AIDS prevention research in Chile and implications for the United States
| Autor: | L H, Aiken, M, Mullin |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Acquired Immunodeficiency Syndrome
Behavior Health Services Needs and Demand Communication Health Personnel Research Sexual Behavior Nurses HIV Infections Homosexuality South America Health Planning Latin America Health Organization and Administration Virus Diseases Disease Health Services Research Mass Media Americas Chile Delivery of Health Care Developing Countries |
| Zdroj: | Research in the sociology of health care. |
| ISSN: | 0275-4959 |
| Popis: | Chile holds interest for researchers due to the relatively low but increasing prevalence of human immunodeficiency virus (HIV) and existence of an extensive infrastructure for implementing an affordable acquired immunodeficiency syndrome (AIDS) prevention strategy. To facilitate the development of a pragmatic, affordable AIDS intervention plan for Chile, the following data sources were reviewed: mandatory case reporting data collected by the Chilean Ministry of Health, findings of the Chilean version of the World Health Organization AIDS general population survey, studies of the validity of the official HIV transmission classification system used for national planning purposes, interviews with people with AIDS, and a study of HIV testing in Santiago's health care system. By June 1994, 1016 cases of AIDS had been reported and 1627 people had been identified as HIV-positive. 93% of those with AIDS were men; homosexual/bisexual transmission accounted for 66.2% of cases and heterosexual transmission another 19.4%. In-depth interviews with AIDS patients revealed they were a well-defined population subgroup with few linkages to other sectors. This finding calls into question the current government strategy of broad-based mass media campaigns. Preferable would be campaigns that target homosexual men. A strength of the Chilean primary health care system is its effective utilization of nurses. Nurses manage about 1/3 of clinic visits, with no input from physicians, and their involvement in AIDS prevention should be strengthened. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|