Evidence for inequalities in health outcomes in UK in relation to HIV/AIDS
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This article discusses the current evidence for inequalities in health outcomes in UK in relation to HIV/AIDS, whether these differences in outcome are unfair for certain group of people, societal determinative on HIV/AIDS and the policies that exist in UK to address these inequalities.
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Evidence for inequalities in health outcomes in UK in relation to HIV/AIDS
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Table of Contents INTRODUCTION...........................................................................................................................1 BACKGROUND.............................................................................................................................1 DISCUSSION..................................................................................................................................2 Explain the current (or recent) evidence for inequalities in health outcomes in UK in relation to HIV/AIDS.........................................................................................................................2 Explain whether these differences in outcome are unfair for certain group of people...........3 Explain the societal determinative on HIV/AIDS and the evidence for how much these report for the inequalities in outcomes observed different population group in UK........................3 Elaborate the policies that exist in UK to address these inequalities and Measure how well they have been implemented and effective in reducing inequalities......................................4 Recommend one political approach not already adopted by UK and how much it effective at reducing inequalities..............................................................................................................5 CONCLUSION.................................................................................................................6 REFERENCES...............................................................................................................................7
INTRODUCTION HIV is describe as human immunodeficiency virus which damages the cells of individual immune system and weakness the ability to fight against the infection and diseases. In UK, most cases of HIVare caused by having sex with a infected person who has HIV virus and that can bes easily pass to another person. Most of the people having sex without condom which increases the chance of having HIV virus. AIDS is described as (acquired immune deficiency syndrome) which can damage the immune system, enhance the potentially life threatening infection and illness due to severely damaged of immune system by HIV virus.AIDS cannot transmitted from one person to another person while HIV virus is transmitted from one person to another person. In UK, most of the population is caused with the HIV virus and AIDS and there is currently no cure for HIV expect effective drug treatment by which people with the virus live a long and healthy life (Breslow and Brewster, 2020). Additionally, this project covers the impact of society and politics on health inequality and inequity in UK by including current situation, history of the condition and existing policies and approacheswhich reduce theimpact of diseases on UK population as well as slow down the inequalities rate in the country. BACKGROUND The most recent research is estimate the current situation of UK, globally 38.4 million people were living with HIV. It is estimated that 0.7% of adults are living with HIV, approx 5,150 are undiagnosed because they are not aware about their diseases. London is the highest rate of HIV patient in England. According to the global burden of disease almost one million people died from HIV/AIDS. An estimated 13,500 or 95% of people living with HIV were undiagnosed infection and they are at high risk of spreading infection because of having unprotected sex. Over 95% of all people living with HIV in the UK most likely acquired the infection through sexual contact and causing the infection to their partner (Mowlabocus, 2020). The history of the condition of UK populationof HIV/AIDS in 2015 approximately total 2800 gay/ bisexual men were estimated to have acquired a new HIV infection in England. With the help of research it is estimated that with the previous five years men was at high risk of causing HIV/ AIDS infection on average men was highly acquired HIV each year between 2010-2014. In 2015, 6095 people were newlydiagnosed.HIV(humanimmunodeficiencyvirus)havenegativeimpacton individual health because HIV infection attacks on the immune system which reduce the ability 1
to fight against diseases or virus. HIV also causes AIDS and most of the people faces difficulties and issues in their sexual behaviour and sexual health. HIV can increases the stress, anxiety and depression within individual person which can affect the nervous system and it will lead to changes in behaviour and thinking. Risky sexual behaviour increases an individual risk of contracting HIV from person having HIV positive symptoms and they spread their infection to their partners without using protection during intercourse (Marshall and Cahill, 2022). Women having HIV infection can causes health issues and problems which include some Gynaecological health issues that lead to increases the risk of causing cervical cancer, this gives negative impact on the sexual health and sexual behaviour of individual person. Due to cause of HIV/ AIDS people facing difficulties and changes in their sexual health and sexual behaviour. In UK population, people diagnosed with HIV /AIDS unable to increases their sexual life due because one partner having infection have high chance of causing infection. HIV also affects the communities and the development and economic growth of UK country. UK government implement some approach and policies for employee so that people can get effective medical treatment and live their long life with medicines and therapies (Aburto, Kristensen and Sharp, 2021). UK government focus on preventing employee from diseasesby providing medical facilities and other assess by which employee can improve their health by effective medical treatment. Number of people resign from theirprofessional due to infection and health issues which can deceases the economic growth of the country. These issues cause disruption in employee working which can affect the economic growth. DISCUSSION Explain the current (or recent) evidence for inequalities in health outcomes in UK in relation to HIV/AIDS The current evidence data is estimated that million of people living with HIV/AIDS and some of them are undiagnosed with their diseases because they are not aware about their diseases. In 2019 as per the research report , it is estimated that 105,200 people were living with HIV infection in the UK world(Mowlabocus, 2020).New diagnosis of HIV transmission continuetodeclineintheUKpopulationbecauseoflowertransmissionratesbecause government developed various prevention programme. The life expectancy of people living with HIVisgeneralpopulationtheUK.Deathsresultingfromacquiredimmunodeficiency 2
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syndrome(AIDS) are uncommon among the person who are at high risk and are undiagnosed, it will lead to cause the infectious diseases.People belongs from low poverty background, lack of education, and unemployment affect the health of individual people. Inequalities and inequities are shown in people due to unfair distribution of resources among people, it will lead to give negative impact on the health and cause various diseases. The current evidence for inequalities in health outcomes in the UK in relation to HIV/AIDS is higher across the specific group of people who belong from poverty, lack of education, unemployment(MacLean and Wetherall, 2021). The HIV epidemic has represented an acute health inequality, affecting some specific group of populations vastly disproportionately. In addition, recent declines in estimated HIV transmissions have not been spread equally amongst all key population groups or across regions. People with a lower education background have a high chance of causing HIV/ AIDS infection because they are not aware of their health and do not get appropriate medical treatment. Society impact on HIV/AIDS caused by social and economic consequences like low income, lack of facilities for alienation of downtrodden classes(Singh and et. al., 2019).Most of theUK populationhave the diseases which are undiagnosed and the risk of HIV/AIDS increases in them. According to the researchbased evidence, HIV transmissionis shaped by inequalities resulting from discrimination on the basis of income, race, age, ethnicity,sexual orientation and unequal access to health and social services. This implies that HIV disproportionately impact on vulnerable population which include women, bisexual, men and gay, sex trade. Explain whether these differences in outcome are unfair for certain group of people The outcomes are unfair because of unequal distribution of resources among the people. This is evident from the research that in the UK there is a gap among the last section of society: marginalised sections are the ones who suffered the consequence ofthese diseases the most. More than half of the UK population are unaware of their rights to become vigilant and knowledgeable and responsible citizens(Early and et. al., 2019).This unfair distribution of resources can be eradicate by the spread of consciousness of HIV infection among the people. HIVcontinuedisproportionatelytoimpactvulnerablepopulation,thiscompressyoung women,gay, sex tract workers and migrants population. Marginalised population are the group of communities that experiences discrimination at society opportunities and excluded because of unequal power relationship across economic, political and social culture. It us analysed that marginalised population faces inequalities and unfair distribution of health resources among 3
population. Due to the lower education and economic background people faces many healthcare issues and does not aware to get effective and better medical resources which can prevent them from infectious diseases and improves their quality of life. According to healthcare outcomes it is reported that marginalised group of people has been at high risk of causing infectious diseases as compared to rest of UK population(Randolph, Coakley and Shears, 2022).Marginalised group hit hardest by inequality because of injustice, illiteracy, lack of opportunities which directly impact on their health and social identities. These group of peoplehave been at high risk of spreading infectious diseases. Government analyse the data marginalised group of people are at high risk of infection due to unequal opportunities to take advantages of primary healthcare services. Due to discrimination and inequality people faces many challenges and live with diseases which lead to reduce their life expectancy and enhance the transmissions of causing HIV/AIDS. Unfair inequality arise when incentives when incentives are not fairly distributed which give the negative impact on the health(Loudermilk and et. al., 2021).Due to less opportunities and unfair distribution people face difficulties to survive with their life. Explain the societal determinative on HIV/AIDS and the evidence for how much these report for the inequalities in outcomes observed different population group in UK This epidemic of HIV/AIDS is forged by inequalities in society resulting fromvarious discrimination that are based on unequal access to health and social services, immigration status or sexual orientation ethnicity, disability, low income, age and gender. These diseases can lead to entrenched poverty affecting particularly women and young people(Taylor and et. al., 2020). As evident from the outcomes of the research it is identify that rich and elite class people can afford to acquire effective medical treatment and are aware about HIV/AIDS infection and take preventive majors but the disadvantaged and poor background people can not afford the appropriate treatment because of poverty, poor medical facilities available to them and lack of awareness also leads to increases the risk of causing HIV/AIDS infection among the population of UK(Ransome and et. al., 2022) . Government of the UK implements some policies and approaches for preventing people from HIV/ AIDS. From the research evidence, it is estimated that due to lower economic status marginalised group of people have risk factor of causing infection. Due to lack of education people does not aware about the safe practice towards intercourse such as condom use and avoiding risk factor when one partner have symptoms of infection. Additionally, epidemiologic 4
suggests wealthierpeople are at high risk because they have risky sexual behaviour because they having multiple sexual partners which increases the chance of the causing infectious disease of HIV/AIDS transmission to other people. Wealthier people have socio-economically advantage ofacquiringeffectivemedicationforimprovingaccesstotreatmentforHIV/AIDS. Government identify with the help of evident data that marginalised group of people facing more difficulties in surviving their life as compare to other existing group of people. Societal determinants give negative impact on certain group of people who belongs from low economic status and they faces difficulties in surviving their life. According to the evidence report, the outcomes are analysedthat inequalities in different group of people is the main cause of the spreading HIV/AIDS transmission among the people (Sullivan and et. al., 2021). Elaborate the policies that exist in UK to address these inequalities and Measure how well they have been implemented and effective in reducing inequalities There are various policies that exit in UK to address inequalities among certain group of people which includes- Implementation of progressive system of taxation-Government of UK reduced taxes which helped on income being shared more equally between the population by which people can fulfil basic needs and requirements and get better resources for their health. Implementing policies help in reducing the inequalities between populations and give equal opportunities for their rights.By analysing data report government reduce the taxation which are helpful for people to afford resources for their development and improves the quality of life of individual person. By reducing taxation and implementing different resources helps in reducing the inequality rate. Government impose a lower tax rate on low income earnersby which they can enables to fulfil their basic needs such as shelter, food and transportation (Kelly-Hanku, Aggleton and Boli-Neo, 2020). The main aim of this policy is to provide equal opportunities to all people and improves their living standard, it will increases the economic growth of the country and reduce the unemployment and inequality. Resources for vulnerable population-Government of UK, introduced various resources for certain groups of population which can reduce inequality. Local authorities provide homeless services and medical services for people who belong from lower economic status(Purnell and et. al.,2019). This policy provides the social rights of individual people and aware them towards their health condition. with the help of government policies people get better nutrition and a 5
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healthy environment which can prevent them from HIV/AIDS virus. Local authorities focused on developing resources for vulnerable such as low cost or free of cost care centre, education for children's and employment opportunities by which people get aware towards their responsibility in maintaining their own lifestyle, it will lead to give positive impact of individual health behaviour. Government develop resources which changes social environment of vulnerable group of population that may affect the individual life and they can engage in their own health and it can reduces the inequality in UK world(O’Brien, 2019). Development in poorest areas:-Government started to focus on poorer areas by introducing various policies for better development of the vulnerable population. Healthcare providers give effective education to their children and adults which can prevent them from infectious diseases. by developing poorer areas and providing various facilities for their needs and requirements and reducing the inequality rate and people get aware about their social rights (Sutton, Henty, and Damon, 2022).Education plays an important role in curing health diseases. The government provides education facilities for vulnerable class people by which they focus on adopting hygienic and safety at intercourse and use protection. It will lead to reducing the cause of HIV/AIDS infection.Government can intervene to promote equity and reduce inequality and poverty among marginalised group of population. Government develop various employment opportunities in poorest and available various resources for individual people (Nario-Redmond, 2019).Governmentpromoteandredistributethewelfarebenefitsthosewhohavelower background of income(Barber, 2021). Development of primary health care services:-In the UK, the government provides primary health care services to people who are disable to get medical facilities because of a lower poverty rate. These policies are beneficial for the people for getting better medical facilities which can prevent them from health illness. According to the research it is estimated that lower background people are at high risk of causing HIV/AIDS infection because they are not aware about causes and they are undiagnosed with diseases which are dangerous because they can transfer infection to their partnet(Solarte-Toro and et. al., 2022).These infectious diseases need to require better medication. These policies reduce the inequality among the society and reduce the risk of spreading infection(Gupta and Barman, 2021).The benefits of primary health care services are providing education about common health problems and aware individual patient to prevent and control their diseases. Healthcare provider encourage people to 6
promote proper nutrition which can make them healthyand adequate to safe environment and drink safe water. Government develop these all resources for improving the quality of life of vulnerable group of people who lives in unhygienic society and have lower economic status (Caraher, and Furey, 2018). Government is responsible to regulate and implement policies which are beneficial for the people as well as the government because it can improve the economic growth of the country. Governments implement these policies and encourage vulnerable groups of people to get aware towards their social rights and take opportunities for their better treatment. These all policies are beneficial for the people and it can also improve the health condition of the people and improve health outcomes. healthcare providers give better primary care services by which people get aware about their cause and preventive measures of HIV/AIDS. These policies are effective in reducing inequalities among various groups of people(Frosch and et. al.,2018). Government provides them equal opportunities and aware them towards their social rights , it will lead to reducing inequality. In the UK world, governments implement various policies for reducing taxation, eliminating unemployment and providing primary services to the people. a vulnerable group of people are aware and get engaged in their health condition and use protection while intercourse and diagnose their illness and take appropriate medication which can reduce the rateof negative impact of society on HIV/AIDS(Dagdeviren, Elangovan and Parimalavalli, 2021).According to the research it is found that inequality causes various health andsocialproblems,fromreducedlifeexpectancyandhigherinfantmortalitytopoor educational attainment, lower social mobility and increased levels of violence and mental illness (Song and Zhou, 2020). Recommend one political approach not already adopted by UK and how much it effective at reducing inequalities These policies are most effective in reducing the inequalities among the UK population, government and healthcare provider aware children and adults towards their health condition. The Health Inequalities National Support Team (HINST), it is one of the best approach for reducing inequality gap across the country and provide equal opportunities to people for reducing the inequality. It is recommended that HINST political approach is beneficial for the UK population and who have more chance of causing infection diseases. Reducing these inequalities are the major goals to improve the nation's health(Trebeck and Williams, 2019).Local 7
authorities of UK focused on implementing political approaches which give positive impact on health and reducing health inequalities. This politicalapproach of government is an effective approachwhich can helps in reducing the inequality among marginalised group of population. The public health outcome framework is also developed in UK for reducinghealth inequalities and provide primary health service care to all group of population, it will lead to give positive impact on health(Lewis, 2020). Government introduce these policies for eliminating inequalities rate from their country and improves the quality of life of individual group of people. The public health outcome frame work measured the issues of marginalised group of people and encourage them to aware about their social right and participate in taking opportunities to improves quality of their health. Health care provider deliver the best quality care as well as education which by which they can prevent them from transmission of HIV/AIDS as well as acquire preventive measure to avoid risk(Mandelli, 2022).These policies are not adopted by UK but it is effective for population and internally it give positive impact of economic status of country(Faist, 2018).By adopting various policies and approaches which is beneficial for the people health and they get aware towards their life expectancy and health issues. Government provide equal opportunities for employmentandprovidehomelessservicesandprimacyhealthcareserviceswhichare necessary requirement of the marginalised group of population. Additionally benefits of adopting approaches and policies are better education outcomes, reduction in crime and increased employment. However, to accomplish reduction in inequalities approaches and policies must be delivered systematically at sufficient scale and with long-term sustainability which reduce the risk of spreading HIV/AIDS among the people(Sandel, 2020). CONCLUSION From the above discussion, it is concluded that politics and society impact on health inequality and inequity in UK is due to the government of policies and society environment impact. Policy on health inequalities is more developed in the UK. The current situation and evidence is estimated for inequalities in health outcomes related to HIV/AIDS. People belongs from certain group of population faces many difficulties which are unfairly distributed among the people. People having low income, unemployment and high crime rateare all associated with increases the risk of HIV infection. Low economic background of society give negative impact 8
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on the people health which causes various diseases. People belongs from lack of education family background faces more difficulties and suffer from various infectious diseases because those people are not aware about their health. Most of the UK population is estimated with undiagnosed because they are not aware about the diseases and their effective medical treatment. Society and households affected by HIV has a high burden of illness and were substantially poorer. There are various policies of UK which are addressing these inequalities which include tax relief and income support or transfer, government develop different policies which include welfare, free healthcare services and food stamps. These UK policies are more concerned about the inequalities in health , with the help of these policies people get aware about their rights and diseases and acquired advantages of health policies. These policies reduce the poverty and improves the children long term outcomes. Due to cause of HIV/AIDS affect the sexual behaviour and sexual health of the individual personbecause of the politics and society environment impact. Government imposed various policies and approaches which are beneficial for marginalised group of population for reducinginequalities and providing equal health care facilities to individual people. Adopting various healthcare approaches give positive impact on the people to give effective knowledgeable and give support and care. 9
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