older adults, what we do not yet understand, and what improvements can be made to better prepare the country to care for this population.
Source: Pubmed 2010
- Racial/Ethnic Disparities among Children with Diagnoses of Perinatal HIV Infection---34 States, 2004-2007
This report characterizes the most recent trends in diagnoses of perinatal HIV infection by race andethnicity, using national HIV surveillance data for the period 2004-2007 from 34 states.
Source: PubMed 2010
- Children and AIDS, Fifth Stocktaking report 2010
Advocacy and investment on behalf of children affected by AIDS have had an impact, and the goal of eliminating mother-to-child transmission of HIV appears within reach. But for every problem solved or advance made, new challenges and constraints have arisen. This Children and AIDS: Fifth Stocktaking Report examines current data, trends and the progress that has been made. It discusses disparities in access, coverage and outcomes and recommends actions to benefit the millions of children, women and families worldwide who bear the burden of the epidemic.
Source: PubMed 2010
- What do deaf high school students know about HIV?
Deaf adolescents who use American Sign Language (ASL) as their main communication mode are, like their hearing age peers, at risk for acquiring HIV. Many sources of HIV information (radio and television) are not accessible to these adolescents. The authors discuss this population’s need for school-based linguistically and culturally accessible HIV prevention education.
Source: PubMed December 2010
- Sexual vulnerability and HIV seroprevalence among the deaf and hearing impaired in Cameroon
This quantitative cross-sectional study examines sexual behaviour of a target group of hearing-impaired persons in Yaounde, the capital city of the Republic of Cameroon. It measures their HIV prevalence to enable assessment of their sexual vulnerability and to help reduce the gap in existing HIV serology data among people with disabilities in general and the deaf in particular.
Source: PubMed February 2010
- Access to Medical Care for Individuals with Mobility Disability, U.S. Department of Justice and U.S. Department of Health and Human Services, ADA Act 2010
Accessibility of doctors’ offices, clinics, and other health care providers is essential to providing medical care to people with disabilities. Due to barriers individuals with disabilities are less likely to get routine preventive medical care than people without disabilities. The Americans with Disabilities Act defines requirements for accessible medical facilities. This technical assistance publication provides guidance on meeting those requirements.
Source: PubMed 2010
- Knowledge, Attitudes and Practices regarding HIV/AIDS Among Disabled Youth in Maputo (Mozambique)].
This study deals with knowledge, attitudes and practices regarding HIV/AIDS amongst disabled youth (motor disabilities, visually or hearing impaired) aged 15 to 29 years in Maputo (Mozambique) where the prevalence rate of HIV is 20.7%. The study analyzed reasons for these differences and showed that there is a need to improve access to HIV/AIDS information, counseling and screening for young people with disabilities. A series of recommendations have been proposed based on our results. Source: PubMed 2010
- Managing mentally and physically challenged HIV patients
Management of mentally and physically challenged patients is complex, as it can involve ethical, social, and medical issues.Adding the provision of human immunodeficiency virus (HIV) care further complicates management. There continues to be limited information in the literature on caring for these types of patients. The authors presenttwo unique HIV cases--one who is mentally challenged and the other who is blind--and how management was approached. A list of select resources to aid both providers and patients is provided.
Source: PubMed December 2009
- The Fields of HIV and Disability: Past, Present and Future
This article provides an historic overview of the field of disability and HIV.
Source: PubMed November 2009
- Disability and AIDS Policy Brief
The relationship between HIV and disability has not received due attention, although persons with disabilities are found among all key populations at higher risk of
exposure to HIV. In addition, people living with HIV may develop impairments as the disease
progresses, and may be considered to have a disability when social, economic,
political or other barriers hinder their full and effective participation in society on an equal basis with others.
Source: PubMed April 2009
- Barriers to Health Care for People with Hearing Loss: A Review of the Literature.
This paper aims to make health professionals more aware of the needs and cultural differences that must be considered when providing care to the Deaf population. Source: PubMed 2009
- Managing Mentally and Physically Challenged HIV Patients.
The management of mentally and physically challenged patients is complex, as it can involve ethical, social, and medical issues, and adding the provision of human immunodeficiency virus (HIV) care further complicates patient management. Source: PubMed 2009
- The Relation between Deaf Patients and the Doctor.
This study discusses that non-verbal communication is important when caring for deaf patients, fostering excellence in health care. When deaf patients and physicians meet, they need to overcome communication barriers that may hinder the necessary bond in healthcare and the care that is provided; this may also affect the diagnosis and treatment. It is clear that public institutions should create programs for training healthcare professionals in the appropriate care of deaf patients.Source: PubMed 2009
- The Deaf and Hard of Hearing and HIV /AIDS
This article discusses how adults with hearing loss have poorer health and increased risk of engaging in health risk behaviors than adults with good hearing. For example, the rate of substance use disorder among deaf or hard of hearing is higher than among the general population. Substance use, in turn, is linked to higher risk for HIV infection. The article discusses HRSA response in developing specific strategies to address the service needs of hearing impaired individuals who are at risk of acquiring HIV/AIDS.Source: HRSA 2008
- Position Statement on Health Care Access for Deaf Patients
This paper discusses that healthcare is routinely inaccessible to deaf people due to communication and linguistic barriers. The evidence is compelling that deaf individuals have insufficient access to health care. This results primarily from communication barriers in the health care system. Access in the form of effective communication must be created and consistently provided to create an optimal health care system. Providers should identify and document the needs of their patients and provide a range of effective communication options to ensure that quality services are delivered. At the very minimum, existing federal laws under Section 504 and the ADA require health care providers to ensure that such effective communication is achieved. Source: NAD 2008
Racial ethnic minorities
- Building community-based participatory research partnerships with a Somali refugee community
This study examined Somali immigrant women's experiences with the U.S. healthcare system, exploring how attitudes, perceptions, and cultural values, influence their use of reproductive health care. The authors report that Somali women tend to under-utilize health care. Cultural beliefs, communication barriers and low health literacy may lead to health disparities in the U.S. health system. Authors successfully used a community-based approach to eliciting community input to address these issues.
PubMed Dec 2009
- Partnering with community agencies to provide nursing students with cultural awareness experiences and refugee health promotion access
Refugees' cultural beliefs, communication barriers, and low health literacy may lead to health disparities. This article describes a teaching-learning strategy emphasizing the community partnership between a baccalaureate school of nursing, an immigrant-refugee program, and a community literacy program in a rural state. Senior community health nursing students partnered with an immigrant-refugee program and a community literacy program to provide health promotion and prevention services to recently immigrated Hmong and Russian refugees. The group identified refugees’ priority health needs. Based on the needs assessment, nursing students designed and implemented culturally appropriate health promotion and prevention education modules. Students collaborated with community agencies and businesses to increase access to health resources for these vulnerable populations. Students increased their cultural awareness and refugees increased their understanding of U.S. health care, and experienced increased care access.
PubMed Sept 2009
- Physicians' attitude towards treating refugee patients
The refugee patient's complex problems represent a challenge for primary and secondary health care. Language problems and cultural differences may cause difficulties in understanding symptoms and ailments. The authors conducted this study to assess how physicians relate to and perceive their competence for treating this patient group. The study sample was Norwegian physicians, who answered survey questions to self-report on issues related to cultural competence and challenges in providing care. Large percentages of respondents reported difficulties in getting expert advice and with referring patients to psychiatric care when it was needed.
PubMed Aug 2009
- HIV Infection in Refugees: A Case-control Analysis of Refugees in Rhode Island.
The number of HIV-infected refugees entering the USA is increasing. There is little data describing the HIV-infected refugee population and the challenges encountered when caring for them. This article discusses clinicians caring for West African HIV-infected refugees should be knowledgeable about likely co-morbidities and the impact of cultural differences on HIV care. Further studies are needed to develop culturally competent HIV treatment, education, and prevention programs for refugees who are beginning a new life in the USA. Source: PubMed March 2009
- Late diagnosis of HIV infection contributes to poor medical outcomes and helps sustain continued transmission of virus. Published evidence suggests that despite current public health recommendations, patients receiving care in the Veterans Health Administration (VHA) system are not being routinely tested for HIV infection. 2010
- Understanding the Military: The Institution, the Culture, and the People. This preliminary report contains information for behavioral health specialists working with veterans and service members. It provides civilians, specifically behavioral healthcare specialists working with military personnel, with a basic understanding of the unique life and culture that is the military.
Source SAMHSA 2010.
- Primary Care of Veterans with HIV – Manual. 2009
- The State of Care for Veterans with HIV/AIDS
The purpose of this report is to characterize the US Department of Veterans Affairs’ (VA) Veterans Health Administration (VHA) state of care for its population of Veterans in care for HIV disease. The first step in providing responsive care is to learn about the affected population. This State of Care report describes the distribution of Veterans with HIV/AIDS within VHA and provides basic demographic data on this population. Additionally, the report describes pharmacologic treatment, other conditions commonly seen with HIV, monitoring, screening, and vaccinations. This report is intended to provide data which can be used to assess and guide intervention to improve the quality of care VHA delivers to Veterans with HIV/AIDs. 2009
- A system-wide intervention to improve HIV testing in the Veterans Health Administration
Although the benefits of identifying and treating asymptomatic HIV-infected individuals are firmly established, health care providers often miss opportunities to offer HIV-testing.The objective of this study is to evaluate whether a multi-component intervention increases the rate of HIV diagnostic testing.
Providers and Provider Stigma