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More than Our Share: The Unchecked HIV/AIDS Crisis in Mississippi

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HIV/AIDS in Rural Communities
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Abstract

Rich and varied cultures as well as rich and varied geography make Mississippi a charming state. Mississippi has provided the world with talented musicians, gifted authors, and many creative individuals who have shaped American culture. There is beauty in the century-old oaks trees, power in the mighty Mississippi River, excitement in the sun and sand of the gulf coast, and grace in the abundance of fragrant azalea bushes. Underneath the veneer of southern gentility and beauty, however, there is a tangled and disparaging world of hardship and disparity. There are layers of dark history that have left deep gouges in the metaphorical landscape and continue to impact much of everyday life for the residents of the state. The horrors of slavery and segregation still echo throughout Mississippi, and prevailing conservative Christian values have profound effects on social welfare policy. Meanwhile, modern societal problems such as extreme poverty, racism, and substandard education tear at the fabric of Mississippi society. Mississippi’s place as last in the country in almost every socioeconomic category causes and exacerbates a host of deeper issues, and chief among them is the HIV/AIDS crisis, one of Mississippi’s deadliest and yet most ignored problems.

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References

  • AIDSVu. (2016). Age-adjusted rates of death due to HIV disease, 2011–2013. Retrieved from http://aidsvu.org/state/mississippi/

  • An Act to Amend Section 37-13-171, Mississippi Code Of 1972, To Require Each Local School Board to Adopt a Sex-Related Education Policy to Implement Abstinence-Only or Abstinence-Plus Education into Its Local School District’s Curriculum by June 30, 2012, or to Require the Local School Board to Adopt the Program Developed by the Mississippi Department of Human Services and the Department of Health; To Require The State Department to Approve Each District’s Curriculum for Sex-Related Education and Establish a Protocol to Be Used by Districts to Provide Continuity in Teaching the Approved Curriculum; To Provide That Instruction in School Districts Implementing Abstinence-Plus Education into the Curriculum May Be Expanded Beyond the Instruction for Abstinence-Only Education within Parameters Approved by the Department; To Define Abstinence-Plus Education; To Remove the Authority Given to Local School Boards to Vote in Favor of Teaching Sex Education without any Instruction on Abstinence; To Prohibit any Teaching that Abortion Can Be Used to Prevent the Birth of a Baby; To Require Boys and Girls to Be Separated into Different Classes by Gender at All Times When Sex-Related Education Is Discussed or Taught; To Require the Department of Human Services and the Department of Health to Develop Certain Programs and Strategies Promoting Pregnancy Prevention and Providing Information on the Consequences of Unprotected, Uninformed and Underage Sexual Activity; To Provide for the Repeal of this Section on July 1, 2016; To Amend Section 37-13-173, Mississippi Code of 1972, Relating to Parental Notice; To Amend Section 2 Chapter 507, Laws of 2009, To Revise the Duties of the Teen Pregnancy Prevention Task Force and to Extend the Date of the Repeal on the Task Force to July 1, 2016; to Require the State Department of Health and the State Department Of Education, Subject to the Availability of Funds, To Establish a Pilot Program in Each Health Care District, To Be Located in a School District in a County Having the Highest Number of Teen Pregnancies; To Require those Agencies to Provide Certain Educational Services through Qualified Personnel; and for Related Purposes, MS H.B. 999, Regular Session (2011).

    Google Scholar 

  • An Act to Amend Section 43-13-115, Mississippi code of 1972, to Provide Medicaid Coverage for Individuals who are Under 65 Years of Age, are not pregnant, are not Entitled to or Enrolled for Medicare Benefits and Whose Income is not More Than 133% of the Federal Poverty Level, as Authorized Under the Federal Patient Protection and Affordable Care Act; to Provide Medicaid Coverage for Children who are Under 19 Years of Age and Whose Family Income is More Than 133% but not More Than 200% of the Federal Poverty Level, as Authorized Under the Children’s Health Insurance Program; to Repeal Section 41-86-1, 41-86-5, 41-86-7, 41-86-9, 41-86-11, 41-86-13 and 41-86-15, Mississippi Code of 1972, Which are the Mississippi Children’s Health Insurance Program Act; and for Related Purposes, MS H.B. 285, Regular Session (2013).

    Google Scholar 

  • An Act to Amend Section 43-13-117, Mississippi Code of 1972, To Prohibit the Division of Medicaid from Establishing Limits or Restrictions on Drugs or Tests Prescribed for the Treatment and Prevention of HIV/AIDS or Hepatitis C; and For Related Purposes, MS H.B. 1321, Regular Session (2003).

    Google Scholar 

  • An Act To Create The “Protecting Freedom Of Conscience From Government Discrimination Act”; To Provide Certain Protections Regarding A Sincerely Held Religious Belief Or Moral Conviction For Persons, Religious Organizations And Private Associations; To Define A Discriminatory Action For Purposes Of This Act; To Provide That A Person May Assert A Violation Of This Act As A Claim Against The Government; To Provide Certain Remedies; To Require A Person Bringing A Claim Under This Act To Do So Not Later Than Two Years After The Discriminatory Action Was Taken; To Provide Certain Definitions; And For Related Purposes, H.B. 1523, Regular Session (2016).

    Google Scholar 

  • An Act Making An Appropriation to the State Department of Health for the Purpose of Developing, Establishing, and Operating Two STD/HIV Specialty Clinics for the Fiscal Year 2014, MS H.B. 343, Regular Session (2013).

    Google Scholar 

  • An Act Making an Appropriation to the State Department of Health for the Purpose of Providing Funds for HIV/AIDS Education, Prevention and Treatment Programs and Services for the Fiscal Year 2014, MS H.B. 326, Regular Session (2013).

    Google Scholar 

  • An Act to Provide that the Legislature Shall Appropriate to the State Department of Health Annually from the State General Fund an Amount Equal to the Amount of the Grant that the State Receives from the Federal Government Under the Ryan White Care Grant Program; to Provide that these Funds Shall be a Separate Line Item in the Appropriation Bill of the Department; and Shall be Designated as Mississippi Ryan White Supplemental Funds; to Provide that the Department Shall Expend these Supplemental Funds Exclusively for HIV Disease Medications; and for Related Purposes, MS H.B. 169, Regular Session (1998).

    Google Scholar 

  • Center for Disease Control and Prevention. (2014). Sexually transmitted disease surveillance. Retrieved from http://www.cdc.gov/hiv/statistics/index.html

  • Center for Disease Control and Prevention. (2016). STDs and HIV—CDC Fact Sheet. Retrieved from https://www.cdc.gov/std/hiv/stdfact-std-hiv.htm

  • Center for Health Law and Policy Innovation of Harvard Law School and the Treatment Access Expansion Project. (2013). State Health Reform Impact Model Project: Mississippi. Retrieved from http://www.hivhealthreform.org/wp-content/uploads/2013/03/Mississippi-Modeling-Report-Final.pdf

  • Contagious diseases; causing exposure to human immunodeficiency virus (HIV), hepatitis B or hepatitis C; crime of endangerment by bodily substance; violations and penalties. § 97-27-14.

    Google Scholar 

  • Dobbs, T. (2016, July 11). Personal interview.

    Google Scholar 

  • Fowler, S. (2016, May). HIV rate among Jackson gay, bisexual men highest in US. The Clarion Ledger. Retrieved from http://www.clarionledger.com/story/news/2016/05/17/gay-men-hiv-southern-cities/84523790/

  • Garner, K. (2016, June 5). Personal interview.

    Google Scholar 

  • Gates, J. (2016). Mississippi budget cuts to close psychiatric beds. The Clarion-Ledger. Retrieved from http://www.clarionledger.com/story/news/2016/05/10/state-budget-cuts-close-psychiatric-beds/84181292/

  • Human Rights Watch. (2011). Rights at risk: State response to HIV in Mississippi. Retrieved from http://www.hrw.org/sites/default/files/reports/us0311web_0.pdf

  • Hrostowski, S., & Camp, A. (2015). The unchecked HIV/AIDS crisis in Mississippi. Social Work in Health Care, 54(5), 474–483. doi:10.1080/00981389.2015.1030057.

    Article  PubMed  Google Scholar 

  • Kaiser Family Foundation. (2011 & 2011a). Retrieved from http://kff.org/hivaids/fact-sheet/the-hivaids-epidemic-in-the-united-states/

  • Mississippi State Department of Health. (2010). State of Mississippi 2010 STD/HIV epidemiologic profile. Retrieved from http://www.healthyms.com/msdhsite/_static/resources/3591.pdf

  • Mississippi State Department of Health. (2012a). HIV care and treatment program. Retrieved from http://msdh.ms.gov/msdhsite/_static/14,13047,150.html

  • Mississippi State Department of Health. (2012b). 2012 Statewide comprehensive HIV plan and statewide coordinated statement of need. Retrieved from http://msdh.ms.gov/msdhsite/_static/resources/5714.pdf

  • Mississippi QuickFacts. (2015). United States Census Bureau. Retrieved from https://www.census.gov/quickfacts/table/PST045215/28

  • National Health Care for the Homeless Council. (2008). Health care for the homeless: Comprehensive services to meet complex needs. Retrieved from http://www.nhchc.org/wp-content/uploads/2011/10/HCHbrochure2008.pdf

  • Pender, G. (2016). State agencies pondering cuts, layoffs with new budget. The Clarion-Ledger. Retrieved from http://www.clarionledger.com/story/news/politics/2016/05/01/state-budget-cuts/83699348/

  • Reid, K. W., Vittinghoff, E., & Kushel, M. B. (2008). Association between the level of housing instability, economic standing and health care access: A meta-regression. Journal of Health Care for the Poor and Underserved, 19(4), 1212–1228. doi:10.1353/hpu.0.0068.

    Article  PubMed  Google Scholar 

  • Reif, S., Geonnotti, K. L., & Whetten, K. (2006). HIV infection and AIDS in the deep south. American Journal of Public Health, 96(6), 970–973.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rosenberg, A., Broad, E., Mehlsak, R., Clark, S., & Greenwald, R. (2010). Mississippi State Report: An analysis of the successes, challenges, and opportunities for improving healthcare access. Retrieved from http://www.taepusa.org/Portals/0/Documents/Mississippi%20SHARP%20report.pdf

  • Southern AIDS Coalition. (2012). Southern AIDS Manifesto: Update 2012. Retrieved from http://southernaidscoalition.org/wp-content/uploads/2013/11/Southern-States-Manifesto-Update-2012.pdf

  • Venable, P. A., Carey, M. P., Blair, D. C., & Littlewood, R. A. (2006). Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS and Behavior, 10, 473–482.

    Article  Google Scholar 

  • Villarreal, Y. (2016). Mississippi Gov.: Christians willing to be crucified to protect anti-LGBT law. Advocate. Retrieved from http://www.advocate.com/politics/2016/6/01/mississippi-gov-christians-willing-be-crucified-protect-anti-lgbt-law

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Correspondence to Susan Hrostowski .

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Hrostowski, S. (2017). More than Our Share: The Unchecked HIV/AIDS Crisis in Mississippi. In: Parks, F., Felzien, G., Jue, S. (eds) HIV/AIDS in Rural Communities. Springer, Cham. https://doi.org/10.1007/978-3-319-56239-1_2

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  • DOI: https://doi.org/10.1007/978-3-319-56239-1_2

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