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Poverty and the HIV Health Disparity

Poverty and the HIV Health Disparity. The Season for Change Advent Study Week Two. Reflection on Putting Faith into Action. What “challenge” did you take on after last week’s study? Feel free to share … Thoughts Concerns Challenges Triumphs. Health Disparity.

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Poverty and the HIV Health Disparity

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  1. Poverty and the HIV Health Disparity The Season for Change Advent Study Week Two

  2. Reflection on Putting Faith into Action • What “challenge” did you take on after last week’s study? • Feel free to share … • Thoughts • Concerns • Challenges • Triumphs

  3. Health Disparity • What is a health disparity? • Occurrence of a disease at greater levels among certain population groups • Differences may occur by • gender • race or ethnicity • education • income • disability • geographic location • sexual orientation

  4. HIV Health Disparity – U.S. • Who has been most affected by HIV in U.S.? • African Americans, Hispanics, and Native Americans • African Americans • 12% of total US population • 45% of all AIDS cases reported in the country • Hispanics • 14.4% of the US population in 2005 • 18.9% of persons who received the AIDS diagnosis

  5. New Infections in the U.S. • In 2007, African American and Hispanic teens and young adults accounted for … • 87% of new infections among 13-19 yr. olds in U.S. • 79% of new infections among 20-24 yr. olds in U.S. • But together African American and Hispanic teens make up only 32% of entire age group!

  6. Global HIV Health Disparity What areas most affected globally? • Sub-Saharan Africa • 68% of people living with HIV worldwide • 70% of new infections among adults and children • 67% of the world’s AIDS-related deaths in 2010 • In 2012, 56 million orphans in Africa. 27% of those became orphans due to HIV/AIDS-related deaths • Caribbean • 2nd highest rate of HIV in the world

  7. Something is Wrong With This Picture!

  8. A “Pandemic for the Poor” • Poverty & income disparity contribute to HIV health disparity • Poverty rates within the following populations • non-Hispanic whites – 9.9% • Asians – 12.1% • African Americans – 27.4% • Hispanics – 26.6%

  9. Rates of Persons Living with an HIV Diagnosis & Poverty Rates, by County, 2010 Persons Living with an HIV diagnosis Poverty Rates • * Data are not shown to protect privacy. ** State health department requested not to release data. † Data not available because the data source does not publish these data for this jurisdiction. • Note. Data include persons with a diagnosis of HIV infection, regardless of the stage of disease at diagnosis, and have been statistically adjusted to account for reporting delays and missing risk-factor information, but not for incomplete reporting. Data Source: Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of HIV/AIDS Prevention.

  10. Global South • UN definition of global poverty = living on less than $1.25 a day • Sub-Saharan Africa and Caribbean have some of the highest rates of poverty • Extreme income disparities • Industrialized nations- 15:1 • Sub-Saharan Africa- 24:1 • Caribbean- 46:1

  11. Why Are People Living in Poverty So Affected? • Possible exposure to HIV-risk behaviors • Injection drug • Unprotected sex • Even greater risk factors • Limited/no access to health care (due to geography and/or limited funds) • Lack of adequate, comprehensive sex-education

  12. Why? It’s Complicated

  13. If/Then If… Then… These communities are disproportionately affected by HIV • People living in poverty are at higher risk of getting HIV • And a disproportionate percentage of African American and Hispanic communities in U.S. and people living in the Global South live in poverty

  14. Stigma • Stigma of HIV? • Stigma of people living in poverty?

  15. Did You Know? • Current federal minimum wage in U.S. is $7.25 • You can work FULL-TIME at this wage and STILL fall at/below the national poverty line • Federal minimum wage ≠ living wage Source: http://www.epi.org/resources/budget/

  16. "Every person has the right to a job at a living wage.” Social Principles ¶163C

  17. Factors of Global Poverty • Government corruption • Civil war • Natural disasters • Education quality and availability • Healthcare quality and availability • Maternal and infant mortality • Limited food • Limited drinking water • Child marriage • Gender-based violence • Human trafficking

  18. Why Should We Care • About people infected with HIV/AIDS? • About people living in poverty? • Deuteronomy 15:10-11 • Psalm 82:3-4 • Psalm 140:12 • Proverbs 31:8-9 • Isaiah 58:6-7 • Luke 14:12-14 • Romans 12:13 • 1 John 3:17-18

  19. Advent Reflection & Resources • Visit gbcsumc.info/HIV-Advent to download handouts and additional material. • For additional information, visit the United Methodist Global AIDS Fund websitewww.umcor.org/UMCOR/Programs/Global-Health/HIV-AIDS

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