Course For HIV/AIDS
Complete four hours of AIDS education and training. You may attached verification form to each state you hold or have held a credential. The state will . home care aide certification, you must add your date of hire to this form;. 4. Submit. 5. .Education Verification for Registered Nurse educated outside the US. . Read the AIDS education and training attestation. AIDS training may. HIV/AIDS Training. 7 hour online course on AIDS education for all practitioners. HIV/AIDS Training for Washington Healthcare Professionals (7 CH). Online .. Older adults may be widowed or divorced and are dating again. Older women.
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Many MSM fear a negative reaction from healthcare workers and, as a result, often are less likely to access HIV services. On average, 1 in 10 new HIV infections are the result of sharing needles and syringes. A needle used by a person infected with HIV can introduce HIV infection into the bloodstream of the next person who uses it, and sterile syringes are not always readily available, including in Washington State.
Three countries account for nearly half of all people who inject drugs globally—China, Russia, and the United States. Despite the high risk, these individuals are among those with the least access to HIV prevention, treatment, and healthcare because drug use is often criminalized and stigmatized. Injection drug use can cause other diseases and complications, such as other bloodborne and sexually transmitted infections, viral hepatitis, skin infections and abscess formation, infections of the heart, as well as overdose and death.
Factors that put this population at high risk for HIV infection include: The high-risk practices of sharing needles, syringes, and other injection equipment are common among PWID. Laws that criminalize possession and use of drugs and drug paraphernalia for personal use leads to more risky forms of drug use.
Marginalization due to criminalization leads to stigma and discrimination, causing mistrust of the healthcare system and preventing PWID from obtaining HIV testing, care, and treatment. The epidemic of prescription opioid misuse and abuse has led to increased numbers of PWID. This places new populations at increased risk for HIV and increases use in nonurban areas with more limited HIV prevention and treatment services.
Injecting drugs can reduce inhibitions and increase risky sexual behaviors, such as having sex without a condom or without medicines to prevent HIV, having multiple partners, or trading sex for money or drugs. Social and economic factors limit access to HIV prevention and treatment, with more than half of PWID reported to be homeless, one third incarcerated, and one fifth with no health insurance in the last 12 months.
Gay and bisexual men account for more than half of the estimated new HIV diagnoses among African Americans. In African American communities, diagnosis of HIV commonly occurs late in the course of the infection. This results in missed opportunities to get early medical care and prevent transmission to others. The rate of poverty is higher among African Americans than other groups.
Socioeconomic issues associated with poverty directly or indirectly increase the risk for HIV infection and affect the health of people with and at risk for HIV. Such issues include limited access to high-quality health care, housing, and HIV prevention education. Stigma, fear, discrimination, homophobia, and negative perceptions about HIV testing place African Americans at high risk and discourage testing.
Although many women are not sure how they became infected, most female HIV cases in Washington are believed to be the result of unprotected sex with a male partner infected with HIV. Factors that increase the risk of HIV infection among women include: Unprotected vaginal sex is a much higher risk factor for HIV transmission for women than for men, and unprotected anal sex is riskier for women than unprotected vaginal sex.
Gender inequality and intimate partner violence prevents many women, particularly young women, from protecting themselves against HIV. The norm in many societies is for the woman to remain faithful to her partner, even if in an abusive relationship, while men often engage in unprotected extramarital sex. Abusive husbands are more likely to be infected with HIV than nonabusive husbands. Social and economic factors, especially poverty, affect access to all healthcare, and disproportionately among women infected with HIV.
Many face additional barriers to accessing medical care if they use injection drugs; abuse other substances; or are homeless, incarcerated, mentally ill, or uninsured. The most common route of transmission for HIV infection in children is perinatal, either during pregnancy, labor and delivery, or breastfeeding.
The following factors increase the risk for HIV infection among children: Pregnant women with HIV may not know they are infected. Many women do not get tested for HIV during pregnancy. Social and economic factors, especially poverty, affect access to all healthcare, and disproportionately affect women living with HIV. Older adults are more likely to be diagnosed with HIV infection later in the course of their disease because healthcare providers may not always test older people for HIV infection.
As a result, treatment is started later, resulting in more immune system damage. Older adults with HIV infection also face challenges in preventing other diseases because age and HIV increase the risk for cardiovascular disease, thinning of the bones, and certain types of cancer.
- Online HIV/AIDS Awareness And Prevention Class
- Online and Self-Paced Learning
- HIV/AIDS Training for Washington Healthcare Professionals (7 CH)
They must also be concerned about interactions between medications used to treat common age-related conditions such as hypertension, diabetes, elevated cholesterol, and obesity and those used to treat HIV.
Factors and issues of concern that increase the risk of HIV infection in this population include the following: People aged 50 and older are sexually active and have the same HIV risk factors as young people, but may be less aware of them. People may believe known and trusted partners are not or cannot become infected. Older adults may mistake HIV symptoms for those of normal aging. Older adults may be widowed or divorced and are dating again.
Older women no longer worry about becoming pregnant and may be less likely to use a condom or to practice safer sex. The availability of erectile dysfunction medications may make sex easier for older men who otherwise would not have been capable of vaginal or anal intercourse.
Although they visit their healthcare providers more frequently, older people are less likely than younger people to discuss their sexual habits or drug use with them. Many seniors are sexually active well into their 70s and 80s, a fact sometimes overlooked by health professionals. Thus, physicians and other healthcare workers fail to ask patients about unprotected sex or to offer voluntary HIV testing.
The rate of diagnosed HIV infection among inmates in state and federal prisons is more than five times greater than the rate among the general population. Most inmates with HIV acquire it in their communities before they are incarcerated. Many prison inmates engage in high-risk behaviors before being incarcerated, including unprotected sexual intercourse, drug and alcohol abuse, and unregulated tattooing, behaviors that often continue inside prisons.
Factors that increase the risk of HIV infection among this population include: Lack of resources for HIV testing and treatment in correctional facilities.
Mandatory testing for all inmates is done in only 16 state prison systems. Since Marchthe Washington State Department of Corrections has notified all inmates that HIV screening will be performed during the prison intake medical evaluation unless they decline. Most HIV programs in correctional facilities are in prisons, but most incarcerated people are detained in jails, where rapid turnover of prisoners occurs.
Nine out of 10 jail inmates are released in less than 72 hours, which makes it difficult to test them for HIV and help them find treatment. Many incarcerated persons do not disclose their high-risk behaviors due to fear of being stigmatized, and in some facilities prisoners with HIV have no confidentiality or privacy regarding their HIV status. Despite the fact that consensual and nonconsensual sex is illegal in all, and a crime in some, U.
Although both the CDC and WHO recommend condom distribution in jails and prisons, there are only two state prison systems that do so: Vermont has made condoms available upon request sinceand in California passed the Prisoner Protections for Family and Community Health Act to develop and institute a five-year plan to make condoms available in all of its adult prison facilities. However, few large-scale studies have been done among commercial sex workers in the United States.
The illegal and often criminalized nature of exchange sex makes it difficult to gather data, and this places barriers to the development of targeted HIV prevention efforts. The CDC reported in that many socioeconomic and structural factors are involved in sex work. They are stigmatized, marginalized, and criminalized, and a lack of legal protection leaves sex workers open to abuse, violence, and rape, creating an environment that can facilitate HIV transmission.
Many women and girls in the United States as well as around the world are trafficked into the commercial sex industry to function as sex slaves.
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Persons who regularly engage in sex as a source of income are at highest risk. These include escorts; people who work in massage parlors, brothels, and the adult film industry; exotic dancers and state-regulated prostitutes in Nevada ; and men, women, and transgender persons who participate in survival sex basic needs for daily living.
Some transgender persons may turn to the exchange of sex because of discrimination and lack of economic opportunities. They may exchange sex to generate income for rent, drugs, medicines, hormones, and gender-related surgeries. Factors that increase the risk for HIV infection among this diverse population include: Inconsistent use of condoms because they may receive more money for sex without a condom. They may use condoms less often with regular clients than with one-time clients and even less frequently with intimate partners.
Unequal power in a relationship with clients, which may make it difficult to negotiate condom use. Receiving more money for sex with partners known to be HIV positive. Use of drugs and alcohol.