In recent years, Pembroke Pines in
Florida has experienced a higher prevalence of HIV infections among younger
adults. The issue highlights how the community is facing some serious risk
factors that have contributed to the severity of the problem. The risky sexual
lifestyle has been associated with the incidences, which capture more cases of
unprotected sex. The higher numbers of female sex workers and men who have sex
with men (MSM) in Pembroke Pines also highlight the concerns that have made the
scenario more serious. An in-depth analysis of the problem shows how there is a
need for the stakeholders to intervene and initiate appropriate measures to
minimize the spreading of the infections. This paper evaluates the prevalence
of HIV/AIDS in Pembroke Pines and identifies some of the behavioral risks that
have contributed to the problem and the effective evidence-based strategies
that can assist the community in overcoming the issue.
HIV/AIDS
within Broward County
Pembroke Pines is a city in Broward
County in Florida, which might portray an extensive awareness of the issue. In
fact, Florida is one of the leading states that has encountered higher numbers
of patients with HIV/AIDS. The scenario captures the severity of the issue and
the way that more people might contract the virus if the stakeholders do not
undertake appropriate initiatives. In 2017, 116, 944 people in Florida had
HIV/AIDS and 45.6% of the group were African Americans, 29.0% were Whites while
23.3% were Hispanics (Florida Health, 2019b). As a result, African Americans
portray a higher number, which shows the need for the community to come up with
appropriate measures to address the problem. In the entire group, 72.5% were
men while 27.5% were women, which shows how the male gender seems to suffer
more (Florida Health, 2019b). Evidently, women have made an effort to reduce
the incidences of the infections among the population by undertaking other
necessary measures. In the population of male adults and adolescents, the men
who have sex with men (MSM) made up 69.3% of the ones affected by HIV
infections (Florida Health, 2019b). These numbers highlight a serious problem
since such statistics are quite high in a specific population segment. The
higher numbers also prove that the risky sexual lifestyle has worsened the
situation. Members of the MSM population have failed to prioritize the essence
of protected sexual intercourse, thereby contributing to most of these
problems. Furthermore, cities like Orlando, Jacksonville, and Fort Lauderdale
were in the Ten American Cities that had higher new HIV diagnoses (Cohen,
2018). Hence, the prevalence reveals how the community is most likely to
experience other serious implications if the stakeholders fail to offer
immediate interventions that are necessary for such circumstances.
A comparison of Broward County to
other global areas reveals how other regions are struggling to cope up with the
circumstances that are affecting poor communities. For instance, African
countries have encountered some higher numbers of patients and families that
are struggling due to the higher prevalence of HIV/AIDS. In 2017, sub-Saharan
Africa experienced 75% of the deaths associated with HIV and 65% of new
infections while the region has 71% of the ones affected by the disease in the
world (Dwyer-Lindgren et al., 2019). Furthermore, in 2009, around 33.2 million
people from around the world were living with HIV (Martin et al., 2013). The
numbers highlight how sub-Saharan Africa is experiencing a serious problem that
requires appropriate solutions. Although Florida has been encountering higher
numbers of patients with HIV/AIDS in comparison to the entire nation, it is
evident that African countries are dealing with a serious pandemic instead.
Hence, the situation also shows that the stakeholders in Pembroke Pines still
have enough time to transform the community and help residents overcome the
problem. The involvement of community leaders, parents, teachers, and religious
leaders can offer an in-depth understanding of the issue and the appropriate
measures to adopt in such circumstances.
The
Factors That Contribute to the Prevalence of HIV/AIDS
The exchange of bodily fluids and
unprotected sex has been the most serious factors that have contributed to the
health care issue. However, various behavioral incidents among the residents
have even resulted in the severity of the situation due to the lack of
extensive involvement of the residents and awareness, too. Vaginal and anal
intercourse has been the common behavioral risks that have contributed to
higher incidences of HIV/AIDS in the community (Centers for Disease Control and
Prevention, 2019). Most importantly, unprotected sex has made it difficult for
society to limit the extent of infections that are arising. For instance, most
residents have ignored the risk of spreading the virus due to a reckless sexual
lifestyle that is inappropriate.
Ignorance among residents of Pembroke
Pines has also been another major concern that has undermined the risk of other
individuals encountering the virus. Based on the statistics, it is evident that
most of the residents affected by the people come from the MSM population.
Unfortunately, a significant number of victims do not understand that
unprotected sex is a serious behavioral risk that is undermining their health.
Furthermore, multiple sexual partners might increase the likelihood of
individuals acquiring sexually transmitted diseases (Maurer & Smith, 2013).
Hence, ignorance about such circumstances might increase the chances of
contracting the HIV infection in the end. Maintaining one sexual partner can
play an integral role in helping the community in reducing the problem from
escalating. Instead, sexual partners will take the initiative to avoid
unprotected sex that might increase the risk of contracting the infection.
Current
Interventions to Target HIV/AIDS in Pembroke Pines
Broward County has offered an
opportunity for the nurses and other medical providers to adopt extensive
interventions that can help patients recover. In this case, HIV counseling,
testing, and the use of PrEP have been the common interventions in Broward
County (Florida Health, 2019a). These various approaches focus on the treatment
of the disease and helping the patients overcome some other barriers that they
might experience at that time. Most hospitals tend to utilize these approaches
because they usually deal with patients. However, the tests should be made
mandatory as a way of ensuring that the patients can understand their HIV
status. From that point, they can adopt appropriate measures at an earlier
stage before they end up affecting more people.
The AAA Non-Profit HIV/STD Testing in
Pembroke Pines has been effective in educating residents about the essence of
engaging in protected sexual intercourse. The organization usually interacts
with patients on a daily basis that have experienced such issues. The
non-profit organization has taken the initiative to undertake counseling and educate
patients about the risks that they face in society by engaging in the risky
sexual lifestyles that have been common in recent years.
The
Scope and Role of Nursing in Current Interventions That Target HIV/AIDS
On the other hand, nurses will play an
integral part in preventing the spreading of HIV and offering treatment to the
ones that have infections. The ability to execute the responsibilities in a
favorable manner can amount to positive outcomes. Most importantly, nurses can
help patients with communicable diseases by undertaking accurate nursing
diagnoses, introducing relevant nursing goals, and appropriate nursing
interventions that they might require (Maurer & Smith, 2013). Hence, they
can initiate the tests and help the patients understand how their mistakes
might contribute to serious problems that will affect others. Furthermore,
nurses that use evidence-based practices can assist mothers and infants avoid
any adverse health implications that might arise (Kana, Doctor, Peleteiro,
Lunet, & Barros, 2015). Even Maurer and Smith (2013) reveal that
transmission of the HIV infections might occur during the prenatal or even the
perinatal periods. Hence, extensive awareness about the risks that might arise
during such circumstances should always be a priority among the nurses. Besides
that, nurses should always focus on offering community-based interventions that
are necessary for the patients to recover from different forms of illnesses
(Birbeck, 2013). In such a scenario, nurses can focus on health promotion
strategies that can inform patients about the serious implications that might
arise if they do not adopt a favorable lifestyle approach.
The
Evidence-Based Ways to Expand the Scope of Interventions to Target the
Prevalence of HIV/AIDS
Although the treatment interventions
are quite favorable, the preventive measures can offer effective initiatives to
deal with the problem. Most importantly, frequent use of condoms and the
extensive adoption of antiretroviral therapy can offer patients the right
approach to reduce the spread of HIV/AIDS in the society. In fact, the
interventions offer evidence-based approaches that are necessary for helping
patients and medical providers deal with the problem effectively. The use of
condoms more frequently and the antiretroviral therapy (ART) in the MSM
population can minimize the rate of infections in the society (Tao, Liu, Li,
Liu, & Wang, 2018). Most importantly, ART tends to lower the CD4 count,
thereby helping the patients minimize the likelihood of spreading the infection
to other individuals. The consistent use of condoms will ensure that the
infected patients do not spread the virus to other innocent individuals.
A comparison of Pembroke Pines to the
African countries highlight how the community has better forms of treatment
that the patients can access. In sub-Saharan Africa, 34% of patients from east
and southern African together with 60% of the west and central Africa have
failed to receive advanced treatment on HIV (Dwyer-Lindgren et al., 2019). Most
of these nations cannot afford the necessary forms of treatment that the
patients might require, thereby resulting in other challenges. However, in
Florida, the treatment services are available, but most of them usually begin
the treatment process yet they will fail to adhere to the medication regimen
strictly as expected (Cohen, 2018). Hence, in Florida, it is a matter of
negligence and failure to initiate strict treatment adherence. Overcoming such
problems will require extensive awareness programs that can educate the
patients about the essence of following all the necessary guidelines to reduce
the rate of the infections.
Conclusion
In conclusion, the discussion has
covered how HIV/AIDS is a serious problem that might require the intervention
from other stakeholders as a way of dealing with the issue before it escalates.
In this case, nurses should place more emphasis on African Americans and the
MSM population that has experienced a higher prevalence of the problem, thereby
showing the need for appropriate measures. Evidently, Pembroke Pines is facing
a serious problem and the stakeholders should also exhibit their commitment to
dealing with the issue and seeking favorable solutions. The consistent use of
condoms and the strict adherence to the ART intervention can offer the patients
an opportunity to overcome some of the adverse health challenges that might
arise in such circumstances.
References
Birbeck, G. (2013). Medicine for global health: Can "simple
interventions" improve the worldwide burden of disease? BMC Medicine, 11(72), 1–3.
Centers
for Disease Control and Prevention (2019, November 13). HIV Risk Behaviors.
Retrieved from https://www.cdc.gov/hiv/risk/estimates/riskbehaviors.html
Cohen,
J. (2018, September 25). 'We're in a mess.' Why Florida is struggling with an
unusually severe HIV/AIDS problem. Retrieved from
https://www.sciencemag.org/news/2018/06/we-re-mess-why-florida-struggling-unusually-severe-hivaids-problem
Dwyer-Lindgren,
L., Cork, M. A., Sligar, A., Steuben, K. M., Wilson, K. F., Provost, N. R., ...
& Biehl, M. H. (2019). Mapping HIV prevalence in sub-Saharan Africa between
2000 and 2017. Nature, 570(7760), 189-193.
Florida
Health (2019b, February 26). HIV Surveillance. Retrieved from http://broward.floridahealth.gov/programs-and-services/infectious-disease-services/hiv-aids/hiv-aids-surveillance/index.html
Florida
Health, A. S. S. (2019a, February 26). HIV Prevention. Retrieved from http://broward.floridahealth.gov/programs-and-services/infectious-disease-services/hiv-aids/hiv-prevention/index.html
Kana, M. A., Doctor, H. V., Peleteiro, B., Lunet, N., & Barros, H.
(2015). Maternal and child health interventions in Nigeria: A systematic review
of published studies from 1990 to 2014. BMC
Public Health, 15(1), 1–12.
Martin, P., Duffy, T., Johnston, B., Banks, P., Harkess-Murphy, E.,
& Martin, C. R. (2013). Family health nursing: A response to the global
health challenges. Journal of Family
Nursing, 19(1), 99–118.
Maurer, F. A., & Smith, C. M. (2013). Community/public health nursing practice: Health for families and
populations (5th Ed.). St. Louis, MO: W. B. Saunders.
Tao,
L., Liu, M., Li, S., Liu, J., & Wang, N. (2018). Condom use in combination
with ART can reduce HIV incidence and mortality of PLWHA among MSM: a study
from Beijing, China. BMC Infectious Diseases, 18(1), 124.
No comments:
Post a Comment