HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 Scotland STIGMA SURVEY UK 2015
|
|
- Corey Cole
- 6 years ago
- Views:
Transcription
1 HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 Scotland STIGMA SURVEY UK 2015
2 SCOTLAND The landscape for people living with HIV in the United Kingdom (UK) is dramatically different from what it was ten or twenty years ago. Advances in treatment mean the life expectancy of HIV positive people can be the same as that of the general population. Living with HIV in the age of undetectability and reduced risk of transmission should mean a better quality of life for people living with HIV. 1 However, despite some shifts in public attitudes, a considerable number of people in the UK still hold stigmatising attitudes towards people living with HIV. 2 Consequently, stigma remains a significant obstacle for many people living well with diagnosed HIV. The People Living with HIV Stigma Survey aimed to provide an evidence base of the HIV-related stigma and discrimination experienced by people living with HIV in the UK. Building on the experience of the 2009 People living with HIV Stigma Index, the 2015 survey was a collaborative cross sector community-led initiative that captured participants feelings and experiences with partners, family and friends, at work, in faith and in healthcare settings related to their HIV within the previous 12 months participants were recruited from community organisations and HIV clinics throughout the UK. This report is one of eleven report cards covering key findings of the UK Stigma Survey The reports were developed by community for community. We thank Public Health England for assistance in the data collection and analyses of the survey. All of the report cards and survey methodology can be downloaded from the UK Stigma Survey website. This report card focuses on the experiences of the 106 participants living in Scotland. HIV-related stigma is commonly understood as a process of devaluation and may constitute: Self or internalised stigma: the acceptance of negative self-beliefs associated with being HIV positive Anticipated or perceived stigma: the awareness of negative beliefs and expectation of negative treatment amongst people living with HIV Discrimination: the negative and devaluing treatment of people due to their status. These may fall within the purview of the law. 4 These different types of HIV-related stigma were measured in a number of ways in the survey. Participants were asked about negative and positive feelings in relation to their status to assess levels of self or internalised stigma. They were also asked if they had worried about or avoided situations in relation to their HIV to assess levels of anticipated or perceived stigma and, finally, whether they had experienced different treatment in relation to their HIV to capture discriminatory treatment. With the understanding that a person s experience of stigma may be different in their personal, social and working life, participants were asked to describe their experiences of stigma with partners, family and friends, and in their workplaces, faith communities and healthcare settings over the past 12 months. 1 Undetectability means a person s viral load, or the amount of virus in the blood of an HIV+ person, is lower than the amount a blood test can detect. A person with undetectable virus is extremely unlikely to transmit the virus to another person. See: 2 National AIDS Trust. HIV Public Knowledge and Attitudes, In order to further explore how people living with HIV experience stigma, 40 semi-structured interviews were conducted with a representative sample by a community researcher. Many of the quotations used in the report cards come from these interviews. 4 Strive. Measuring HIV Stigma and Discrimination, Available at: (Accessed February 4th 2016). 2/11
3 Summary of findings in this report Most people in Scotland had disclosed their HIV status to someone, and generally felt well supported by those aware of their status All participants with one main partner in the last 12 months had shared their status with their partner Anticipated stigma was most commonly reported, with many participants worrying about sexual rejection and treatment in the workplace, and avoiding sexual encounters due to their status in the last year Over half felt positive about life and in control of their health, yet half reported feelings of internalised stigma in the last year Over half felt supported in primary care, yet a third had not disclosed to their dentist. Many feared being treated differently in primary care and some avoided care when required. Over half had sought HIV-related support in the last year, a fifth from a local HIV support organisation 1. Who took part? 106 (7) of the 1576 survey participants lived in Scotland. Most participants in Scotland were men (7, n=78), and 4 people identified as trans. Over half (56, n=60) of male participants identified as men who have sex with men (MSM) and 77 (n=71) as white British or Irish. 91 (n=21) of women identified as heterosexual and 7 (n=17) as Black, Asian or minority ethnic (BAME). Half of all participants in Scotland were between ages 35 and people had injected recreational or performance enhancing drugs, and 1 person had been paid for sex, in the last 12 months ETHNICITY 8 White British / Irish Other white (not British/Irish) Black/African/Caribbean Mixed white, black, Asian Asian Any other 32 AGE GROUP and under Over 50 Figure 1. Demographics of participants HIV testing, diagnosis and treatment The majority of participants in Scotland had been diagnosed with HIV in the UK (n=98); were diagnosed in the last year. Of those diagnosed in the past 5 years in the UK, most (n=22, 67) reported being tested for HIV voluntarily, while 6 participants felt they were made or pressured to take a test (Figure 3). One reason given for this was: being tested in post-operation intensive care. 100 participants (9) in Scotland were currently on antiretroviral treatment (ART). This was similar by gender and ethnicity, and to the overall population accessing HIV care in Scotland (92). 3 men, 2 women and 1 trans person reported they were not on ART; 4 out of these 6 were diagnosed more than a year ago. 5 More demographic information is available in the appendix. 3/11
4 In the last year Decision to test for HIV among those diagnosed in the UK in the last 5 years 72 Yes, I took the decision myself to be tested (i.e. it was voluntary) I was made or pressured to take a test I was tested without my knowledge Before No response 1 Figure 2. Time since diagnosis in the UK Figure 3. Decision to test for HIV among participants diagnosed in the UK in the last 5 years Changes and challenges 2. Telling others The majority of participants in Scotland (9, n=100) reported that at least one member of their family or friend group, a partner, or someone in their workplace or faith community was aware of their status. Generally, participants felt well supported upon telling someone in their social or professional circle. Almost half (n=46) felt empowered upon telling someone. I just decided to tell him straight away, before we even went on a date. I told him because I wanted him to have that choice and it didn t make any difference, as it turned out, and we re still together. I feel very fortunate he s been a tremendous support to me over the last two years Woman, 36 years old, white ethnicity and living in Glasgow, diagnosed 2014 Partners Most (69, n=74) reported they were sexually active in the last 12 months. Most participants also reported that their partners were aware of their status (all people with one main partner reported their partner was aware); those with only a main partner felt most supported (Figure 4). Family and friends Two thirds of participants (n=74) reported at least one member of their family was aware of their status and three in five (6, n=48) felt well supported (Figure 5). More participants reported that at least one friend was aware of their status (n=82), and two thirds (n=55) felt well supported (Figure 6). Percentage of people Percentage of partners aware Percentage reporting good support Sexually active with only main sexual partner 1 Main and others Multiple Figure 4. Awareness of HIV status and support in sexual relationships You just really want to stick to someone who really understands what you are going through and where you are coming from Woman, 60 years old, black African ethnicity and living in Glasgow, diagnosed /11
5 6 All Almost all Some None No response Awareness among family Awareness among friends Figure 5. Awareness of HIV status and support among participants family members Figure 6. Awareness of HIV status and support among participants friends Workplace All Almost all Some None 6 Half of the 63 participants working at the time of the survey reported that someone at work was aware of their status (n=31). Among these, the majority felt well supported (n=21). 13 (12) had decided not to apply for or turned down employment or a promotion in the last 12 months due to their status Awareness among employers and / or co-workers Figure 7. Awareness of status and supportin the workplace Faith A quarter (8/33) of participants in Scotland who had ever been active in a religious community reported that someone in their faith group was aware of their status; half (4) of these reported feeling supported upon telling someone. Three of the eleven participants active in a faith group in the last year reported someone in the community was aware, and 2 individuals felt supported. Ever active in faith community Active in the last 12 months of people Aware Figure 8. Awareness of status and support in faith settings Pressure to tell others Not all participants in Scotland felt in control of disclosing their status, with some reporting they had felt pressure from family, friends and co-workers to tell others about their HIV in the last 12 months. Family 1 Friends Workplace 7 Figure 9. Pressure to tell others in the last 12 months 5/11
6 3. Experiences of stigma and discrimination Felt and experienced stigma are affected by many factors, including gender, sexuality, ethnicity and socioeconomic position, along with HIV status. The survey attempted to examine these layers of stigma and measure to what extent instances of worry, avoidance and discrimination could be attributed to participants HIV status. Participants worried primarily about sexual rejection (29), being gossiped about (2) and being excluded from social gatherings (19) due to their HIV. A third (3) had avoided sexual encounters in the last 12 months due to their status. One in seven had experienced sexual rejection in the last year due to their status, compared to a fifth of participants in the UK overall. In the last 12 months... of all who report experience is due to HIV of all who answered yes Have you worried about: Have you: Have you experienced: Gossip Sexual rejection Excluded - social gatherings Excluded - family gatherings Verbal harassment Workplace treatment Job security Physical assault Avoided sex Avoided social gatherings Avoided family gatherings Avoided employment / promotion Left a job / income source Gossip Sexual rejection Verbal harassment Excluded - family gatherings Excluded - social gatherings Job change - consensual Lost job Been refused employment / promotion Physical assault Job change - against wishes Figure 10. Worry, avoidance and discrimination in the last 12 months 6/11
7 4. Mental health and well being Two thirds of participants in Scotland felt positive about life (67) and as good as anyone else (6) in the last 12 months. Three out of five (60) felt in control of their health in the last year. Yet, many felt ashamed (42), guilty (39), and blamed themselves (5) in relation to their status in the last 12 months. Two in five (41) had a negative self-image in relation to their status, compared to 37 of people in the UK overall. One in five (22) reported suicidal ideation in the last year, comparable to1 of the population in the UK overall. 5. Healthcare 91 of participants in Scotland stated their GP was aware of their status, and two thirds (66) of these felt well supported. Fewer (65) reported their dentist was aware, and three in five (59) felt well supported. GP / Dentist aware No response GP / Dentist not aware 6 7 Awareness & 5 5 support in GP practice Moderate Low None No response Awareness 30 & support in dental practice Moderate Low None No response Figure 11. Awareness and support in GP practice Figure 12. Awareness and support in dental practice Nevertheless, a third worried about being treated differently to other patients at their GP and dentist, while 1 and 12 had avoided care in either setting respectively. Similar trends were observed in outpatient and inpatient care (Figure 13). 8 people () reported they were pressured by a healthcare worker to disclose their status to others in the last 12 months. Worried about being treated differently Avoided seeking care Felt refused or delayed treatment GP Dental practice STI clinic Outpatient Inpatient Figure 13. Worry, avoidance and feeling refused in healthcare settings 7/11
8 5. HIV and the law Pressure to tell others 7 (n=7) of participants in Scotland reported being denied insurance products (e.g. health, dental, life, or job protection) in the last year. Two people (2) had been investigated by the police in relation to their HIV status. 5 out of 8 participants who reported they had been discriminated against due to their status had sought redress using the Equality Act Only 16 of participants in Scotland felt able to influence legal or rights matters affecting people living with HIV, yet a third (32) had tried to address an issue of HIV-related stigma or discrimination within their community, while almost half (46) have offered emotional support to other people living with HIV in the last 12 months. Prosecution for HIV transmission in the UK Overall, 91 of participants were aware that people have been prosecuted for recklessly transmitting HIV to a sexual partner, and one in five (1) believed that transmission of HIV should be a criminal offence; half (4) were not sure. Most (90) thought that both partners, regardless of status, are responsible for preventing the transmission of HIV. Two in five (42) reported that the risk of criminal prosecution relating to HIV transmission has influenced decisions to tell others they are positive. 7. Support and advocacy Participants were asked if they had sought support related to their HIV in the last year; more than half of participants in Scotland reported they had. One in five Scottish participants, and a third of those diagnosed in the last year, had sought support from a local organisation. Two in five (4) had not sought support of any kind. Local HIV support organisation Online Peer group NHS patient support group Local policy organisation Faith group Community group None Overall Diagnosed in last year Table 1. Sources of support in the last 12 months (participants could choose more than one) 8/11
9 Actions to address stigma and discrimination for which participants in Scotland would most like to advocate include: HIV education in schools, raising public awareness and knowledge, and providing emotional, educational and referral support to people living with HIV (Figure 14). Education in schools Raising public awareness and knowledge 5 65 Providing support (emotional, physical and referral) Advocating for evidence-based media coverage of HIV Advocating for the rights of all people living with HIV Educating people living with HIV about living with HIV Advocating for and/or providing support to marginalised groups Figure 14. Addressing stigma and discrimination for people living with HIV (participants could choose more than one) 9/11
10 Actions and Answers 8. Conclusions Overall, the survey findings show that stigma and discrimination continue to impact the lives of HIV positive people in Scotland today. I was diagnosed in January, and in February I went to the HIV Scotland conference Woman, 36 years old, white ethnicity and livingin Glasgow, diagnosed 2014 Most people had told someone about their HIV status, and the majority reported good levels of support from those aware of their status. However, many worried about negative treatment, and some experienced HIV-related discriminatory treatment. Findings indicate that sexual relationships are particularly difficult to navigate for people living with HIV, despite all people with one main partner reporting they had shared their status with their partner. A third feared sexual rejection and had avoided one or more sexual encounters in the last year. Knowledge of undetectability could impact highly on the stigma felt by people living with HIV in sexual relationships, and further education regarding undetectability targeted at community members and the general public is important. Many participants reported feelings of internalised stigma and had a poor self-image. As in the rest of the UK, there is a need to improve support for people living with HIV including the provision of psychological and peer support especially in the year after diagnosis. Half had sought support, a fifth from a local organisation, in the last year. Participants in Scotland believe that stigma needs to be addressed across society, with public awareness campaigns and better HIV education in schools. Efforts to promote third sector offers, emphasising interventions geared towards the most at-risk groups and factoring in e-literacy and access to care and services, could additionally improve the quality of life of PLWHIV in Scotland and the UK as a whole. 10/11
11 Appendix: Methodology and demographics Participants were recruited from over 120 cross-sector community organisations and 46 NHS HIV clinics throughout the UK; in Scotland, 64 participants were recruited through community organisations, and 42 through clinics. The survey was predominantly quantitative, with space for open comment after most questions where additional detail would help with clarification. The 106 participants in Scotland (7 of all) were broadly representative of the general population of people living with HIV in Scotland, which accounts for around 5 of all people living with HIV in the UK. 63 participants (59) were working at the time of the survey. Comparable to the rest of the UK, hardship was not uncommon, with a fifth (1, n=20) of participants in Scotland struggling constantly with or falling behind on financial commitments, while a third (30, n=32) had sometimes or often gone short of food in the last year. Figure 1. Regional distribution of all participants (n=1576) SECTOR OF EMPLOYMENT AT TIME OF SURVEY 19 Private sector Public sector Voluntary sector Not currently working 41 Socioeconomic status 3 Lower SES Mid-level SES Higher SES Figure 2. Sector of employment at time of survey (n=106) Figure 3. Socioeconomic status (n=106) Participants were grouped into 3 socio-economic status (SES) groups according to education, employment, size of residence and whether they had skimped on food or fallen behind on bills in the last 12 months. The socioeconomic status (SES) of Scottish participants was comparable to the national distribution, with 3 of people in the low SES group and 41 in the high SES group. 32 (n=33) had ever been active in a faith setting, 11 in the past 12 months; 81 (n=27) identified as Christians. 50 of participants were in a relationship at the time of the survey (Figure 4). 32 participants (30) reported no sexual partners in the last 12 months. Living with a husband, wife or partner In a relationship with a partner (not living together) In a relationship with more than one partner No relationship and/or single Figure 4. Relationship status at time of survey (n=106) 49 Employment Status Percentage Employed full time 51 Employed part time 6 Casual work 2 Unemployed 15 Volunteering 1 Sick/disabled 2 Looking after home 5 Retired 10 Student Table 1. Employment status in last year (n=106) Supported by a grant from ViiV Healthcare 11/11
HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 London STIGMA SURVEY UK 2015
HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 London STIGMA SURVEY UK 2015 LONDON The landscape for people living with HIV in the United Kingdom
More informationHIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 England STIGMA SURVEY UK 2015
HIV in the UK: Changes and Challenges; Actions and Answers The People Living With HIV Stigma Survey UK 2015 England STIGMA SURVEY UK 2015 ENGLAND The landscape for people living with HIV in the United
More informationThe People Living With HIV Stigma Index: South Africa 2014
The People Living With HIV Stigma Index: South Africa 2014 A Cloete 1, Leickness Simbayi 1, K Zuma 1, S Jooste 1, S Blose 1, S Zimela 1,N Mathabathe 2, D Pelisa 3, & The South Africa PLHIV HIV Stigma Index
More informationRecent Interventions to Reduce Stigma & Discrimination in Nigeria
Recent Interventions to Reduce Stigma & Discrimination in Nigeria By ENR 04/05/2015 # Background Nigeria has developed initiatives to reduce stigma and discrimination at national or local settings Community
More informationChronic Hepatitis C The Patient s Perspective
Chronic Hepatitis C The Patient s Perspective Authors: Josie Smith, Marion Lyons Page 1 of 12 October 2006 Status: Final Contents: Page: Executive Summary 3 Introduction 4 Methodology 4 Findings 5 Appendix
More informationPromoting the health and wellbeing of gay, bisexual and other men who have sex with men. Summary Document
Promoting the health and wellbeing of gay, bisexual and other men who have sex with men Summary Document 1 Health and wellbeing of men who have sex with men This summary sets out Public Health England
More informationNAT (National AIDS Trust) Corporate Support
NAT (National AIDS Trust) Corporate Support ABOUT NAT (National AIDS Trust) NAT is the HIV charity dedicated to transforming the UK s response to HIV. Founded in 1987, we champion the rights of people
More informationCOMMUNITY. Stigma and Discrimination Experienced by Sex Workers Living with HIV
COMMUNITY Stigma and Discrimination Experienced by Sex Workers Living with HIV Introduction Globally, sex workers and people living with HIV experience severe stigma and discrimination, such as: Violations
More informationEmma Zurowski PaSH Programme Lead BHA for Equality. Peter Bampton Sexual Health Lead LGBT Foundation. gmpash.org.uk.
Emma Zurowski PaSH Programme Lead BHA for Equality Peter Bampton Sexual Health Lead LGBT Foundation gmpash.org.uk 1 to 1 Interventions Group Work Interventions Testing Outreach Website Counselling for
More informationNational NHS patient survey programme Survey of people who use community mental health services 2014
National NHS patient survey programme Survey of people who use community mental health services The Care Quality Commission The Care Quality Commission (CQC) is the independent regulator of health and
More informationA guide to protecting your partner from HIV transmission Information for patients
Oxford University Hospitals NHS Trust A guide to protecting your partner from HIV transmission Information for patients page 2 Dealing with an HIV diagnosis When you are HIV positive it is important for
More informationTackling FGM in the UK: Views of People from Communities Affected by FGM
Tackling FGM in the UK: Views of People from Communities Affected by FGM At the end of 2015, the Tackling Female Genital Mutilation Initiative (TFGMI), with technical support from Options, undertook a
More informationRevised MEN S ATTITUDE SURVEY (the RMAS)
VISIT #: Visit Date: As before, this questionnaire is intended to assess and track your attitudes, beliefs and other factors that might influence your sexual and other risky or risk-reduction practices
More informationPROSECUTIONS FOR HIV & STI TRANSMISSION OR EXPOSURE A guide for people living with HIV in Scotland
PROSECUTIONS FOR HIV & STI TRANSMISSION OR EXPOSURE A guide for people living with HIV in Scotland You may have heard or read about prosecutions for HIV transmission in Scotland. There have been a small
More information(Appendix 1) Hong Kong HIV Stigma Watch Brief Report. Basic Demographics
(Appendix 1) Hong Kong HIV Stigma Watch Brief Report Basic Demographics 291 people living with HIV (PLHIV) were recruited in the study. 96% (n=277) of the participants were male and majority (95%, n=271)
More informationEmpowering young people to challenge mental health stigma and discrimination. Wendy Halliday, See Me
Empowering young people to challenge mental health stigma and discrimination Wendy Halliday, See Me About See Me Scotland s programme to end MH stigma and discrimination Changing Minds, Changing Policy
More informationHIV Stigma and Discrimination in Primary Care. Dr John Forni BSc MBBS PhD MRCP CertRheum(EULAR) Senior Medical Advisor ViiV Healthcare UK
HIV Stigma and Discrimination in Primary Care Dr John Forni BSc MBBS PhD MRCP CertRheum(EULAR) Senior Medical Advisor ViiV Healthcare UK Background Quotes from the Positive Voices Survey 2014 If you wish,
More informationI S H I V S O R T E D? S U R V E Y H I G H L I G H T S
I S H I V S O R T E D? S U R V E Y H I G H L I G H T S This meeting has been organised and sponsored by Gilead Sciences Date of preparation: September 2018 001/IHQ/18-09//1419 B A C K G R O U N D & O B
More informationBenin: Law No on the Prevention, Care and Control of HIV/AIDS in the Republic of Benin (2005)
Benin: Law No 2005-31 on the Prevention, Care and Control of HIV/AIDS in the Republic of Benin (2005) The law was enacted by the Benin National Assembly in 2005. The law guarantees civil, political and
More informationData on trans people and HIV in the UK
Data on trans people and HIV in the UK Peter Kirwan National Infection Service, Public Health England Email: peter.kirwan@phe.gov.uk Who are Public Health England Public Health England was established
More informationYOU ARE NOT ALONE Health and Treatment for HIV Positive Young Men of Color
Model YOU ARE NOT ALONE Health and Treatment for HIV Positive Young Men of Color FOREWORD HIV is a common risk for young men of color. In 2006, young men of color accounted for about 70% of new HIV infections
More informationPresentation outline. Issues affecting African Communities in New Zealand. Key findings Survey. Findings cont... Findings cont..
Presentation outline Issues affecting African Communities in New Zealand Fungai Mhlanga Massey University HIV Clinical Update seminar 2015 1. Africanz Research project background 2. Key Findings (Surveys
More information2020 Vision: making England s HIV prevention response the best in the world
DISCUSSION PAPER 2020 Vision: making England s HIV prevention response the best in the world Introduction Effective HIV prevention makes good public health and economic sense. HIV remains one of the fastest-growing
More informationA Sexual Health Study with Africans in Frankfurt am Main
A Sexual Health Study with Africans in Frankfurt am Main Working together for Health Promotion INFORMATION FOR STUDY PARTICIPANTS WHO ARE WE? We are a group of Africans, researchers and persons doing
More informationDepartment of Health. Management of HIV Infected Healthcare Workers. Consultation
Department of Health Management of HIV Infected Healthcare Workers Consultation March 2012 Introduction 1.1 Terrence Higgins Trust (THT) is the UK s leading HIV and sexual health charity, working with
More informationSahir House Service User Satisfaction Survey
Sahir House Service User Satisfaction Survey Evaluation Report for the Period January to December 2017 1 Introduction The Sahir House Service User Satisfaction Survey is an annual evaluation tool that
More informationWORLD AIDS DAY HIV in the UK Let s End It. World AIDS Day is celebrated annually on 1st December. Produced by NAT (National AIDS Trust)
WORLD AIDS DAY 2017 HIV in the UK Let s End It World AIDS Day is celebrated annually on 1st December Produced by NAT (National AIDS Trust) Supported by Do Overview Understanding HIV: Key facts Life with
More informationCINDI & SINANI STIGMA RESEARCH SIMPLIFIED SUMMARY REPORT
CINDI & SINANI STIGMA RESEARCH SIMPLIFIED SUMMARY REPORT 1. INTRODUCTION The research was commissioned by the CINDI Network through funding by Irish Aid. This research topic was identified by CINDI members
More informationVNP+ VietNam Network of People Living with HIV
Supported by UNAIDS VNP+ VietNam Network of People Living with HIV Supported by UNAIDS TABLE OF CONTENTS LIST OF TABLES LIST OF FIGURES LIST OF ABBREVIATIONS FOREWORD EXECUTIVE SUMMARY I. INTRODUCTION
More informationProviding Good Care to People Living with HIV
National Ambulance LGBT Network Providing Good Care to People Living with HIV An Ambulance Service Resource Pack Supporting Lesbian, Gay, Bisexual, Trans staff, patients and communities A partnership of
More informationThe Wise Group Community Justice Briefing
The Wise Group Community Justice Briefing The Wise Group is one of the country s leading social enterprises, empowering people across Scotland and North East England to unlock their potential and transform
More informationNational Survey of Young Adults on HIV/AIDS
Topline Kaiser Family Foundation National Survey of Young Adults on HIV/AIDS November 30, 2017 The 2017 Kaiser Family Foundation National Survey of Young Adults on HIV/AIDS is based on interviews with
More informationUndetectable Equals Untransmittable:
Undetectable Equals Untransmittable: Building Hope and Ending HIV Stigma Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject What Is U=U? When a
More informationWORKING WITH HIV. By Karen Steadman and Helen Sheldon The Work Foundation. Funded by ViiV Healthcare
WORKING WITH HIV By Karen Steadman and Helen Sheldon The Work Foundation Funded by ViiV Healthcare This report is based on research that was funded by ViiV Healthcare. While ViiV Healthcare has reviewed
More informationIMPRESS Health 2 Study: Anglo-French Phase 1 research findings
IMPRESS Health 2 Study: Anglo-French Phase 1 research findings Dr Stephen J. O Connor: Reader in Cancer. Palliative and End of Life Care, Canterbury Christ Church University. Philippe Lorenzo (IREPS chief
More informationTHE EMERGE SURVEY ON TAKING PART IN BIOBANK RESEARCH: VERSION A
THE EMERGE SURVEY ON TAKING PART IN BIOBANK RESEARCH: VERSION A What is this survey about? This survey is about your views on taking part in medical research. We want to understand what you think about
More informationMental Health Strategy. Easy Read
Mental Health Strategy Easy Read Mental Health Strategy Easy Read The Scottish Government, Edinburgh 2012 Crown copyright 2012 You may re-use this information (excluding logos and images) free of charge
More information6: Service considerations a report from the Adult Dental Health Survey 2009
UK Data Archive Study Number - Adult Dental Health Survey, 009 6: Service considerations a report from the Adult Dental Health Survey 009 Copyright 0, The Health and Social Care Information Centre. All
More informationTHE BIDVest GROUP LIMITED. HIV / AIDS Policy
PURPOSE BIDVest THEBIDVestGROUPLIMITED HIV/AIDSPolicy The purpose of this policy statement is to set out the Company s stance on HIV/AIDS and to reassureemployeesthattheywillnotbeinanywaydiscriminatedagainstbyvirtueoftheirhiv
More informationPOLICE INVESTIGATION OF HIV TRANSMISSION. A guide for people living with HIV in England, Wales and Northern Ireland
POLICE INVESTIGATION OF HIV TRANSMISSION A guide for people living with HIV in England, Wales and Northern Ireland Introduction People with HIV can be prosecuted in England, Wales and Northern Ireland
More informationRAPE AND ASSAULT BY PENETRATION: INFORMATION FOR SURVIVORS OF SEXUAL VIOLENCE
RAPE AND ASSAULT BY PENETRATION: INFORMATION FOR SURVIVORS OF SEXUAL VIOLENCE It is believed that 5% of adult women experience rape. This information sheet is designed to give information about two offences
More informationResponsibilities in a sexual relationship - Contact tracing
P a g e 1 Responsibilities in a sexual relationship - Contact tracing This activity has been designed increase student familiarity with the NSW Health Play Safe website. Suggested duration: 50-60 minutes
More informationAssessment of Mental Capacity and Best Interest Decisions
Standard Operating Procedure 1 (SOP 1) Assessment of Mental Capacity and Best Interest Decisions Why we have a procedure? This Standard Operating Procedure (SOP) is required to set out how a person s capacity
More information21 st Annual Conference of the British HIV Association (BHIVA) Mrs Fiona Wallis. Monkgate Health Centre, York April 2015, The Brighton Centre
21 st Annual Conference of the British HIV Association (BHIVA) Mrs Fiona Wallis Monkgate Health Centre, York 21-24 April 2015, The Brighton Centre 21 st Annual Conference of the British HIV Association
More informationAnti-HIV treatments information
PROJECT NASAH BRIEFING SHEET 1 Anti-HIV treatments information NAM, the National AIDS Trust, Sigma Research and the African HIV Policy Network have conducted research into the treatment information needs
More informationWOMEN: MEETING THE CHALLENGES OF HIV/AIDS
WOMEN: MEETING THE CHALLENGES OF HIV/AIDS gender equality and the empowerment of women are fundamental elements in the reduction of the vulnerability of women and girls to HIV/AIDS Article 14, Declaration
More informationLIFE+ PEER NAVIGATION FOR PEOPLE NEWLY DIAGNOSED WITH HIV
LIFE+ PEER NAVIGATION FOR PEOPLE NEWLY DIAGNOSED WITH HIV P R E S E N T E D B Y C H R I S H O W A R D & S A T R I O ( T I K O ) N I N D Y O I S T I K O L I F E + P R O G R A M M A N A G E R & P E E R N
More informationSan Francisco Suicide Prevention (SFSP) Client Satisfaction Report July 1, 2011 to June 30, 2012 Key Findings and Implementation of Feedback
San Francisco Suicide Prevention (SFSP) Client Satisfaction Report July 1, 2011 to June 30, 2012 Key Findings and Implementation of Feedback Methodology From July 1, 2011 to June 30, 1012, San Francisco
More informationPUBLIC ATTITUDES TOWARDS PEOPLE WITH DRUG DEPENDENCE AND PEOPLE IN RECOVERY PEOPLE, COMMUNITIES AND PLACES. social. research
PUBLIC ATTITUDES TOWARDS PEOPLE WITH DRUG DEPENDENCE AND PEOPLE IN RECOVERY PEOPLE, COMMUNITIES AND PLACES social research PUBLIC ATTITUDES TOWARDS PEOPLE WITH DRUG DEPENDENCE AND PEOPLE IN RECOVERY Progressive
More informationRoyal College of Psychiatrists Consultation Response
Royal College of Psychiatrists Consultation Response DATE: 06.08.09 RESPONSE OF: THE ROYAL COLLEGE OF PSYCHIATRISTS RESPONSE TO: Draft guidance on provisions to deal with nuisance or disturbance behaviour
More informationReviewing Peer Working A New Way of Working in Mental Health
Reviewing Peer Working A New Way of Working in Mental Health A paper in the Experts by Experience series Scottish Recovery Network: July 2013 Introduction The Scottish Government s Mental Health Strategy
More informationHIV /Aids and Chronic Life Threatening Disease Policy
HIV /Aids and Chronic Life Threatening Disease Policy for Eqstra Holdings Limited 1 of 12 1 Mission Statement Eqstra Holdings Limited will endeavour to limit the economic and social consequences to Eqstra
More informationHIV transmission in the UK within Black African communities: how common is it and how do we prevent it? Dr Valerie Delpech
HIV transmission in the UK within Black African communities: how common is it and how do we prevent it? Dr Valerie Delpech We gratefully acknowledge persons living with HIV, clinicians, health advisors,
More informationMSM AND HIV/AIDS IN AFRICA WITH FOCUS ON MALAWI
Center for Public Health and Human Rights MSM AND HIV/AIDS IN AFRICA WITH FOCUS ON MALAWI Malawi College of Medicine: Eric Umar Vincent Jumbe CEDEP: Gift Trapence Dunker Kamba Rodney Chalera Johns Hopkins
More informationSummary of the Dental Results from the GP Patient Survey; July to September 2014
Introduction Summary of the Dental Results from the GP Patient Survey; July to September 2014 1. Dental questions were originally added to the GP Patient Survey in January to March 2010, as the Department
More informationInformation for Service Providers
Information for Service Providers Introduction Advocacy is about helping people speak up about what is important to them in all aspects of their life. It can be carried out by anyone a person wants to
More informationElder Abuse: keeping safe
Elder Abuse: keeping safe This information guide has been prepared by Age Scotland and contains general advice only, it should not be relied on as a basis for any decision or action and cannot be used
More informationDr Angella Duvnjak. CEO, Australian Injecting and Illicit Drug Users League. Dr Angella Duvnjak Viral Hepatitis Conference
Dr Angella Duvnjak CEO, Australian Injecting and Illicit Drug Users League Conference 2016 1 Traditional owners of the land Collaborative effort of the AIVL staff team on the projects presented today The
More informationIn Numbers a statistical overview of the NOMS Co-financing Organisation. East of England Round 1: Custody & Community
In Numbers a statistical overview of the NOMS Co-financing Organisation 1. Introduction NOMS Co-financing Organisation Since 2010, the ESF (European Social Fund) funded NOMS Cofinancing programme has been
More informationCOMMUNITY. Young Sex Workers
COMMUNITY Young Sex Workers Introduction Young people aged 10 24 are disproportionately affected by the HIV epidemic and young key populations (KPs) carry a heavy burden of HIV infection. Because of discrimination,
More informationThe impact of providing a continuum of care in the throughcare and aftercare process
Scottish Journal of Residential Child Care February/March 2010 Vol.9, No.1 The impact of providing a continuum of care in the throughcare and aftercare process Caroline Chittleburgh Corresponding author:
More informationIn Numbers a statistical overview of the NOMS Co-financing Organisation. South West Round 1: Community
In Numbers a statistical overview of the NOMS Co-financing Organisation 1. Introduction NOMS Co-financing Organisation Since 2010, the ESF (European Social Fund) funded NOMS Cofinancing programme has been
More informationWorking for Change 2018 Workplace experiences Survey results
Working for Change 2018 Workplace experiences Survey results Introduction Action on Hearing loss wanted to uncover the experiences of people with hearing loss in the workplace. This report outlines the
More informationIn Numbers a statistical overview of the NOMS Co-financing Organisation. South East Round 1: Custody & Community
In Numbers a statistical overview of the NOMS Co-financing Organisation 1. Introduction NOMS Co-financing Organisation Since 2010, the ESF (European Social Fund) funded NOMS Cofinancing programme has been
More informationConnecting the Community. Advancing the HIV Response in Baltimore and Jackson.
Connecting the Community. Advancing the HIV Response in Baltimore and Jackson. Connecting the Community. Advancing the HIV Response in Baltimore and Jackson. The Motivation: What the Numbers Say ACCELERATE!
More informationUK Guidance on Sexual Assault Interventions. Recommendations to improve the standards of policy and practice in the UK
UK Guidance on Sexual Assault Interventions Recommendations to improve the standards of policy and practice in the UK UK Guidance on Sexual Assault Interventions Recommendations to improve the standards
More informationGLOBAL AIDS RESPONSE PROGRESS REPORTING (GARPR) 2014 COUNTRY PROGRESS REPORT SINGAPORE
GLOBAL AIDS RESPONSE PROGRESS REPORTING (GARPR) 2014 COUNTRY PROGRESS REPORT SINGAPORE Reporting period: January 2011 June 2013 Submission date: April 2014 I. Status at a glance Singapore s HIV epidemic
More informationConsultation on revised threshold criteria. December 2016
Consultation on revised threshold criteria December 2016 The text of this document (but not the logo and branding) may be reproduced free of charge in any format or medium, as long as it is reproduced
More informationMEASURING THE DEGREE OF S&D IN KENYA: AN INDEX FOR HIV/AIDS FACILITIES AND PROVIDERS
MEASURING THE DEGREE OF S&D IN KENYA: AN INDEX FOR HIV/AIDS FACILITIES AND PROVIDERS JULY 2007 This publication was produced for review by the U.S. Agency for International Development (USAID). It was
More informationBackground. Yet, as a nation, we find it hard to talk about and harder still to help people dealing with a bereavement.
A better grief 2 A better grief Background We all experience bereavement and grief at some stage in our lives. Seventy-two per cent of us have been bereaved at least once in the last five years, according
More informationSTRATEGIC PLAN. Working to address health inequalities and improve the lives of LGBT people in Scotland
STRATEGIC PLAN Working to address health inequalities and improve the lives of LGBT people in Scotland Published 18 November 2014 STRATEGIC OBJECTIVES Building capacity to achieve better health and wellbeing
More informationVictorian AIDS Council Gay Men s Health Centre
Victorian AIDS Council Gay Men s Health Centre including the Positive Living Centre VAC Reg. No. A 3609 GMHC Reg No. A0010550F VAC ABN 52 907 644 835 GMHC ABN 87 652 472 253 AUSTRALIAN GOVERNMENT DEPARTMENT
More informationEVALUATION TOOLS...123
EVALUATION TOOLS...123 f Daily evaluation...124 f End of course evaluation...125 f Pre- and post-tests...127 We learned more new technique and method to improve our course at the present The tree gives
More informationUnderstanding conscientious objection to abortion in Zambia
+ Understanding conscientious objection to abortion in Zambia Emily Freeman e.freeman@lse.ac.uk Ernestina Coast e.coast@lse.ac.uk Bellington Vwalika vwalikab@gmail.com + Why conscientious objection to
More informationPharmacists Defence Association Response to the General Pharmaceutical Council s Consultation on Religion, Personal Values and Beliefs
March 2017 Pharmacists Defence Association Response to the General Pharmaceutical Council s Consultation on Religion, Personal Values and Beliefs representing your interests 02 Contents About the Pharmacists
More informationSUBMISSION BY THE UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS) TO THE OFFICE OF THE HUMAN RIGHTS COUNCIL ON THE UNVIVERSAL PERIODIC REVIEW
SUBMISSION BY THE UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS) TO THE OFFICE OF THE HUMAN RIGHTS COUNCIL ON THE UNVIVERSAL PERIODIC REVIEW BACKGROUND Human rights issues are central to effective national
More informationDEFENDING HUMAN RIGHTS, PROTECTING AGAINST VIOLENCE, PREVENTING HIV/AIDS
DEFENDING HUMAN RIGHTS, PROTECTING AGAINST VIOLENCE, PREVENTING HIV/AIDS Strategies for integrating human rights services into HIV/AIDS programming for female sex workers, men who have sex with men, and
More informationAvailable In person Courses
Course Catalogue for HIV Education and Training NY www.hivtrainingny.org The NYSDOH AIDS Institute s HIV, STI and Viral Hepatitis Training Programs offer trainings on HIV/AIDS, sexually transmitted infection
More informationCode of Practice on HIV/AIDS and Other Life Threatening Illnesses for the Public Sector. Ministry of Labour
Code of Practice on HIV/AIDS and Other Life Threatening Illnesses for the Public Sector Ministry of Labour Acknowledgement This Code of Practice on HIV/AIDS and Other Life Threatening Illnesses in the
More informationReducing Harm or Producing Harm? Public Health Implications of Prosecuting HIV-positive People. Warren Michelow
Reducing Harm or Producing Harm? Public Health Implications of Prosecuting HIV-positive People Warren Michelow University of British Columbia School of Population and Public Health Outline Prosecuting
More informationMen and Sexual Assault
Men and Sexual Assault If you don't believe it's possible to sexually abuse or assault a guy, raise your hand. If your hand is waving in the air, you're not alone. But boy, are you wrong. Most research
More informationUNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP
UNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP WHY UNAIDS NEEDS YOUR SUPPORT Over the past 35 years, HIV has changed the course of history. The massive global impact of AIDS in terms
More informationYour consent to disclosing identifying information
Your consent to disclosing identifying information HFEA CD form About this form This form is produced by the Human Fertilisation and Embryology Authority (HFEA), the UK s independent regulator of fertility
More informationA practice-based approach
A practice-based approach Enables us to examine and explain how context, whether social, bodily, temporal, historical, cultural, geopolitical, economic, relational and so on, shapes daily practices. Three
More informationInformation for Service Providers
Information for Service Providers Introduction Advocacy is about helping people speak up about what is important to them in all aspects of their life. It can be carried out by anyone a person wants to
More informationLiving My Best Life. Today, after more than 30 years of struggling just to survive, Lynn is in a very different space.
Living My Best Life Lynn Allen-Johnson s world turned upside down when she was 16. That s when her father and best friend died of Hodgkin s disease leaving behind her mom and six kids. Lynn s family was
More informationNOT ALONE. Coping With a Diagnosis of Facioscapulohumeral Muscular Dystrophy (FSHD)
NOT ALONE Coping With a Diagnosis of Facioscapulohumeral Muscular Dystrophy (FSHD) FOR THE NEWLY DIAGNOSED AND THEIR LOVED ONES, FROM THOSE WHO HAVE TRAVELED THIS ROAD BEFORE YOU We re not alone. We re
More informationMental Health: My Story
Mental Health: My Story Pacific Life Re Re:think August 2018 by Carl Padget Head of Underwriting and Claims Europe February 2019 Introduction The topic of mental health continues to be very prominent,
More informationModule 7: Healthy Living
Module 7: Healthy Living Fitness to work The UN treats HIV as any other chronic disease. Regardless of your HIV status, you have the right to work and also not to be discriminated against in the workplace.
More informationSouth Tees Hospitals NHS Foundation Trust. Excellence in dementia care across general hospital and community settings. Competency framework
South Tees Hospitals NHS Foundation Trust Excellence in dementia care across general hospital and community settings. Competency framework 2013-2018 Written and compiled by Helen Robinson-Clinical Educator
More informationNAESM Conference, Los Angeles, CA January 18, 2013 California STD/HIV Prevention Training Center Tim Vincent, Deborah Wyatt-O Neal, Duran Rutledge
NAESM Conference, Los Angeles, CA January 18, 2013 California STD/HIV Prevention Training Center Tim Vincent, Deborah Wyatt-O Neal, Duran Rutledge DISPARITIES FOR AFRICAN AMERICAN MSM LINKING TO HIV CARE
More informationMissourians Attitudes Toward Mental Illness Telephone Survey Executive Summary
Missourians Attitudes Toward Mental Illness Telephone Survey Executive Summary 1 of 7 Results suggest that a majority of Missourians have had some personal experience with mental illness. A large proportion
More informationONLY IN HUMANS! CAN GET SICK FASTER. What is HIV? NO CURE. Human Immunodeficiency Virus. HIV ATTACKS your T-cells. And uses them to of itself
The 411: HIV ONLY IN HUMANS! CAN GET SICK FASTER What is HIV? NO CURE Human Immunodeficiency Virus HIV ATTACKS your T-cells And uses them to of itself HIV Progression Acute Infection Stage Clinical Latency
More informationContribution by the South African Government to the Proposals, Practical Measures, Best Practices and Lessons Learned that will contribute to
Contribution by the South African Government to the Proposals, Practical Measures, Best Practices and Lessons Learned that will contribute to Promoting and Protecting the Rights and Dignity of Older Persons
More informationSafeguarding Adults. Patient information
Safeguarding Adults Patient information Safeguarding Adults Keeping the people who use our services safe is very important. That is why we have arrangements in place to protect people from abuse. This
More informationUNGASS COUNTRY PROGRESS REPORT SINGAPORE
UNGASS COUNTRY PROGRESS REPORT SINGAPORE Submission date: 14 March 2008 Reporting period: January 2006 December 2007 I. Overview of the HIV/AIDS epidemic Singapore is categorized as a low-prevalence epidemic.
More informationAbortion 'on the NHS': The National Health Service and abortion stigma
Abortion 'on the NHS': The National Health Service and abortion stigma Item Type Article Authors Astbury-Ward, Edna Citation Astbury-Ward, E. (2015). Abortion 'on the NHS': The National Health Service
More informationSpinal Injuries Ireland. Research Results and Strategic Plan 2015, Fiona Bolger
Spinal Injuries Ireland Research Results and Strategic Plan 2015, Fiona Bolger Research with Members 385 one to one interviews with members completed 24% of SII popula>on. 27% female and 73 % male. Health
More informationgender and violence 2 The incidence of violence varies dramatically by place and over time.
gender and violence Everyone has the right to life, liberty, and the security of person (Article 3, UDHR, 1948; Articles 6.1 and 9.1, ICCPR, 1966). No one shall be subjected to... cruel, inhuman or degrading
More informationBass Line :The African Health and Sex Survey
Bass Line 2008-09 :The African Health and Sex Survey West Midlands Strategic Health Authority data report (n=401, June 2009) This document reports data from Bass Line 2008-09, an assessment of the sexual
More information