Combating Miseducation About HIV and Prevention in Native Americans

PROGRAM DESCRIPTION According to the Centers for Disease Control and Prevention, the rate of HIV transmission in Native Americans is 5th overall but remains higher than that of white or ...

PROGRAM DESCRIPTION
According to the Centers for Disease Control and Prevention, the rate of HIV transmission in Native Americans is 5th overall but remains higher than that of white or Asian populations. The vast majority of new diagnoses occur among men who have sex with men and via heterosexual transmission among women. Of greater concern, only 47% with diagnosed HIV for at least 1 year are receiving continual HIV medical care. Indigenous populations such as Native Americans are characterized by long-standing connections to ancestral lands, and geographically diverse cultural and linguistic customs and behaviors. This case vignette takes a closer look at how HIV at-risk health behaviors and outcomes are influenced by these cultural and social determinants. It also underscores the need for health-care providers to heighten their awareness of these factors and to communicate more effectively with Native populations to improve rates of HIV screening and implementation of evidence-based prevention strategies.

EDUCATIONAL OBJECTIVES
After participating in this activity, clinicians should be better able to:Describe the role of HIV-prevention strategies in individuals at increased risk for infection Counsel/educate at-risk individuals about HIV-prevention strategies Employ HIV-prevention strategies for individuals at risk for HIV infectionImplement practical, evidence-based strategies to ensure that HIV-prevention services are delivered to patients in a culturally competent manner

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