The effects of HIV/AIDS on different societies spanning the globe are only beginningto be described. This article describes HIV/AIDS's emerging impact and consequences for families and societies around the globe, with a primary focus onmiddle-aged and older members. It first provides the current data on the evolvinginternational profile of the HIV/AIDS epidemic. Then, using primary sources andpublished data, it explores three contrasting nation/state settings (Uganda, Thailand,and India) to describe the cultural, social structural, and family consequences ofHIV/AIDS. Findings include identification of emerging and potential strains on corecultural practices related to social integration at the community and family levels, aswell as shifts in normative role relationships between multiple generations. Directand indirect challenges to core moral and ethical issues beyond those simply relatedto infectious disease prevention and treatment are also identified. Finally, this articledraws on these explorations to formulate several key priorities for future research andpractice related to HIV/AIDS among older adults.
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References
1.
Abel, A.1991. Who Cares for the Elderly: Public Policy and the Experience ofAdult Daughters. Philadelphia: Temple University Press.
2.
Ahuja, J.1992. "I Have a Disease Which Will Take a Very Long Time to Cure."India Today, November 30, p. 47.
3.
Ankrah, E.1994. "The Impact of HIV/AIDS/HIV/AIDS on the Family and Significant Others." Pp. 23-45 in The Family and HI V/AIDS, edited by R. Bor and J. Elflord. New York: Cassell.
4.
Asthana, S.
and R. Osstvogels. 1996. "Community Participation in HIV/AIDS Prevention: Problems and Prospects for Community-Based Strategies Among Female Sex Workers in Madras."Soc. Sci. & MetL43 (2): 133-148.
5.
Baria, F.1997. "HIV/AIDS Striking."India Today, March 15, pp. 55-59.
6.
Barnett, T.
and P. Blaikie. 1992. HIV/AIDS in Africa: Its Present and Future Impact. New York: Guilford.
7.
Bardett, J.1995. "HIV/AIDS in India."Medicine74 (2): 107-108.
8.
Baweja, H.
and A. Katiyar. 1992. "The Indian Face of HIV/AIDS."India Today, November 30, pp. 40-48.
9.
Bharat, S.1995. "HIV/AIDS and the Family: Issues in Care and Support."Indian Journal of Social Work56 (2): 177-194.
10.
Block, E.
and J. Perry. 1982. Death and the Regeneration of Life. Oxford: Oxford University Press.
11.
Bollinger, R.
, S. Tripathy, and T. Quinn. 1995. "The Human Immunodeficiency Virus in India: Current Magnitude and Future Projections."Medicine74 (2): 97-106.
12.
Chacko, S.
, T. John, P. Babu, M. Jacob, A. Kaur, and D. Mathai. 1995. "Clinical Profile of HIV/AIDS in India: A Review of 61 Cases."Journal of Assoc Physicians India43:535-538.
Ganesh, A. K.
and S. Sundaraman. 1997. "Corporate Response to AIDS in India." P. 367 in HIV/AIDS in the World 1k: The Global HIV/AIDS Policy Coalition, edited by J. Mann and D. Tarantola. New York: Oxford University Press.
15.
Gangakhedkar, R.
, M. Bentley, A. Divekar, D. Gadkari, S. Mehendale, M. Shephtrd, R. Bollinger, and T. Quinn. 1997. "Spread of HIV Infection in Married Monogamous Women in India."JAMA278 (23): 2090-2092.
16.
Geertz, C.1973. Interpretation of Culture. New York: Basic Books.
17.
Global Aging Report. 1996. CITY: PUBLISHER.
18.
Hiramani, S.
1992. "Knowledge and Attitudes of College Students Towards HIV/AIDS Control Programme" (Abstract #PuD 9086). Presented at the 8th International Conference on HIV/AIDS, July 19-24, Amsterdam.
19.
Ingstad, B.
, F. Bruun, E. Sandberg, and S. Tlou. 1992. "Care for the Elderly; Care by the Elderly: The Role of Elderly in a Changing Tswana Society."Journal of Cross-Cultural Gerontology7:379-398.
20.
Kagimu, M.
and E. Marum. 1996. "Review of AIDS Prevention and Control Activities in Uganda."
21.
Katiyar, A.1995. "Brothels to Bedrooms: Housewives Fall Prey to the Virus That Causes HIV/AIDS."India Today, April 30, p. 114.
22.
Kongsin, S.1995. "Economic Impact of HIV/AIDS Mortality on Households in Rural Thailand."Journal of Health Science4 (4): 333-344.
23.
Mane, P.1997. "Evolving Impact of HIV/AIDS on India." Pp. 124-127 in HIV/AIDS in the World II: The Global HIV/AIDS Policy Coalition, edited by J. Mann and D. Tarantola. New York: Oxford University Press.
24.
Mann, J.
and D. Tarantola, eds. 1997. HIV/AIDS in the World 1I: The Global HIV/AIDS Policy Coalition. New York: Oxford University Press.
25.
Mann, J.
, D. Tarantola, and T. Netter. 1992. HIV/AIDS in the World. Cambridge, MA: Harvard University Press.
26.
McGrath, J.
, E. Ankrah, D. Schumann, S. Nkumbi, and M. Lubega. 1994. "HIV/AIDS and the Urban Family: Its Impact on Kampala Uganda." Pp. 58-79 in The Family and HIV/AIDS, edited by R. Bor and J. Elflord. New York: Cassell.
27.
National AIDS Documentation and Information Centre Publication (NADICP).1996. "HIV/AIDS Pandemic and Uganda's National Response." Fact Sheet #97/001.
28.
Pias, P.1996. "HIV/AIDS and India: Looking Into the Abyss."Tropical Medicine and International Health1 (3): 295-304.
29.
Piot, P.
1997. "HIV/AIDS Impact: 3rd International Conference on Biopsychosocial Aspects of HIV/AIDS Infection" [On-line]. Available at http://www.unHIV/AIDS.org/highband/events/conferences/melb_jun97.html.
30.
Poddar, A.
, S. Poddar, and Mandel. 1996. "Perception About HIV/AIDS Among Residents of a Calcutta Slum."Indian Jounal of Public Health40 (1): 4-9.
31.
Prebble, E.1994. "The Impact of HIV/AIDS on African Children." Pp. 151-169 in The Family and HIV/AIDS, edited by R. Bor and J. Elflord. New York: Cassell.
32.
Rodrigues, J.
, S. Mehendale, M. Shepherd, A. Divekar, R. Gangakehedkar, T. Quinn, R. Paranjape, A. Risbud, R. Brookmeyer, D. Gadkari, M. Gokhale, A. Rompalo, S. Deshpande, M. Khalandkar, N. Mawar, and R. Bollinger. 1995. "Risk for HIV/AIDS Infection 1: People Attending Clinics for Sexually Transmitted Diseases in India."British Medical Journal311 (7000): 283-286.
33.
Sankar, A.1991. "Ritual and Dying: A Cultural Analysis of Social Support for Caregivers."The Gerontologist31 (1): 43-51.
34.
Savin, P.1997. "Uganda: The Survival of a New Generation."Thursday's Child6 (2): 12-15.
35.
Songwathana, P.
1997. Living and Caring With HIV/AIDS in Later Life: The Thai Experience. Prepared for the NIA workshop on "AIDS and the Elderly,"Bethesda, September 22-23.
36.
Songwathana, P. and Manderson. 1998. "Kinship, Karma, Compassion, and Care: Domicilliary and Community-Based Care of AIDS Patients in Southern Thailand." Ph.D. dissertation, University of Queensland, Brisbane, Australia.
37.
Spira, A.
, N. Jajos, A. Giami, and S. Micheals. 1998. "Cross-National. Comparisons of Sexual Behavior Surveys: Methodological Difficulties and Lessons for Prevention."American Journal of Public Health88 (5): 730-732.
38.
Srikanth, P.
, T. John, H. Jeykumari, P. Babu, D. Mathai, M. Jacob, A. Cherian, A. Ganesh, and A. Zachariah. 1997. "Epidemiological Features of Acquired Immunodeficiency Syndrome in Southern India."Indian Journal of Medical Research105:191-197.
39.
Thapa, V.
and L. Rattanani. 1995. "Putting Life on the Line: Thalassemic Children in Bombay Turn up HIV/AIDS Positive, Exposing the Scandalous State of Screening of Blood in the Country."India Today, August 31, pp. 106-109.
40.
Tlou, S.1995. "Empowering Older Women in HIV/AIDS Prevention: The Case of Botswana."
41.
UNAIDS: Yound People at Risk. UNAIDS Report on Global HIV/AIDS Epidemic-December 1997-httpi//www.unaids.org/highberd/document/epidemic/Report 97.
42.
Vasundhra, M.1993. "HIV/AIDS Related Knowledge and Attitude of Medical Students and in Service Doctors."Carc. Calling6:38.
43.
Vatuk, S. 1985.
44.
Vasundhra, M..1990. " To Be a Burden on Others': Dependency Anxiety Among the Elderly in India." Pp. 64-88 in Divine Passions: The Social Construction of Emotion in India, edited by O. Lynch. Berkeley: University of California Press.
45.
Vasundhra, M..1996. 'The Art of Dying in Hindu India." Pp. 121-128 in Facing Death: Where Culture, Religion and Medicine Meet, edited by H. Spiro, M. Cumen, and L. Wandd. New Haven, CT: Yale University Press.
46.
World Health Organization (WHO).1994. Action for Children Affected by AIDS: Programme Profiles and Lessons Learned. New York: United Nations Children's Fund.
