Teens
HIV/AIDS addressed at Urban Adolescent Health Summit
Dr. I. Jean Davis stresses education, prevention
They had arrived from all over the city—teenagers, caregivers, and health professionals to participate in the recent Urban Adolescent Health Summit at the California Endowment, entitled, “The Impact of Adolescent Risk Behaviors on the HIV Pandemic: Who’s Getting HIV and How Do We Stop this Runaway Train?”
Hosted by the Charles Drew University of Medicine and Science in collaboration with the National Minority AIDS Education Training Center, Children’s Hospital Los Angeles and other HIV/AIDS organizations, the summit focused crucial attention on the health care disparities facing urban teens.
“We felt it was important to hold this summit because the health crisis among urban adolescents clearly is not being addressed,” said I. Jean Davis, Ph.D., PA, assistant professor, Department of Internal Medicine at Charles Drew and UCLA who served as the facilitator of the event.
Davis pointed out a sobering fact from the Center for Disease Control’s HIV/AIDS Surveillance Report. “Los Angeles County is second to New York City in the number of accumulated AIDS cases.”
Asked why cases of HIV/AIDS continues to increase in communities of color, Davis said, “Many adolescents believe that they are invincible and cannot get HIV, even though the average teen may have more than one sex partner in a year. Teens actually believe that if their partner is clean and good looking they cannot be HIV positive. There is a perception that persons with HIV have a certain look, which is not true.”
In addition, stated Davis, “Many do not have health insurance and therefore do not receive prevention messages or care. Those that do have health insurance too often use it as ‘sick-care’ insurance. In other words, these young people often are not seen by health care providers until they become ill or have some kind of injury.”
One major risk factor for contracting HIV/AIDS, not only for adolescents but also for adults, is having unprotected sexual intercourse, e.g., not using protection such as a fresh (not stored in a wallet or pocket), latex condom.
Another deterrent for teens (and adults) is that they may undergo testing for HIV, “But few return to the hospital or clinic to pick up their results,” Dr. Davis acknowledged. “If they are HIV positive, not under care and not taking medications to prevent progression of HIV, their presentation to the health care system will be with HIV related symptoms and other illnesses associated with AIDS.”
One major risk group for HIV/AIDS stated Davis, is Black & Latino women. “The women think they are in a monogamous relationship when many times they are not. If a woman does not have power in a relationship, she cannot negotiate condom use or require complete sexual transmission disease (STD) test results prior to entering into a sexual relationship.
“(STD) infections also increase the chance of HIV transmission with an exposure. Let us say Sue has herpes or even a yeast infection and Mary does not. If they both have sex with Tom who is HIV positive, Sue has a greater chance of infection. Any type of lesion such as a bump or abrasion in the genital area or vaginal irritation will increase transmission.”
Another factor contributing to the spread of HIV is that some HIV positive persons feel that revealing their status can be a taboo. “Remember when cancer was known as the big C? Whenever anyone had cancer it wasn’t discussed in our communities because we thought cancer was something evil,” stated Davis. “As is often the case with HIV today, we said our loved ones died of another cause, . . . not (AIDS).” Another stigma facing communities of color is HIV positive persons may feel they are being punished . . . that it is the cross the person has to bear.” They may also be afraid of discovery and isolate themselves from the community. Davis stressed that the key to unlock these misconceptions is education for the whole community.
However, once someone has acquired the virus, Davis strongly recommends, “An HIV positive person should not have oral, vaginal or anal sex without a condom. Like all of us, they should watch their diet, exercise, decrease or stop the use of drugs, including alcohol and tobacco, and have ongoing health care to prevent transmission to others and the progression of HIV to AIDS. Health promotion, early detection, disease prevention and treatment are so important.”
Pausing, she said, “We as a community need to be more informed. We need to be more proactive about our health and the spread of HIV/AIDS, especially when it comes to our young people.”
“When HIV/AIDS was in its infancy, it was propagated as a gay, White male disease. People of color and women felt they were not at risk for HIV. Today, we appear to be the ones most at risk.”
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