AIDS prevention research in Chile and implications for the United States.

Publisher: Emerald Group Publishing Country of Publication: England NLM ID: 8206881 Publication Model: Print Cited Medium: Print ISSN: 0275-4959 (Print) Linking ISSN: 02754959 NLM ISO Abbreviation: Res Sociol Health Care

Publication: Bingley : Emerald Group Publishing
Original Publication: Greenwich, Conn. : JAI Press, c1980-

Acquired Immunodeficiency Syndrome* ; HIV Infections* ; Health Planning* ; Health Services Needs and Demand* ; Health Services Research* ; Homosexuality* ; Mass Media* ; Nurses*; Americas ; Behavior ; Chile ; Communication ; Delivery of Health Care ; Developing Countries ; Disease ; Health ; Health Personnel ; Latin America ; Organization and Administration ; Research ; Sexual Behavior ; South America ; Virus Diseases

Indexing Agency: PIP Local ID #: 116340. Indexing Agency: POP Local ID #: 00257575.
Keywords: Acquired Immunodeficiency Syndrome--prevention and control*; Action Research*; Americas; Behavior; Chile; Communication; Delivery Of Health Care; Developing Countries; Diseases; Health; Health Personnel; Hiv Infections--prevention and control*; Homosexuals--men*; Latin America; Mass Media*; Nurses*; Organization And Administration; Planning*; Program Design; Programs; Research Methodology; Sex Behavior; South America; Target Population*; Viral Diseases
Note: TJ: RESEARCH IN THE SOCIOLOGY OF HEALTH CARE
Local Abstract: [PIP] Chile holds interest for researchers due to the relatively low but increasing prevalence of human immunodeficiency virus (HIV) and existence of an extensive infrastructure for implementing an affordable acquired immunodeficiency syndrome (AIDS) prevention strategy. To facilitate the development of a pragmatic, affordable AIDS intervention plan for Chile, the following data sources were reviewed: mandatory case reporting data collected by the Chilean Ministry of Health, findings of the Chilean version of the World Health Organization AIDS general population survey, studies of the validity of the official HIV transmission classification system used for national planning purposes, interviews with people with AIDS, and a study of HIV testing in Santiago's health care system. By June 1994, 1016 cases of AIDS had been reported and 1627 people had been identified as HIV-positive. 93% of those with AIDS were men; homosexual/bisexual transmission accounted for 66.2% of cases and heterosexual transmission another 19.4%. In-depth interviews with AIDS patients revealed they were a well-defined population subgroup with few linkages to other sectors. This finding calls into question the current government strategy of broad-based mass media campaigns. Preferable would be campaigns that target homosexual men. A strength of the Chilean primary health care system is its effective utilization of nurses. Nurses manage about 1/3 of clinic visits, with no input from physicians, and their involvement in AIDS prevention should be strengthened.

Date Created: 19960101 Date Completed: 19961104 Latest Revision: 20031114

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