Hiv Aids In China The Economic And Social Determinants

"Providing a up-to-date, comprehensive analysis of the most critical aspects of the growth of HIV/AIDS in China, this book moves beyond biomedical explanations to link the epidemic to broader issues of economic and social development."--Publisher's description

This first English language book on China’s AIDS epidemic provides a picture of the current state of the epidemic, a social science and interdisciplinary perspective on gaps in the response, and a blueprint for needed actions. The book’s editors are leading experts on China’s AIDS epidemic, health and political systems. Contributors comprise some of the world’s leading Chinese and international researchers, policy-makers, and civil society representatives working on HIV/AIDS in China. The multi-disciplinary work provides a critically needed social science perspective and analysis of the epidemic, offers a framework for thinking about the spread of HIV in China, and includes suggestions for an effective policy response that also addresses social determinants.

China’s concentrated HIV epidemic is on the brink of becoming a generalized one and syphilis infection has become a major public health threat. Social factors relating to gender and gender inequality exacerbate the spread of HIV and sexually transmitted infections (STI) in China. A better understanding of the proximate social determinants of HIV related to gender will be crucial to effectively curbing HIV and other STIs in China. Aspects of China’s governance - including administrative procedures, the developing legal system, social institutions, and the public health infrastructure – are instrumental in shaping strategies and responses to HIV. International studies suggest that women who are more economically and socially vulnerable may also have a greater risk of HIV infection, yet few initiatives have focused on discrete areas where achievable and sustainable gender policy measures could be linked to the public health response. This study presents perspectives ranging from criminology to social psychology to better understand how gender perspectives can inform HIV policy in the context of China.

With HIV becoming the leading cause of infectious-disease mortality in Mainland China, this book focuses on tackling HIV/AIDS in the face of rapid political and economic change in China. Featuring contributions by over a dozen leading figures in the field, this book is the go-to text for any student or reader interested in how national and international organizations’ are attempting to control this epidemic. The book includes chapters on the epidemiology, treatment, and prevention of HIV, as well as several chapters that discuss in detail specific provincial- and national-level programs to control and treat HIV. It chronicles the Chinese government’s amazing about-face, as it replaced underfunded, non-evidence based policy decisions with successful, science-based approaches to disease control and prevention, including the adoption of once controversial needle-exchange programs and the establishment of a national HIV/AIDS data registry. It measures the success of national policy decisions, the implementation of treatment policies, and discusses the difficulty of accessing high-risk communities, including people who inject drugs, sex workers, and men who have sex with men – groups not easy to reach, study, engage in prevention programs, or treatment, for fear of stigmatization and loss of social status. Further, it documents the spread of HIV to other provinces, and the tragedy that befell repeat plasma donors in Henan and other poor provinces, where reused or improperly sterilized lab equipment caused some villages to have epidemic-level incidence rates. This book represents a positive contribution to the field of AIDS research, making vital, new information available to an interested readership.

After reviewing related theories on stigmatisation of people living with HIV/AIDS (PLWHA), this book applies social exclusion theory, actor theory and stigma theory to the study of social mechanisms of stigmatisation of PLWHA in China to show the influence and mechanism of stigmatisation on them, and tries to construct the policy framework to tackle stigmatisation from the perspective of welfare pluralism. Qualitative analysis was used and data was obtained during the field interview. Thirty PLWHA and seventeen healthy people (non-infected people and staff of ASO Service Organizations) were selected by using random sampling and snowball sampling for semi-structured depth interviews. The research examines the treatments and living conditions of those PLWHA, aiming to explore the influence of HIV on them in education, employment, medical care, economy, welfare and social relations. The book is intended for graduate students, researchers interested in this field and relevant policymakers.

HIV-related stigma and discrimination and human rights violations constitute great barriers to preventing HIV infection; providing care, support and treatment; and alleviating the impacts of the epidemic. This publication documents case studies of successful action in different countries addressing HIV-related human rights violations, stigma and discrimination.

The result of collaboration between the University of New South Wales and the Tsinghua University in Beijing, this unique chronicle maps some of the most important social, political, and cultural characteristics of the HIV epidemic in China. Demonstrating that the epidemic was propelled by three main economic drivers--the blood trade, the drug trade, and the sex trade--this informative compilation of essays uncovers the hidden truths about the spread of HIV and analyzes its social impacts.

HIV/AIDS is an increasingly serious problem in China, with an increasing number of new cases every year. As a result, HIV organizations have boomed, with both state and non-governmental organisations responding to the threat with campaigns to increase public awareness of the disease, utilising the media as the primary tool to reshape citizens’ understandings and views of HIV/AIDS. This book explores how HIV/AIDS is portrayed in China’s media. It argues that, despite increasing education campaigns, media coverage and social and academic openness towards HIV/AIDS, many Chinese of the majority Han ethnic group regard infection as a distant possibility, believing themselves to be immune and infection a problem only for certain non-Han ethnic groups with perceived lower moral standards, in particular black Africans. The book explores how HIV/AIDS is reported, analysing the language used in constructing and encoding the health narrative, its subjects, and ideas about the disease. It demonstrates how China’s media frequently employs negative events to present the most extreme possibilities of poverty, danger, disasters and disease, with black Africa portrayed as an antiquated, distant and socioculturally and politically backward place, uniquely unsuitable for the containment of disease, in contrast with the progressive, scientifically sophisticated and morally upstanding Chinese. It argues that this discourse has had the effect of distancing many Chinese from the perceived possibility of infection, thus compromising the effectiveness of public health campaigns on HIV/AIDs. It suggests that the key to combating the spread of the disease lies in challenging the racialised narratives through which the disease is portrayed in China’s media, rather than simply by aiming to educate greater numbers of people.

The emergence of severe acute respiratory syndrome (SARS) in late 2002 and 2003 challenged the global public health community to confront a novel epidemic that spread rapidly from its origins in southern China until it had reached more than 25 other countries within a matter of months. In addition to the number of patients infected with the SARS virus, the disease had profound economic and political repercussions in many of the affected regions. Recent reports of isolated new SARS cases and a fear that the disease could reemerge and spread have put public health officials on high alert for any indications of possible new outbreaks. This report examines the response to SARS by public health systems in individual countries, the biology of the SARS coronavirus and related coronaviruses in animals, the economic and political fallout of the SARS epidemic, quarantine law and other public health measures that apply to combating infectious diseases, and the role of international organizations and scientific cooperation in halting the spread of SARS. The report provides an illuminating survey of findings from the epidemic, along with an assessment of what might be needed in order to contain any future outbreaks of SARS or other emerging infections.