Caribbean success story – drop in HIV infections in the Dominican Republic The last 10 years has seen a sharp drop in HIV infections in the Dominican Republic, resulting from reductions in risky sexual behavior largely, according to a paper in a dietary supplement to the May 1 problem of JAIDS: Journal of Acquired Immune Deficiency Syndromes. JAIDS is usually released by Lippincott Williams & Wilkins, a right component of Wolters Kluwer Wellness, a leading service provider of business and information intelligence for students, professionals, and establishments in medication, nursing, allied health, pharmacy and the pharmaceutical industry about-herpes-virus.html . The good news might be part of a broader downward tendency in HIV prevalence in the Caribbean, although there is normally lingering concern over a likely bisexual sub-epidemic of HIV transmission among males having sex with men in the Dominican Republic. Daniel T. Halperin, Ph.D., M.S., of Harvard University College of Public Wellness is lead author of the new statement. Based on a review of the most recent information on HIV-Helps and related sexual behavior in the Dominican Republic, the researchers report an overall decline in HIV prevalence because the mid – to past due 1990s. Among women seen at prenatal clinics, the infection rate decreased from two % in 1995 to 1 % in 2006. An even greater decrease was mentioned among teenagers aged 15 to 24: from two % to 0.5 %. Reductions in HIV were mentioned in other key populations aswell, including woman sex workers and males seen at transmitted disease treatment centers sexually. There was also a decrease in the high rate of HIV contamination among impoverished citizens of previous sugarcane plantations , who are mainly Haitian migrants. The decrease in HIV appeared to result from changes in sexual behavior, including increased use of condoms – especially among female sex workers. Surveys suggested that up to 85 % of males modified their sexual behavior due to concerns about AIDS, specifically in reducing their amount of partners. Similar reductions in dangerous sexual behaviors have been reported in African and Parts of asia with declining HIV rates. Related StoriesNew pc model predicts degrees of HIV treatment engagementResearch provides qualified prospects for new strategies to develop HIV vaccineRutgers College of Nursing takes business lead in $6 million nationwide effort to prevent new HIV infectionsAt once, the %age of AIDS situations among men showed little or no change. This pattern suggests that MSM, or bisexual behavior, probably is still an important portion of the HIV epidemic in the Dominican Republic. MSM is certainly highly stigmatized in Dominican society – even after becoming infected with HIV, few males would admit to having sex with guys. [A]n important query that arises can be whether sufficient prevention resources have been targeted to bisexual guys and additional MSM in the Dominican Republic, Dr. Colleagues and Halperin write. Downward styles in HIV prevalence have been reported from in the Caribbean – including neighboring Haiti elsewhere. In the first 1980s, Haiti and the Dominican Republic became the 1st countries in Latin American and the Caribbean to report cases of Helps. At the time, some predicted that HIV transmitting in the Caribbean would explode uncontrollable. However, in the last two decades, several government and other applications have already been launched to control HIV in the Dominican Republic and other Caribbean countries. The brand new paper suggests that the Dominican Republic is certainly, like Haiti, a Caribbean success tale, having slowed the spread of HIV disease generally through increased condom use and other adjustments in sexual behavior such as for example partner reduction. Nevertheless, the risk of complacency is real, and it is imperative to continue applying assertive prevention efforts, according to Dr. Halperin and colleagues. They call for more study to measure how pervasive the bisexual epidemic is certainly, and to develop more effective ways of detecting and avoiding the spread of HIV among MSM.
Caregiving connected with increased cardiovascular disease risk People performing as caregivers for family members with cardiovascular disease may inadvertently boost their very own risk for cardiovascular disease by neglecting their personal wellness, according to a fresh study in the American Journal of Health Promotion. ‘Our research implies that the potential increased risk posed by caregiving may be associated with lifestyle behaviors such as poor diet plan and decreased exercise. And those with the highest level of strain from caregiving were at higher risk,’ stated Lori Mosca, M.D., professor of medication and director of preventive cardiology at Columbia Medical Center in New York. As well as the known fact that many caregivers share similar way of life practices and genes as their family, the act of caregiving itself is certainly associated with increased cardiovascular disease risk. A lot more than one-half of hospitalized coronary disease patients intend to have an informal caregiver, like a spouse or additional family member, assist them. Related StoriesHigh levels of satiety hormone leptin donate to cardiovascular disease in obese individualsNitrous oxide displays promise in individuals at risk for cardiovascular diseaseMeta-analysis works with that intake of tree nuts lowers risk of cardiovascular disease Researchers implemented 423 caregivers for a yr after their relative was hospitalized for coronary disease at New York-Presbyterian Medical center/Columbia University INFIRMARY between January 2005 and June 2007. Caregivers self-reported their lifestyle practices for twelve months after their cherished one was hospitalized. Primary caregivers who reported sense overwhelmed or burdened by period demands, sleep disturbances, financial strain or upsetting behavior by their relative were less likely to record consuming a heart-healthy diet or to engage in moderate workout in the year carrying out a family member's hospital discharge. ‘Caregivers often neglect their health as a result of the needs of caregiving. This neglect is most likely one of the pathways which high prices of morbidity and early mortality become associated with caregiving,’ stated Richard Birkel, Ph.D., senior vice president for wellness at the National Council on Aging in Washington, D.C. Birkel said the study confirms what’s known about the unhealthy burden of personal caregiving often. Mosca added that the critical stage is when a family member is discharged from a healthcare facility. ‘That point frame is a reddish colored flag for caregivers to consider preventive action in order to avoid developing adverse way of life behaviors because they cope with the demand of assisting their cherished one.’ More emphasis ought to be placed on coping mechanisms, depression and stress, she said. ‘These elements will strongly impact whether or not lifestyle education will be honored and if attempts to accomplish healthy lifestyles are successful.’.