Table of Contents

 

 

 

 

Preface

xiii

PART I

BASIC INFORMATION ABOUT HUMAN IMMUNODEFICIENCY VIRUS/ACQUIRED IMMUNODEFICIENCY SYNDROME (HIV/AIDS)

 

Chapter 1

Definition and Origin of HIV and Aids

3

Chapter 2

HIV Stages and Types

7

Section 2.1

The HIV Life Cycle

8

Section 2.2

Stages of HIV Infection

10

Section 2.3

Acute HIV Infection

16

Section 2.4

HIV Types, Subtypes, Groups, and Strains

19

Section 2.5

HIV Superinfection

28

Chapter 3

How HIV Causes Aids

35

Chapter 4

HIV/AIDS: a Statistical Overview

51

Section 4.1

HIV/AIDS Prevalence and Incidence in the United States and Worldwide

52

Section 4.2

HIV/AIDS and Minority Populations

64

PART II

HIV/AIDS TRANSMISSION, RISK FACTORS, AND PREVENTION

 

Chapter 5

HIV and its Transmission: an Overview

93

Chapter 6

Risky Behaviors and HIV

99

Section 6.1

Alcohol Use and HIV Risk

100

Section 6.2

Club Drug Use and HIV Risk

112

Section 6.3

Injection Drug Use and HIV Risk

117

Section 6.4

Sexual Risk Factors and HIV Transmission

119

Section 6.5

Sexually Transmitted Diseases and HIV Risk

123

Section 6.6

Tattoos and Piercings and HIV Risk

126

Chapter 7

HIV Risk in the Healthcare Setting

129

Section 7.1

Occupational Exposure

130

Section 7.2

Patient Exposure

133

Section 7.3

Blood Transfusion and Organ Donation Recipients

134

Chapter 8

Other HIV Transmission Rumors and Risks

137

Section 8.1

Insect Bites

138

Section 8.2

Kissing, Biting, Scratching, or Spitting

139

Section 8.3

Needle-Stick Injuries in A Non-Healthcare Setting

141

Section 8.4

Sports

142

Chapter 9

HIV/AIDS Risks and Prevention Strategies in Targeted Populations

143

Section 9.1

Youth

144

Section 9.2

Women

151

Section 9.3

Men Who have Sex with Men

159

Section 9.4

Older Adults

163

Section 9.5

Homeless Populations

166

Section 9.6

Prison Populations

171

Chapter 10

HIV/AIDS Prevention

177

Section 10.1

Safer Sex

178

Section 10.2

Circumcision

183

Section 10.3

Protecting Our Blood Supply

195

Section 10.4

Syringe Exchange Programs

199

Section 10.5

Universal Precautions for Healthcare Workers

204

Chapter 11

Preventing Mother-To-Child Transmission of HIV

207

Chapter 12

HIV Vaccines and Microbicides

211

Section 12.1

Preventive Vaccines

212

Section 12.2

Microbicides

215

Chapter 13

HIV Prophylaxis

223

Section 13.1

Pre-Exposure Prophylaxis

224

Section 13.2

Post-Exposure Prophylaxis

233

PART III

RECEIVING AN HIV/AIDS DIAGNOSIS

 

Chapter 14

HIV Testing

237

Section 14.1

HIV Testing Basics

238

Section 14.2

Hp/ Testing Frequency and Window Period

244

Section 14.3

Confidential and Anonymous Testing

246

Section 14.4

Opt-Out Testing

247

Section 14.5

Pre- and Post-Test Counseling

248

Chapter 15

Types of HIV Diagnostic Tests

251

Section 15.1

Elisa/Western Blot Tests

252

Section 15.2

P24 Antigen Tests

255

Section 15.3

Rapid Oral HIV Teats

257

Section 15.4

HIV Home Test Kits

260

Chapter 16

Understanding Your Test Results

263

Section 16.1

What do Your Test Results Mean?

264

Section 16.2

Do You have AIDS?

266

Section 16.3

Signs and Symptoms of HIV and AIDS

268

Chapter 17

You and Your HIV/AIDS Healthcare Provider: First Steps

271

Section 17.1

Choosing a Provider

272

Section 17.2

Questions to Ask Your Doctor

274

Chapter 18

Navigating the Healthcare System: What You Need to Know

277

PART IV

TREATMENTS AND THERAPIES FOR HIV/AIDS

 

Chapter 19

Antiretroviral Treatment

283

Section 19.1

Introduction to HIV and AIDS Treatment

284

Section 19.2

Starting Anti-HIV Medications

287

Section 19.3

Recommended HIV Treatment Regimens

289

Section 19.4

Deciding Which Drugs to Take

291

Chapter 20

HIV/AIDS Treatment Adherence

295

Chapter 21

HIV/AIDS Treatment Interruptions

299

Chapter 22

Monitoring HIV/AIDS Treatment Success

305

Section 22.1

Viral Load Test

306

Section 22.2

Cd4 Test

308

Section 22.3

Drug Resistance Test

310

Chapter 23

HIV/AIDS Treatment Side Effects

313

Section 23.1

Common Side Effects

314

Section 23.2

Hepatotoxicity and Lactic Acidosis

320

Section 23.3

Hyperglycemia

329

Section 23.4

Hyperlipidemia

335

Section 23.5

Lipodystrophy

337

Section 23.6

Mitochondrial Toxicity

341

Section 23.7

Osteonecrosis, Osteoporosis, and Osteopenia

344

Section 23.8

Peripheral Neuropathy

349

Section 23.9

Skin Rash

352

Chapter 24

Other HIV/AIDS Treatment Complications

355

Section 24.1

Drug Interactions

356

Section 24.2

Immune Keconstitution Inflammatory Syndrome

362

Chapter 25

HIV/AIDS Treatment Failure

369

Section 25.1

What is Treatment Failure?

370

Section 25.2

Changing Your HIV Treatment Regimen

372

Section 25.3

Salvage Therapy

374

Chapter 26

Alternative and Complementary Therapies for HIV/AIDS

377

Chapter 27

Medical Marijuana for HIV/AIDS

389

Chapter 28

HIV/AIDS Treatments in Development

393

Section 28.1

Acne Drug Prevents HIV Breakout

394

Section 28.2

Gene Therapy Shows Promise Against HIV

396

Section 28.3

Immune Therapies

398

Section 28.4

Therapeutic HIV Vaccines

401

Chapter 29

HIV/AIDS Clinical Trials

403

Chapter 30

HIV and AIDS Treatment for Children

407

Chapter 31

HIV and AIDS Treatment for Pregnant Women

411

PART V

COMMON CO-OCCURRING INFECTIONS AND COMPLICATIONS OF HIV/AIDS

 

Chapter 32

Opportunistic Infections and Their Relationship to HIV/AIDS

423

Chapter 33

Strategies for Managing Opportunistic Infections

429

Chapter 34

HIV/AIDS and Co-Occurring Bacterial Infections

435

Section 34.1

Bacillary Angiomatosis

436

Section 34.2

Bacterial Pneumonia

438

Section 34.3

Mycobacterium Avium Complex

441

Section 34.4

Tuberculosis

444

Chapter 35

HIV/AIDS and Co-Occurring Fungal Infections

449

Section 35.1

Candidiasis

450

Section 35.2

Cryptococcal Meningitis

457

Section 35.3

Pneumocystis Carinii Pneumonia

462

Chapter 36

HIV/AIDS and Co-Occurring Parasitic Infections

465

Section 36.1

Cryptosporidiosis

466

Section 36.2

Toxoplasmosis

470

Chapter 37

HIV/AIDS and Co-Occurring Viral Infections

473

Section 37.1

Cytomegalovirus

474

Section 37.2

Herpes Simplex Virus

476

Section 37.3

Herpes Zoster Virus

481

Section 37.4

Human Papillomavirus

486

Section 37.5

Progressive Multifocal Leukoencephalopathy

491

Section 37.6

Viral Hepatitis

493

Chapter 38

HIV/AIDS and Co-Occurring Cancer

497

Section 38.1

HIV Infection and Cancer Risk

498

Section 38.2

Kaposi Sarcoma

502

Section 38.3

AIDS-Related Lymphoma

507

Chapter 39

Other AIDS-Related Health Concerns

517

Section 39.1

AIDS Dementia Complex

518

Section 39.2

Oral Health Issues

523

Section 39.3

HIV-Related Pain

525

Section 39.4

Wasting Syndrome

531

PART VI

LIVING WITH HIV INFECTION

 

Chapter 40

Coping with an HIV/AIDS Diagnosis

537

Section 40.1

How to Cope: Things to Keep in Mind

538

Section 40.2

Things You can do to Enhance Your Emotional Well-Being

540

Section 40.3

Connecting with Others

541

Chapter 41

Staying Healthy with Diet and Exercise When You have HIV/AIDS

543

Section 41.1

HIV and Nutrition

544

Section 41.2

HIV and Exercise

552

Chapter 42

-Avoiding Infections When You have HIV/AIDS

557

Section 42.1

Preventing Infection from Pets

558

Section 42.2

Safe Food and Water

561

Section 42.3

Staying Healthy While Traveling

565

Section 42.4

Vaccinations

569

Chapter 43

Life Issues When You have HIV/AIDS

575

Section 43.1

Dating and HIV

576

Section 43.2

Having Children

579

Section 43.3

Aging with HIV/AIDS

581

Chapter 44

HIV/AIDS Status Disclosure

587

Section 44.1

Do You have to Tell? Legal Disclosure Requirements and Other Considerations

588

Section 44.2

Telling Your Spouse or Sexual Partners

590

Section 44.3

Telling Your Family and Friends

593

Section 44.4

Workplace Disclosure

596

Section 44.5

Disclosure to Healthcare Providers

598

Chapter 45

HIV/AIDS Patients and Legal Rights

599

Section 45.1

Your Rights in the Workplace

600

Section 45.2

Fair Housing Act: Frequently Asked Questions

603

Section 45.3

How the Laws Apply to Persons with HIV

607

Chapter 46

Public Benefits, Insurance, and Housing Options for Persons with HIV

613

Section 46.1

Social Security for People Living with HIV/AIDS

614

Section 46.2

Insurance Options for People with HIV

617

Section 46.3

Housing Options for People with HIV

619

Chapter 47

Caring for Someone with AIDS at Home

625

PART VII

ADDITIONAL HELP AND INFORMATION

 

Chapter 48

Glossary of HIV/AIDS-Related Terms

645

Chapter 49

Directory of Organizations for People with HIV/AIDS and their Families and Friends

651

 

Index

657