AIDS and Women’s Reproductive Health by Lincoln C. Chen, Jaime Sepulveda Amor, Sheldon J. Segal

By Lincoln C. Chen, Jaime Sepulveda Amor, Sheldon J. Segal

Over the previous decade, the AIDS pandemic has propagated so generally and exerted this kind of dev­ astating impression that one may possibly effectively ask the query, Why now not focus all AIDS efforts on ailment regulate by myself? Why hyperlink AIDS with women's reproductive health and wellbeing? what's the clinical foundation for this linkage? and the way may possibly reduction~ regulate and women's future health pursuits be promot­ ed at the same time? those questions represent the important topics addressed during this monograph. The 15 chapters during this quantity are meant to supply cutting-edge experiences of key interac­ tions among AIDS and women's reproductive well-being for an viewers of scientists and coverage makers within the AIDS and inhabitants fields. Impetus for this monograph is available in pan from what we understand to be an insufficient worldwide reaction, so far, to AIDS and women's health and wellbeing ;>roblems. a typical platform has didn't emerge one of the disparate specialist groups operating within the parts of AIDS, STDs, and relatives making plans. for this reason, endeavors in those fields were remoted, and possibilities for joint motion were overlooked. an important and, as but, unharnessed capability exists for strength­ ful interdisciplinary collaborations that can develop guidelines and courses opposed to those urgent illnesses of humankind.

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However, this is a low-risk group, and the cost of administering the policy and the possibility of erroneously identifying a person as carrying the virus outweighs the advantage of detecting the relatively small number of individuals infected (3). During the first six months of testing in Illinois, only eight ofthe nearly 71,000 applicants for marriage licenses tested positive for the AIDS virus, at a cost of approximately $312,000 per seropositive individual tested. 5% decline in the number of marriage licenses issued during that period was offset by a correspond- 28 ing increase in the surrounding states, it is possible that individuals truly at risk for AIDS chose simply to avoid the test.

11. 12. 13. 14. 24 National Commission on AIDS. 3: Research, the workforce and the HIY epidemic in rural America. August 1990. Piot P, Taelman H, Minlangu KB et al. AIDS in a heterosexual population in Zaire. Lancet July 14,1984; 1984:65-69. The Centers for Disease Control. Revisions of guidelines for the prevention and management of HIY infection in women and their children. Working group meeting, Atlanta, George, August 1-2, 1990 (final draft in preparation). The National Institutes of Health.

Two such studies have been perfonned. The first, by Bongaans et al. (25), compared the reported HIY seroprevalence in African capital cities with national male circumcision practices. They found a very strong correlation. Our group performed a similar study (26), in which the reported HIY-l seroprevalence in general population samples from 140 locations in Africa was related to ethnic male circumcision practices gleaned from the anthropologic literature. There was a striking association. As shown in the 39 map in Figure 1, male circumcision is not practiced in areas of highest HIV-I prevalence.

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