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
Q

Biomedical interventions

A

Prep, pep, tap, MTCT, circumcision, unplanned pregnancy, blood/injection safety, microbicides, treat STDs

26
Q

TAP

A

treatment as prevention, lowers viral load to close to 0,

27
Q

iPreEx

A

prep for MSM, 92-99% reduction, 7pills week=99%, 4/wk=96%, 2/week=76%

28
Q

benefits of prep

A

less anxiety, more communication, more trust, more sense community, more sense community, more sex pleasure, more self efficacy

29
Q

opponents of Prep

A

Michael weinstein AIDS healthcare exec, its a party drug

30
Q

Philadelphia

A

tom hanks, jonathan demme direct, create empathy by play well in peoria

31
Q

AIDS kitsch (RED)

A

vagueness of red ribbon leads to nonaction

32
Q

AIDS coverage in media after 1996

A

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
Q

Edutainment

A

based on role modeling, self efficacy, emotional stake in chg behavior

34
Q

HIV in US

A

44k new diagnoses, 1.2 million living with it, mostly gay and bi men

35
Q

Trends in MSM 2005-2014

A

whites declining, latino 24% inc, black 22% inc but slowed in last 5 yrs

36
Q

% of HIV infections from hetero sex

A

24

37
Q

National HIV Aids strategy

A
  1. Reduce HIV infection
  2. Inc access to care
  3. Reduce HIV disparities
  4. More coordinated response
38
Q

How many ppl with HIV, how many deaths, how many tested

A

36 mil mostly in sub saharan africa, 1.5 mil, 95 mil

39
Q

IDU % of HIV

A

10, 1/3 of new infections

40
Q

Factors increasing HIV in Africa

A

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
Q

African women vulnerabilty

A

sugar daddies, biological factors, poverty and sex work, violence

42
Q

When did they start screening for HIV in blood

A

1985

43
Q

What is a spermicide that can kill HIV

A

nonoxynl 9

44
Q

How many live with HIV/Aids global

A

37.6 mil

45
Q

hemophiliac expelled from school, ACA named for him

A

Ryan White

46
Q

olympic diver with hiv

A

Greg Louganis

47
Q

rapid HIV testing

A

FDA approval in 2004 for results in 20 min

48
Q

What pays for most HIV drugs

A

Medicaid

49
Q

Dallas buyers club

A

Mcconaughey movie about what world was like at beginning of outbreak

49
Q

Team America: world police

A

Showed HIV aids can be satirized

49
Q

Philadelphia

A

Tom hanks, lawyer with HIV

50
Q

4H club

A

Heroin, Haitians, hemophiliacs, homosexuals

51
Q

Positive prevention campaign

A

Inc knowledge and treatment with awareness, more role models etc

52
Q

Partner notification

A

Partner can be informed but can’t be told who gave it to them

53
Q

How diagnosis of HIV relates to role theory and schemas

A

Threat to self concept, denial can b dangerous

54
Q

How does disclosure relate to role theory and schemas?

A

Unlikely to chg strong roles (family and friends) but can chg casual friends and coworkers

55
Q

How does acceptance of hiv relate to role theory and schemas?

A

Roles must be adjusted, new opportunities come and u must take risks

56
Q

Where are soap operas prevalent

A

Africa India phillipines

57
Q

Truvada side effects

A

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