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Informed consent, confidentiality, disclosure, policy and the wider consequences of HIV testing are issues explored in this paper concerning a man with learning disabilities who tested positive for HIV. The events and outcomes are summarised, with lessons identified for policy and practice in HIV risk management and adult protection in services for people with learning disabilities.

The mining sector represents a significant portion of the South African economy. The recent announcement of the proposed black empowerment bill for the mining sector caused share prices to plummet. This reaction, in turn, caused a marked devaluation of the rand against other major currencies. Anything that impacts negatively on the mining sector will therefore have an adverse effect on the South African economy. This paper considers the affect that HIV/AIDS will have on the mining sector and, by implication, on the South African economy. Consideration is given to whether mining companies manage this risk properly and whether it is reasonably accounted for and disclosed in the financial statements. Conclusions are drawn and recommendations made regarding HIV/AIDS risk management and how HIV/AIDS issues can be disclosed fairly. Although the management teams of mining companies have introduced a HIV/AIDS risk‐management process and have commenced the disclosure of HIV/AIDS information, the disclosure is still far from adequate.

This study aims to ask how HIV/AIDS is arranged as a public threat in and through Canadian law, particularly in relation to transmission, and how strategies of capture extend the affective force of criminalization leading to poor health outcomes for persons living with HIV/AIDS.

This is a conceptual paper with a focus on applying affect theorist Jasbir Puar’s work on assemblage and debility. The authors use Puar’s work to frame the conditions that persons with HIV/AIDS experience in the Canadian criminal justice context as debilitating.

The authors found that while HIV transmission is not itself a criminal act in the Canadian criminal justice context, activities where transmission is prevalent or possible have been criminalized, particularly in relation to nondisclosure of health status, sex work and substance use. Further, the authors found that when the activities associated with HIV transmission are criminalized, strategies of capture extend the affective force of criminalization first in the inadequate provision of health-care and pharma-care services, second in state resistance to implement harm reduction measure and third in punitive population management strategies.

Persons living with HIV/AIDS have historically experienced stigmatization, especially intersecting with neoliberal, white supremacist and heteropatriarchal axes of power. This paper uses assemblage theory to shore up how these relations operate in ways that close off possibilities, by constituting the HIV/AIDS assemblage as a criminal – rather than a health phenomenon. This paper, thus, holds Canada to account for debilitating a historically disadvantaged and multiplying marginalized population.

Discusses the differences between systemic social research and conventional, non‐systemic empirical research. Outlines paradigmatically the major stages, methodological decisions and results of an empirical project. Focuses on intimate communication and AIDS prevention. Distinguishes four different intimate system types. These system types are shown to influence the risk management of an HIV infection. Sociocybernetic empirical research implies typically systemic approaches in the major phases of the research process: reframing; observing observations; selecting and distinguishing; and intervening indirectly.

National policies suggest that service users and carers should be involved in health care planning and delivery. Initiatives to involve service users and carers within the education of mental health professionals have been reported. However, there has been no initiative to involve such individuals in the selection of clinical psychologists. This study examines the experiences of service users, carers and members of the Doctorate of Clinical Psychology programme in the implementation of a new interview task for the selection of trainee clinical psychologists at the University of Surrey. This new initiative involves service users, carers and staff members working collaboratively to assess candidates in a discussion based task. The study employed two focus groups, one pre‐selection and one post‐selection, and used interpretative phenomenological analysis (IPA) to evaluate participants' expectations and experiences of the task. The findings suggest that there was genuine collaboration between service users, carers and programme team members that was deeply engrained in the programme ethos and was a step forward in normalising and empowering service users and their carers. Interviewers felt that this task helped select a different calibre of applicants who had an awareness of the perspective of service users and carers and were able to communicate effectively. Interviewers viewed applicants who were able to disclose and take ownership of their views favourably. The introduction of a successful new interview task at Surrey has set a marker for future collaboration with service users and carers in selection, which will have implications for other doctorate programmes in clinical psychology and the broader health care training community.

Prevalence of HIV/AIDS infection in the South African construction industry exceeds that of most other economic sectors. Voluntary counselling and testing is pivotal in combatting the spread of the disease. Little is known about the attitudinal fear of testing among construction workers, and the determinants thereof. The purpose of this paper is to address these shortcomings.

A conceptual integrated model of fear of testing is proposed. Demographic characteristics and behavioural and cognitive factors are posited to explain attitudinal fear of testing. Regression analysis and structural equation modelling are used to test the model, using data gathered from 512 site-based participants in a questionnaire survey.

Prejudice and lifestyle risk are the terminal predictors of fear of testing. Prejudice is determined by education level and HIV/AIDS transmission knowledge. Knowledge is predicted by education level and ethnicity. Lifestyle risk is determined by age, gender, harmful substance use, and knowledge. Harmful substance use is determined by age, gender, ethnicity, and employment type. The inter-relationship between knowledge about HIV/AIDS, prejudice towards HIV+ persons, and fear of testing is complex and nuanced.

Intervention strategies by firms should positively address attitudinal fear of testing. Employers should ensure that effective communication is established with workers. Interventions relating to harmful substance use by employees need particular attention. Awareness campaigns should be sensitive to ethnic and cultural values, and to inter-generational differences.

Harmful substance use and knowledge about HIV/AIDS transmission are indirect predictors of fear of testing. Education and ethnicity are critical dimensions of knowledge. The complex inter-relationship between knowledge, prejudice, lifestyle risk, and fear of testing is highlighted, providing guidelines for intervention management.

At least 20% of individuals living with HIV pass through prison and jail doors every year, in any nation, worldwide. Therefore, interventions that improve access to HIV testing, HIV care, and education can have a broad impact on public health in every country. The benefits of these interventions in correctional settings have already been well documented. For example, improved access to HIV testing, treatment by an HIV specialist, preventive vaccinations and prophylactic medications, screening for concomitant infections such as HCV, and pre‐release planning services have been shown to decrease HIV‐related mortality and morbidity, to reduce the risk of HIV transmission and to decrease recidivism. Education of at‐risk individuals has also been shown to reduce HIV risk behaviors. Safe distribution of condoms and needle‐exchange programs have also been demonstrated to be safe and effective, although few such programs have been implemented in the United States. While all the available evidence has demonstrated that these public health‐oriented interventions can be and are successful in correctional settings, implementation on a national and international level lags far behind the evidence. The time has come to take an evidence‐based approach to improving HIV management in correctional settings. Implementations of the HIV management interventions described in this article make good medical sense and will have a positive impact on the health of inmates and the communities to which inmates return.

Older adults’ sexual health is becoming an increasingly important component of healthy aging in the wake of the HIV/AIDS epidemic and rising infection rates among this age cohort. The increase in HIV/AIDS diagnoses in the older adult population ignites the need to understand the reasons why older adults are omitted from HIV/AIDS prevention education policy.

This chapter examines the social forces that influence HIV/AIDS policy at the state and community levels. Through qualitative methodology and analysis, including interviews with state policymakers and managers of AIDS service organizations in four Midwestern states (n=31), I look for trends and patterns as to whether or not older adults are considered as an “at-risk” group for HIV infection.

Findings reveal that HIV/AIDS policy may be impacted by enduring sexual scripts about older adults. To some extent both state policymakers and AIDS service organization personnel adhere to stereotypes about older adults’ sexuality and sexual activity, which is then implemented in their health promotion activities. The result is that gaps exist in HIV/AIDS prevention education for older adults, despite the fact that current trends show an increase in new HIV infections and AIDS diagnoses among people over the age of 50.

While this is an exploratory study of the available HIV/AIDS prevention education and health promotion activities for older adults, as well as the viewpoints of state policymakers and AIDS service organization personnel, the findings do indicate the need for additional research on the potentially dangerous sexual behaviors – lack of HIV testing, low condom usage, multiple partners – exhibited by older adults. Future research involving interviews with older adults, physicians, and medical personnel may add new perspectives to the current research.

As the baby boomers continue to age and challenge cultural stereotypes of sexual behaviors among older adults, research in the area of sexual health and HIV/AIDS prevention education will remain an important component of healthy aging. This research begins what will ultimately be a necessary conversation.