Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Today, nearly one of every eight Americans is 65 or older, and by 2030, over 20% of the population will be in this age group. Are you prepared to work with this vastly diverseand rapidly growingpopulation? This single source is designed to help social service professionals provide effective services to America’s vastly diverse and rapidly growing elderly population. Diversity and Aging in the Social Environment explores the impact of race/ethnicity, gender, sexual orientation, and geographic location on elders’ strengths, challenges, needs, and resources to provide you with a more complete understanding of the issues elders face. In order to be more responsive to older adults, social workers and other human service professionals need to enhance their knowledge of the aging population and the factors that impact the way seniors interact with society, organizations, community resources, neighborhoods, support networks, kinship groups, family, and friends. Diversity and Aging in the Social Environment examines differences in race, ethnicity, geographical location, sexual orientation, religion, and health status to help current and future human service professionals provide culturally competent services to the diverse range of elderly people they serve. In addition, it addresses the wide disparity that exists for older Americans in terms of income and assets, number of chronic conditions, functional and cognitive impairment, housing arrangements, and access to health care. This book provides a context for the examination of diversity issues among older adults by describing and discussing several theoretical perspectives on aging that highlight important aspects of diversity. Next, you’ll find thoughtful examinations of: issues and challenges faced by lesbian, gay, bisexual, and transgender eldersand the strengths they bring into later life the impact of gender, race, and sexual orientation on prevalence rates, risk factors, methods of disease contraction, and mortality rates among older adults with HIV/AIDSalong with a discussion of the psychosocial issues they face diverse characteristics of custodial grandparentsand the influence of the caregivers’ gender, race, age, and geographic location on methods of care and available caregiver support differences in caregiver characteristics, service utilization, caregiver strain, and coping mechanisms among several racial/ethnic groups of adults who care for elderly, disabled, and ill persons cultural/religious factors that influence interactions between health care personnel and Japanese-American elders the relationship between acculturation and depressive symptoms among Mexican-American couples life challenges facing Jewish and African-American elderswith a look at each group’s coping mechanisms differences in religious/spiritual coping skills among Native American, African-American, and white elders psychological well-being and religiosity among a diverse group of rural elders