Journal of Health and Medical Sciences
Published: 28 December 2021
Socio-cultural Conceptions and HIV-related TB among Haitian Immigrants in Broward County, Florida: A Brief Historical Insight, 1995-2002
Rhodner J. Orisma
University of Abomey-Calavy, Benin
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Keywords: TB, HIV-related TB, AIDS, Transmission, Socio-cultural Conceptions, DOT, MDR
This study deals with tuberculosis (TB), human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) in Broward County, South Florida. Theoretically, it demonstrates the existing co-infection between TB and HIV that provokes HIV-related TB or AIDS. Additionally, it indicates that AIDS is provoked by HIV co-infection with all opportunistic infections. Nine (9) qualitative interviews and one focus group conducted with 12 Haitian patients and TB control program workers at Fort Lauderdale Health Care Center allowed to understand the connection between TB and HIV, and the patients’ socio-cultural conceptions about HIV-related TB. Then, the study reveals that the prevalence of TB and HIV-related TB has every year a dramatic increase among foreign-born individuals including Haitian residents. To determine this prevalence, the Broward County Health Department charts of 778 reported TB and HIV co-infection cases for the last 6 years were analyzed along with the qualitative interviews. Finally, the study shows that the indicated prevalence is due to both Haitian immigrants’ socio-cultural conceptions and reactions vis-à-vis the TB screening, prevention measures, and treatment.
Berg, B.L. (2001). Qualitative Research Methods for the Social Sciences, Boston/London, Allyn and Bacon.
Bernard, H.R. (1995). Research Methods in Anthropology (Qualitative and Quantitative approaches), Walnut Creek/London/New Delhi, Alta Mira Press.
CDC. (1991). Core Curriculum on Tuberculosis. https://www.cdc.gov/tb/education/corecurr/pdf/corecurr_all.pdf (accessed December 16, 2021).
CDC. (1994a). Core Curriculum on Tuberculosis. https://www.google.com/search?q=CDC.+(1994).+Core+Curriculum+on+Tuberculosis.&oq=CDC.+(1994).+Core+Curriculum+on+Tuberculosis.&aqs=chrome..69i57.13438j0j7&sourceid=chrome&ie=UTF-8 (accessed December 15, 2021).
CDC. (1994b). Improving Patient Adherence to Tuberculosis Treatment. https://wonder.cdc.gov/wonder/prevguid/p0000441/p0000441.asp (accessed December, 16, 2021).
CDC. (2000).TB Notes 2000. https://www.cdc.gov/tb/publications/newsletters/pdf/tbn1-2000.pdf (accessed December 16, 2021).
CDC. (2001). “HIV and AIDS in the United States, 1981-2000.” MMWR, Vol. 50/No. 21.
Coch, K.M. (1996). “Tuberculosis Control in Resource-Poor Settings with High Rates of HIV Infection,” American Journal of Public Health, 86(8): 1071-1073.
Durkheim, E. (1966). The rules of Sociological Method, New York, Free Press.
Eckert, P. (1989). Jocks and Burnouts, New York/London, Teachers College Press.
Fleming, P.L et al. (2000). “Tracking the HIV Epidemic: Current Issues, Future Challenges,” American Journal of Public Health, 90 :1037-1041.
Farmer, P. (1992). AIDS and Accusation (Haiti and the Geography of Blame) Los Angeles/Oxford, University of California Press.
Gourevitch, M. et al. (1999). Effectiveness of Isoniazid Chemoprophylaxis for HIV-infected Drug Users at High Risk for Active Tuberculosis, AIDS, 13:2069-2074
Granich, R M. et al. (1998). “Tuberculosis among Foreign-Born Residents of Southern Florida, 1995,” Public Health Reports, vol.2, pp. 552-556.
Glynn, J.R. (1998). “Resurgence of tuberculosis and the impact of HIV”, British Medical Bulletin, vol. 54, no. 3, pp. 579-593.
Helman, C.G. (1998). Culture, Health and Illness, Oxford/Boston, Butterworth-Heinmann.
Keiser Familly Foundation. (2001). The AIDS Epidemic at 20 Years: The View from America. Menlo Park: California, The Kaiser Family Foundation.
Lawn, S.D. et al. (1999). « Sustained Plasma TNF-α and HIV-1 load despite resolution of other parameters of immune activation during the treatment of tubeculosis in Africans”, AIDS, 13:2231-2237.
Lindenbaum, S. & Lock, M. (1993). Knowledge, Power, and Practice, Berkeley/Los Angeles/London, University of California Press.
Menegoni, L. (1996). “Conceptions of Tuberculosis and Therapeutic Choices in Highland Chiapas, Mexico,” Medical Anthropology Quaterly, 10(3): 381-401.
Rubin, H.J. & Rubin, I.S. (1995). Qualitative interviewing (The art of hearing your data), Thousand Oaks/London, Sage.
Ryder R.W. et al. (2000). “Effect of HIV-1 Infection on Tuberculosis and Fertility in a Large Workforce in Kinshasa, Democratic Republic of the Congo.” AIDS Patient Care and STDs, Vol. 14(6):297-304).
South Florida Sun-Sentinel, (2001, June 10). South Florida Sun-Sentinel Special Report Investigates HIV-AIDS in the Carribean. www.sunsentinel.com/news/local/cuba/sfl-hbauza01jul010.story (accessed December 17, 2021).
Spiegler, P. & Llowite, J. (1999). “Multiple-drug resistant tuberculosis,” Emergency Medicine, pp.10-23.
Spradley, J.P. & McCurdy, D. (1988). The Cultural Experience (Ethnography in Complex Society), Illinois, Waveland Press.
Vecchiato, N.L. (1997). “Socio-cultural Aspects of Tuberculosis Control in Ethiopia,” Medical Anthropology Quaterly, 11(2):183-201.
US Census Bureau 2000.
US Department of Health, Education, and Welfare. (1974). Tuberculosis. https://www.google.com/search?q=US+Department+of+Health%2C+Education%2C+and+Welfare.+(1974).+Tuberculosis.&oq=US+Department+of+Health%2C+Education%2C+and+Welfare.+(1974).+Tuberculosis.&aqs=chrome..69i57.6022j0j7&sourceid=chrome&ie=UTF-8 (accessed December 15, 2021).