Final Flashcards

1
Q

biological plausability

A

cause and effect relationship between biological agent and disease

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2
Q

epidemiological causation

A

statistical association between risk factor and disease

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3
Q

modes of HIV transmission

A

birth blood sex

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4
Q

foci for HIV transmission

A

blood/organ transfusions, IDU, occupational exposure

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5
Q

Occupational exposure

A

800k accidental needle sticks/year, 2% are HIV needles, .5% of those get infected

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6
Q

HIV risk by sex, low to high

A

insert oral, recept oral, insert vag, insert anal, recept vag, recept anal

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7
Q

mother to child risk

A

tear in placenta, 23%, 2% with drugs

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8
Q

Risk def

A

actual probability of getting HIV

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9
Q

vulnerability

A

factors that reduce ability to avoid HIV

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10
Q

normative model of probabilistic thinking

A

info weighted according to statistics rules to reach conclusions

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11
Q

subjective models of probalisitic thinking

A

more realistic, don’t have all data/info/rules to make decisions with

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12
Q

antigen-antibody tests

A

detect them in blood, can find HIV 3 weeks after exposure

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13
Q

RNA test

A

detects virus directly but can find 10 days after, more expensive

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14
Q

Process of HIV test

A

risk assess+counseling, test, wait, if negative get reduction counseling, if pos. then confirm test and counseling

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15
Q

serodiscordant

A

couple with one person pos one neg

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16
Q

health decision model

A

account for experiences, knowledge, interactions, has context

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17
Q

health belief model

A

person knows they’re susceptible and has the efficacy to do something

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18
Q

precaution adaptation model

A

process instead of variables: awareness, acknowledge risk to group, acknowledge risk to self, decide to act, actually do it

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19
Q

health behavior change

A

all models work together and focus on: cognitive, emotional, behavioral, interpersonal, social ecological, structural, scientific principle

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20
Q

HIV prevalence def

A

ppl living with HIV

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21
Q

HIV incidence def

A

new cases

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22
Q

ABC debate in UGanda

A

Helen epstein says drop was result of collective efficacy, but data says B was better than C

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23
Q

ABC campaign in uganda

A

abstinence, be faithful, condomize

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24
Q

MTCT

A

mother to child transmission

25
Biomedical interventions
Prep, pep, tap, MTCT, circumcision, unplanned pregnancy, blood/injection safety, microbicides, treat STDs
26
TAP
treatment as prevention, lowers viral load to close to 0,
27
iPreEx
prep for MSM, 92-99% reduction, 7pills week=99%, 4/wk=96%, 2/week=76%
28
benefits of prep
less anxiety, more communication, more trust, more sense community, more sense community, more sex pleasure, more self efficacy
29
opponents of Prep
Michael weinstein AIDS healthcare exec, its a party drug
30
Philadelphia
tom hanks, jonathan demme direct, create empathy by play well in peoria
31
AIDS kitsch (RED)
vagueness of red ribbon leads to nonaction
32
AIDS coverage in media after 1996
less coverage, worse portrayals in ARV ads, law and order, temptation. Nostalgia for 80's era also: angels in america, normal heart, how to survive a plague, we were there, when we rise
33
Edutainment
based on role modeling, self efficacy, emotional stake in chg behavior
34
HIV in US
44k new diagnoses, 1.2 million living with it, mostly gay and bi men
35
Trends in MSM 2005-2014
whites declining, latino 24% inc, black 22% inc but slowed in last 5 yrs
36
% of HIV infections from hetero sex
24
37
National HIV Aids strategy
1. Reduce HIV infection 2. Inc access to care 3. Reduce HIV disparities 4. More coordinated response
38
How many ppl with HIV, how many deaths, how many tested
36 mil mostly in sub saharan africa, 1.5 mil, 95 mil
39
IDU % of HIV
10, 1/3 of new infections
40
Factors increasing HIV in Africa
colonialism, polio vaccine, civil war, forced movement for labor, structural adjustment, extraction of resources, diverse sex identities illegal, high risk mix w/ low, sex workers, concurrent relationships
41
African women vulnerabilty
sugar daddies, biological factors, poverty and sex work, violence
42
When did they start screening for HIV in blood
1985
43
What is a spermicide that can kill HIV
nonoxynl 9
44
How many live with HIV/Aids global
37.6 mil
45
hemophiliac expelled from school, ACA named for him
Ryan White
46
olympic diver with hiv
Greg Louganis
47
rapid HIV testing
FDA approval in 2004 for results in 20 min
48
What pays for most HIV drugs
Medicaid
49
Dallas buyers club
Mcconaughey movie about what world was like at beginning of outbreak
49
Team America: world police
Showed HIV aids can be satirized
49
Philadelphia
Tom hanks, lawyer with HIV
50
4H club
Heroin, Haitians, hemophiliacs, homosexuals
51
Positive prevention campaign
Inc knowledge and treatment with awareness, more role models etc
52
Partner notification
Partner can be informed but can't be told who gave it to them
53
How diagnosis of HIV relates to role theory and schemas
Threat to self concept, denial can b dangerous
54
How does disclosure relate to role theory and schemas?
Unlikely to chg strong roles (family and friends) but can chg casual friends and coworkers
55
How does acceptance of hiv relate to role theory and schemas?
Roles must be adjusted, new opportunities come and u must take risks
56
Where are soap operas prevalent
Africa India phillipines
57
Truvada side effects
Nausea in 10% of ppl within first month, lose 1% of bone density, statistically more STIs but it's not a direct result of taking drug