The Psychology of Health and HIV/AIDS like Epidemics
Introduction
This brief article will attempt to present the factors
that might contribute to developing illness or maintain health and the psycho political analysis of the HIV/AIDS epidemic
particularly, in relation to its devastating expression in African countries and in the world at large. It also points out
that the challenge of the 21st century for the forces of the globe is the challenge to control and over come the
spread of diseases, epidemics and premature deaths in the world. It is a challenge to fully understand the notion that if
serious and meaningful interventions to control the spread of HIV/AIDS like infectious diseases are not implemented, we will
face a significant level of destruction, a very large number of disabled and diseased population, a huge reduction of society’s
productive human resources, and a qualitative destruction of humanity itself. This brief discussion suggest that such health
crisis is a global, crucial and urgent matter for all, researchers, educators, and government policy makers to device the
means and the full commitment to combat and prevent such potential weapons of mass destruction. HIV/AIDS like and other similar
epidemics have the potential to be weapon of global destruction. It is very important to be cognizant why and how such horrendous
epidemic is ravaging the world and what causes and promote such diseases processes in today’s world.
It is suggested that social factors such as
war and trauma, poverty, famine, limited access to resources, cultural, psychological disorders, disillusions, political and
economic oppressions, provide a fertile ground for imbalance and the proliferation of disease in societies and individuals.
As the psychosocial stressors increases, the proper functioning of the immune system decreases and is greatly compromised,
for the body, mind, and soul is interconnected in the process of contracting illness or maintain health. Thus, creating sociopolitical
conditions that are conducive for peaceful and stable life are foundations for health and prevents such rampant devastating
epidemics like HIV/AIDS environment
The current HIV/AIDS in particular and health crisis in
general, is primarily a struggle to ensure survival by tackling premature death and controlling the rampant spread of diseases
which requires controlling the growing rate of malnutrition, war, violence and distress in the world. It certainly demands
understanding and balancing the spiritual awakening of the collective consciousness so we can see the interconnection and
interdependence among people of the globe. That is if one is affected, all is affected, even though it may not be readily
apparent. Thus, it is very important to obtain knowledge and awareness of the magnitude of the HIV/AIDS like epidemics, what
it truly is and the potential destructive and debilitating impact on human life in the world in general.
The Relationship Between Psychosocial Stressors and HIV/AIDS like Epidemics
AIDS, acquired immune deficiency syndrome, though still
controversial, the assumption is that it is caused by the human immunodeficiency virus (HIV). The virus destroys and impairs
the function of the cells of the immune system, and progressively reduces the body's ability to fight infections and other
disease conditions. Persons diagnosed with AIDS are susceptible to diseases called opportunistic infections, which are caused
by other virus and bacteria that usually would not cause life threatening illness in healthy people. Like all viruses and
pathogenic microbes, HIV weakens the immune system exposing the body for disease. In addition, the definition of AIDS includes
over two dozens clinical conditions that affect people with advanced HIV disease, which are opportunistic infections that
rarely cause harm in healthy individuals.
In fact, AIDS is considered to be a multi-causal disease
caused and/or exacerbate by severely distressed psychological health condition. African nations to the most part for the past
decade have lead lives that were dominated by conflict, violence, and oppressive political, and cultural conditions. Theses
conditions in turn breed and contribute to developing psychological hopelessness, psychosocial trauma and general deterioration
of health. This show that increased level of social disorders, prolonged oppression and poverty can potentially create mentally
and physically fragile and vulnerable population, exposing them further to weakness, illness and death. For weakened health
status coupled with unsupportive social conditions specially when it occurs for a prolonged period of time it can result in
diminishing health and premature death.
Conditions such as the co-occurrence and increase in diseases
that rampage communities such as, malaria, tuberculoses, and other infectious and sexually transmitted diseases render the
body to further susceptibility and increase the likelihood of the spread of HIV/AIDS like infections. Other factors such as
age, gender, or genetic differences between individuals, the level of virulence of the individual strain of virus, level of
distress as well as exogenous influences such as co-infection with other microbes may determine the rate and severity of HIV
disease expression. Also the rate of disease progression and premature death seem to be related to the psychosocial factors,
this is apparent particularly in poverty stricken and highly distressed areas of the world, with great weight on the black
world.
The Global Pattern of the Spread of HIV/AIDS Epidemic
Historically the HIV/AIDS infection occurred mostly among
white male homosexuals particularly in the early stage of the epidemic. Gradually, it was found in drug users blood and blood
product recipients and finally heterosexuals. Today it is known that anybody can contract AIDS and it can be found in almost
in every country and in almost every demographic group. However, the incidence and prevalence of AIDS are rather unevenly
distributed with certain population disproportionately affected that is having the highest rates of infection, progressing
and death.
Even though in the western world to some extent HIV prevention
programs and strategies adopted have been effective in reducing transmission and death rate, the reality for the majority
of the world population is quite different. It is reported by the World Health Organizations and others that over 40 million
people are affected with HIV worldwide and of these the majority of the people infected live in Sub-Saharan Africa. Similarly,
in the United States, the epidemic is growing most rapidly among the African American population. According to the U.S. Centers
for Disease Control the prevalence of HIV/AIDS is six to seven times higher in African-Americans. There are also strong suggestions
that state of poor mental health and depression may be related to high-risk behaviors such as lead to drug use and addiction,
as well as poor judgment in selecting sexual partners. Research suggests that there is a strong relationship between depressive
symptom high-risk behaviors and depressive women are more likely to engage in high-risk behaviors such as drug use and multiple
partners with IV drug users.
The HIV/AIDS like epidemics seem to be spreading rapidly
and dangerously among Africans and Africans wherever they are in the world. It is also reported that in Australia the rate
of new cases of HIV/AIDS among Aborigines, has increased past non-aborigines, whereas the non-Aborigines cases decreased.
In Western countries, the disparity and the gap in rate of contracting, disease progression and death from HIV/AIDS between
blacks and immigrant population and European and European American population is very wide and significantly different. As
the patterns and rate of spreading varies, it is also important to note that the epidemiological and viral strains of the
African virus are different from those found in Europe and USA.
Women, Children and HIV/AIDS
In general, women not only contract HIV/AIDS more easily
from men compare to women transmitting to men, but also women with AIDS die faster than men. A study at the university of
Minnesota has found that HIV infected women have shorter survival rates than men who are HIV infected, and were comparably
ill. The rate of transmission from
men to women is much higher than contracting from women to men for several reasons including, anatomical and physiological
differences between the genders.
There is a very wide gap between men and women living with
HIV/AIDS, it is estimated that in most countries, women are being infected with HIV at earlier ages than men. Globally, women
who in fact were the least affected group at the beginning of the HIV/AIDS epidemic are now the highest in among people who
contracted the infection. UNAID reported studies that suggest that in sub-Saharan Africa for every 10 young men there are
about 36 young women living with HIV. In some African countries the ratio of women living with HIV ranges to more than nine
to one even though many of the women had only one partner.
It is important to note that women are impacted by multiple
psychosocial stressors and carry a huge burden of societal failure. Violence, sexual abuse and political, economic and cultural
domination on women are important and major factors that contribute to the problem of health in general and contraction of
HIV/AIDS in particular. One important culprit impacting upon women and children and affecting their health and wellness adversely
is poverty. Though it is not limited to women nowadays, women across the globe where poverty has taken a grip are subjected
and forced to selling their body for survival and this is one of the means of transmission of HIV/AIDS and other STDs. Eliminating
poverty could easily abate spread of disease and could be used as a major preventive tool. This can empower women by reducing
some of the negative psychosocial stressors in their life.
Summary and Concluding Remark
HIV/AIDS like infectious epidemics and in general the health
status of any people is a reflection and a consequence of the way in which we conducted our life and the imbalance caused
by both the individuals and the community. There is a very important relationship
between psychological status and the ability to resist illness and maintain physical wellness. This is based on notion of
the integration of body, mind, and soul and that a disorder in one will be manifested in itself and each other’s. People
with tremendous psychological and mental anguish manifest corresponding physical ailments and are as well highly susceptible
to any illness which otherwise would not have been harmful. Maintain balance in spirituality and levels of faith are also
important indicators of health and healing processes in both physical and mental disorders.
The HIV/AIDS epidemic within the African context has additional
psychological and political dimension as it relates to the position that Africa and Africans hold in the global politics and
power compare to the rest of the world. Therefore, researchers and health educators need to be cognizant of the interconnected
social and political reality that affects the current health crisis in the world in general and in Africa in particular.
Similarly healers, caregivers and health professionals
should be able to help and to change the course of circumstances, but when they cannot meet the need this become a big source
of frustration and stress. To avoid feeling such sense of helplessness, it is very important that among other things, we engage
in studying and providing psychospiritually centered services which might create and afford the conditions that would allow
us to forge the path to restoration and balance the forces of life in order to establish healthy world. As much as we are
invested in finding the cure for diseases, it is imperative that we invest on preventing and eliminating the underlying causes
of HIV/AIDS or any other health problems and disorders in an integrated manner. In doing so, we can restore and balance the
forces of life between and within body, mind and soul and the integration of the three elements in our realm of reality. For
the psychology of health is centered on restoring life forces, that is making the persons as well as the globe whole and integrated
because we all are in one interconnected web of life.
Dr. Abeba Fekade