INTE 398 Lecture Notes - Lecture 7: Condom, Emo, Dementia
5 May 2018
School
Department
Course
Professor
Ffar 291/Inte 398 – Intro HIV Class
Lesson 7
7.1 Introduction Video
-why after many decades still trying to stop the transmission of HIV
-focus on the history of the ways in which the evol of our understanding of how we have
addressing restricting or stopping transmission
-what worked and what hasn't
-where we see hope for the future
7.2 Early Prevention Efforts - Easy as ABC Campaigns Lecture
-look at last decade of new HIV infections amongst adults
-looking at incidence so new infections (over a yr but here looking at 10 yrs)
-trying to understand where see more or fewer cases
-see that some countries that very effective in limiting new cases, in identifying ways in which
can support ppl to limit their vulnerability to HIV
-there are tho a number of cases that growing, some growing very rapidly
-Russia, East Asian, East Europe, etc - growing number of new cases
-even w increasing knowledge on HIV and what we can do to limit those risks
Why is Prevention so Difficult?
-hard for many reasons
-first, HIV prevention, by its nature, requires the engagement of sectors
-need a bunch of ppl at the table (docs, churches, legal practitioners)
-if docs want smth, but churches say that disagrees w values so need docs and churches
AGREEING if strong influences in particular area of the world
-second, the solutions required can challenge personal values (including the values held by
implementers and those needed to champion prevention)
-those personal values often get translated in gvt policy as ppl w values are the ones that
make the policy so stumbling
-third, as w prevention of any disease or illness, treatment of the acute crisis can produce
immediate results, compared w prevention of the root cause, which achieves results over yrs
and decades
-bc HIV can be dormented for so long and need treatment, easier to provide treatment
and see immediate improvement to immediate impact - bc impact isnt
orete/easurale so hard to see ho a didt get ifeted so harder to deo
than seeing this many ppl got sick and got med (that is easy to measure)
-it's a more abstract change, involves lot of ppl, challenges beliefs systems and hard to make
prevention work long term
*Piot et al.
Prevention as Easy as ABC
-one of campaigns
-Abstinence for youth, including the delay of sexual debut and abstinence until marriage
find more resources at oneclass.com
find more resources at oneclass.com
-Being tested for HIV and being faithful in marriage and monogamous relationships
-long term, until death having sex life w that partner
-not entirely realistic approach
-very few couples that together young remain together until lifetime
-Correct and consistent use of condoms for those who practice high-risk behs
-failed somehow the A and B so reduced to the C - thats ho odel uderstood
-ABC starts w abstinence, so best response to HIV in some areas was to have no sex at least
until marriage
-abstinence educ remains acceptable standard for HIV prevention
-epetatio that its the priar sg
7.3 The Grim Reaper Video
-other prevention campaigns
-this one considered a classic, in Australia in 1987 so very early in the pandemic
-at first, only gays and IV drug users infected by AIDS but now could be anyone
-if not stopped, can kill more Australians than WW2 but you can help stop
-if have sex, have one safe partner or always use condoms
-AIDS, prevention is the only cure we've got
7.4 It's Never Just HIV Video
-another campaign - Dcfadvertising
-think about tone, emo, type of msg that's being presented
-when get HIV, also at higher risk to get other disease even if take meds like dementia
-and 28 times more likely to get anal cancer
-stay HIV free, always use a condom
7.5 Early Prevention Efforts - Fear-Based Campaigns Lecture
-if dot follo the rules, the results ill e deadl - early msg and its still in many contexts
-as weapon, tool vs AIDS
Positive Impact of Fear-Based Campagins
-attract attention (w graphic imagery and simplistic lang)
-they stick in your mind, very hard to forget - leaves an impact
-info can stick in your head too so very effective
-interventions are very memorable
-can lead to improved knowledge of precautionary behs
Unintended Consequences
-some seem as unrealistic, over the top so for some ppl makes it more possible/likely that they
will distance themselves, disbelieve, dismiss the info bc seems exaggerated or unrealistic
-some studies suggest that bc of this tendency, fear based campaigns play on emos and
concerns of the already anxious, not necessarily the ppl that most likely to be impacted or more
vulnerable
-if prone to be anxious, this extreme advertising can make them feel more vulnerable
find more resources at oneclass.com
find more resources at oneclass.com
1.Denial: If ppl believe that the harmful consequence is unlikely, they may discount or deny the
info
2.Othering: the target audience thinks that the msg isn't directed at them
-for ex, older gay men may rationalize that the target audience is younger gay men
3.Ridiculing: occurs when a person thinks the msg is absurd and, consequently, ignores it
4.Minimizing: occurs when ppl think that the neg outcome is exaggerated and therefore don't
respond to the msg
-for ex, younger ppl are more likely to not have a sense of their own mortality
5.Aoidae: ppl a aoid the sg altogether. Ppl dot eessaril at their ies
challenged and may simple tune out
Campaigns
-all showed naked bodies w biohazard danger msgs
-suggestion that sexuality = some bio or chemical danger
-read these msgs as demonizing or as making monstrous ppl that actually have HIV and that can
infect others
-if perceiving ppl w HIV as this chemical danger, what does that say about the person, how will u
relate to that person
-outsider person looking inside
-for someone to stamp someone as literal biohazard will only increase stigma
-direct correlation btwn sexual activity and death
-designed to make u behave in a diff way but also doest proide a orete ifo
-nothing in this ad that AIDS still kills that tells u what to do to avoid having your bed become ur
grave or what you do in bed lead to your grave
Quebec Campaign 2003
-3 diff posters
-can see certain activities, heterosexual sex, homosexual sex and needle users actually
associated to stones
-so action leads to death
-seds er uof sg it's ot just ppl ho dot hae HIV ho are goa see posters like
this, its everyone
7.6 HIV Prevention Transformed Reading
-expanded priorities to include implementation, effectiveness, and the effect of combination
prevention at the pop lvl
-Strategies for vaccine development include innate, cell-mediated, or antibody-mediated
resistance to infection, or all three
-96% reduction of HIV transmission attributed to the use of antiretroviral drugs
-The main challenge is whether the right people have the right drug concentrations of the right
drugs at the right time
-WHO’s four-pronged strategy for PMTCT recommends: primary HIV prevention in women of
childbearing age; prevention of unintended pregnancies in women with HIV infection; prevention
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Why after many decades still trying to stop the transmission of hiv. Focus on the history of the ways in which the evol of our understanding of how we have addressing restricting or stopping transmission. 7. 2 early prevention efforts - easy as abc campaigns lecture. Look at last decade of new hiv infections amongst adults. Looking at incidence so new infections (over a yr but here looking at 10 yrs) Trying to understand where see more or fewer cases. See that some countries that very effective in limiting new cases, in identifying ways in which can support ppl to limit their vulnerability to hiv. There are tho a number of cases that growing, some growing very rapidly. Russia, east asian, east europe, etc - growing number of new cases. Even w increasing knowledge on hiv and what we can do to limit those risks. First, hiv prevention, by its nature, requires the engagement of sectors.
