scholarly journals A Pilot Outreach HIV Testing Project Among Homeless Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Latrice C. Pichon ◽  
Kristen Rae Rossi ◽  
Theresa Chapple-McGruder ◽  
Lisa Jane Krull ◽  
Jennifer Kmet ◽  
...  
Keyword(s):  
Health Care ◽  
Hiv Testing ◽  
Transitional Housing ◽  
Health Care Settings ◽  
Rapid Hiv Testing ◽  
Factors Associated ◽  
The Past ◽  
Traditional Health ◽  
Traditional Health Care ◽  
Potential Factors

Background: The Memphis metropolitan statistical area (MSA) represents a Deep Southern U.S. city disproportionally affected by the ongoing transmission of new HIV cases as well as those diagnosed in late-stage disease. This region is a subset of nine states, including Memphis, Tennessee (project site), driving the epidemic in the United States. Memphis ranks 4th among all U.S. MSAs for new HIV infections and has been identified in the CDC's Ending the HIV Epidemic Initiative as a high HIV burden geographic focus area. The Memphis Ryan White Part A Program conducted a pilot project among adults seeking services in Memphis emergency and transitional housing shelters to offer on-site, rapid HIV testing. In this paper we describe the results from this aforementioned pilot study, including the rate of HIV test acceptance and potential factors associated with a history of HIV testing in Memphis.Methods: Community-engaged research approaches were employed via a partnership between the local health department, a federally qualified faith-based health center, and an academic university. An interviewer-administered survey to measure potential factors associated with HIV testing history and voluntary HIV testing services were offered to adults living in transitional housing establishments. Bivariate chi-square analyses were performed to determine the association between predisposing, enabling, and need variables with HIV testing history in the past 12 months.Results: Survey respondents (n = 109) were mostly cisgender male (n = 96; 88.1%), African American (n = 79; 72.5%) and reported engaging in condomless sex in the past 12 months (n = 55; 50.5%). Acceptability and uptake of HIV testing was high (n = 97; 89.0%).Conclusions: Implementing rapid HIV testing programs outside of traditional health care settings is a strategy that can be used to engage high-risk individuals and those unaware of their HIV status to get tested. To our knowledge, this study represents the first that documents HIV testing acceptance rates offered outside of traditional health care settings for homeless and transitionally housed adults in a Deep Southern state.

scholarly journals HIV Testing among Homeless Adults: Prioritizing the Need for Routine Care

2020 ◽  
Author(s):  
Latrice C Pichon ◽  
Kristen Rae Rossi ◽  
Theresa D Chapple-McGruder ◽  
Lisa Jane Krull ◽  
Jennifer Kmet ◽  
...  
Keyword(s):  
Hiv Testing ◽  
The United States ◽  
Transitional Housing ◽  
Local Health ◽  
Metropolitan Statistical Area ◽  
Rapid Hiv Testing ◽  
Factors Associated ◽  
Healthcare Settings ◽  
Hiv Test ◽  
Potential Factors

Abstract Background. The Memphis metropolitan statistical area (MSA) represents a Deep Southern U.S. city disproportionally affected by the ongoing transmission of new HIV cases as well as those diagnosed in late-stage disease. This region is a subset of 9 states, including Memphis, Tennessee (project site), driving the epidemic in the United States. Memphis ranks 3rd among all U.S. MSAs for new HIV infections and has been identified in the CDC’s Ending the HIV Epidemic Initiative as a high HIV burden geographic focus area. The Memphis Ryan White Part A Program conducted a pilot project among adults seeking services in Memphis emergency and transitional housing shelters to offer on-site, rapid HIV testing. This paper aims to describe the results from this aforementioned pilot study, including the rate of HIV test acceptance and potential factors associated with a history of HIV testing. Methods. Community-engaged research approaches were employed via a partnership between the local health department, a federally qualified faith-based health center, and an academic university. An interviewer-administered survey to measure potential factors associated with HIV testing history and voluntary HIV testing services were offered to adults living in transitional housing establishments. Bivariate chi-square analyses were performed to determine the association between predisposing, enabling, and need variables with HIV testing history in the past 12 months. Results. Survey respondents (n=109) were mostly cisgender male (n=96; 88.1%), African American or Black (n=79; 72.5%) and reported engaging in condomless sex (n=55; 50.5%). Acceptability and uptake of HIV testing was high (n=97; 89.0%). Conclusions. Implementing rapid HIV testing programs outside of traditional healthcare settings offers a strategy to engage high-risk individuals and those unaware of their HIV status. To our knowledge, this study represents the first that documents HIV testing acceptance rates offered outside of traditional healthcare settings for homeless and transitionally housed adults in a Deep Southern state.

A Multi-Factor Analysis of Job Satisfaction Among School Nurses

2004 ◽  
Vol 20 (2) ◽  
pp. 94-100 ◽  
Author(s):  
Marcia Foley ◽  
Julie Lee ◽  
Lori Wilson ◽  
Virginia Young Cureton ◽  
Daryl Canham
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Factor Analysis ◽  
School Nurses ◽  
Convenience Sample ◽  
Health Care Settings ◽  
Traditional Health ◽  
Traditional Health Care ◽  
Related Stress ◽  
Job Related Stress

Although job satisfaction has been widely studied among registered nurses working in traditional health care settings, little is known about the job-related values and perceptions of nurses working in school systems. Job satisfaction is linked to lower levels of job-related stress, burnout, and career abandonment among nurses. This study evaluated the level of job satisfaction among a convenience sample of school nurses practicing in California. The Index of Work Satisfaction (IWS) was the instrument used. Although the sampled school nurses rated autonomy and interaction as the most important and satisfying factors contributing to job satisfaction, the overall findings indicated that school nurses are relatively dissatisfied with their jobs.

INFORMATION(AL) MATTERS: BIOETHICS AND THE BOUNDARIES OF THE PUBLIC AND THE PRIVATE

2002 ◽  
Vol 19 (2) ◽  
pp. 83-112 ◽  
Author(s):  
Lisa S. Parker
Keyword(s):  
Health Care ◽  
Health Professionals ◽  
Professional Relationships ◽  
Public And Private ◽  
Health Care Settings ◽  
The Public ◽  
Traditional Health ◽  
Traditional Health Care ◽  
Sphere Of Influence ◽  
Blind Spots

In this essay, I argue that the way American bioethics has traditionally conceived of the distinction between public and private has given rise to some ethically problematic blind spots in its analyses to date. Furthermore, I argue that bioethics's view of the public and private spheres has reinforced a shortsighted view of bioethics's analytical sphere of influence. In particular, it has led bioethics to conceptualize issues largely from the perspective of health professionals, eschewing analyses of the problems of health and health information that patients and their intimates face outside of professional relationships and traditional health-care settings. It has also led some bioethical analyses to reflect, and to some degree reinforce, relationships of power that they might instead challenge.

scholarly journals Interaction Between Traditional and Modern System of Medicine in a Primitive Tribe of Rajasthan

2004 ◽  
Vol 2 (2) ◽  
pp. 31
Author(s):  
Pramod Misra ◽  
A K Kapoor
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care System ◽  
Science And Technology ◽  
Sudden Onset ◽  
Medical System ◽  
The Past ◽  
Traditional Health ◽  
Modern System ◽  
Traditional Health Care

The development of healing processes and techniques has come a long way form widely varying tribal pursuits in different communities spread over the globe. But in course of time they become over shadowed by and subordinated to the thrusts of western medical assumptions, injunctions and standards, with the progress of industrialization. No doubt the latter have proved immensely effective in dealing with many acute conditions of trauma caused by accidents or case of sudden onset of physiological disequilibrium.. Health and culture are very much connected with ecology. The traditional health care system and treatment are based on their deep observation and understanding of nature and environment. In the present paper an attempt has been made to study the interaction between traditional and modern system of medicine among Saharia - a primitive tribe of Rajasthan. Various approaches have been used to collect the data. It has been observed that in addition to the magico-religious method of treatment, the Saharia also follow allopathic system of medicines. In the past the Saharia used to consult only spiritual doctor (janteyar) for treatment of various illnesses. But now, with the advancement in science and technology faith in supernatural concept is on decline and the said tribe have developed faith in allopathic doctors also. Saharia who live in interior areas mainly practice the traditional medical system. It has been observed that in some villages different treatment (spiritual, herbal and allopathic) go side by side and tribal have equal faith in all the treatment. They don't give preference to any particular method of treatment. Few suggestions have also been made for improving the health status of the Saharia.

Impact of Religion on Traditional Health Care Practices Among the Lepchas of Upper and Lower Lingthem of Upper Dzongu, Sikkim, India

2021 ◽  
pp. 2455328X2199571
Author(s):  
Manisha Thapa ◽  
Pinak Tarafdar
Keyword(s):  
Health Care ◽  
Cultural Practices ◽  
Traditional Health ◽  
Health Care Practices ◽  
Modern Health Care ◽  
Concept Of Health ◽  
Traditional Health Care ◽  
Primary Means ◽  
Care Practices ◽  
The Village

In all cultures and regions, the concept of health varies, based on the type of environment and prevalent sociocultural traditions. The present study is conducted among the Lepchas of the village of Lingthem divided into two sectors—Upper and Lower Lingthem, Upper Dzongu, North Sikkim. This population comprising Buddhist Lepchas residing away from the mainstream through poor infrastructural facilities still maintain ethnomedical health care practices without influence of major Indian healing systems. Living in the area of Dzongu exclusively inhabited by Lepchas revival of ancient cultural practices is evident among Lepchas of Lingthem. The structure of religious beliefs prevalent among the Lepchas, including traditional animistic as well as Buddhist practices, greatly influence forms of treatment sought for specific ailments. Even today, the use and maintenance of traditional health care with syncretized Buddhist religious belief among residents of Lingthem act as a vital source for understanding the influence of religion on traditional health care practices. Despite the presence of a few modern health care agencies, the traditional treatment of Bongthing (Lepcha shaman) and Buddhist monks remain widely popular as primary means of health care.

Ethical Aspects of Pediatric Home Care

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 920-924
Author(s):  
John D. Lantos ◽  
Arthur F. Kohrman
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Ethical Issues ◽  
Home Health ◽  
Critically Ill Children ◽  
Traditional Health ◽  
Advanced Medical Technology ◽  
Economic Forces ◽  
Traditional Health Care

This essay is a discussion of ethical issues that arise in the provision of home health care to technology-dependent children. Different ethical norms, especially with regard to the degree of professional responsibility for outcomes, traditionally have applied to home care and hospital care. In particular, parents generally are expected to do their best, but are not expected to have the same specialized knowledge of risks and benefits with regard to particular interventions as health professionals. When home health care involves the use of advanced medical technology, it strains traditional conceptions of parental responsibilities to care for the health of their children at home. It can also strain traditional concepts of professional responsibilities to care for critically ill children in hospitals. We discuss some of the tensions that arise as medical, psychological, and economic forces lead to the increasing use of high technology in the care of children outside of traditional health care institutions.

Australian pharmacists’ willingness to conduct rapid HIV testing in community pharmacies

Sexual Health ◽  
2016 ◽  
Vol 13 (3) ◽  
pp. 292
Author(s):  
Anthony J. Santella ◽  
Timothy E. Schlub ◽  
Damien Fagan ◽  
Richard J. Hillman ◽  
Ines Krass
Keyword(s):  
Health Care ◽  
Hiv Testing ◽  
Online Survey ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Rapid Hiv Testing ◽  
Australian Community

Community pharmacists are expanding their roles in health care, especially as they are distributed over wide geographical areas and are often open long hours. New rapid HIV testing technologies may offer further opportunities to expand their roles. A cross-sectional, online survey of Australian community pharmacists found most prepared to provide treatment to HIV patients, with the majority willing to become involved in rapid HIV testing.

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