Today is National Women and Girls HIV/AIDS Awareness Day, and one in nine women with HIV are unaware they have it.

Faith leaders in North Carolina are working to reduce stigma around HIV prevention and testing, especially among Black and Hispanic women.

According to 2018 data from the Centers for Disease Control and Prevention, Black women make up 58% of diagnoses of HIV infection among women.

Associate Director for Partners in Health and Wholeness at the North Carolina Council of Churches Elizabeth Brewington said faith groups can help communities talk about the issue and provide resources for individuals to take steps toward prevention and treatment.

"We have seen from recent data that the majority of new HIV cases have been in the South," said Brewington. "And we know that, that church is really kind of a place to talk about a lot of different issues."

She added the pandemic has further reduced opportunities to get tested and raise awareness. One study published in the Lancet found HIV testing dropped by 68% to 97% during each state's stay-at-home order period in early 2020.

Brewington said residents can take the Council's online survey to help address concerns and get a sense of how knowledgeable communities are about HIV and programs and resources available in the state.

She added that faith groups can play a lead role in reducing stigma and bias.

"We had a health lead talk about how she took a group of young adults from her church to go get tested for HIV," said Brewington, "and all of them were so nervous that she she just stepped up and got tested anyway to de-stigmatize it for all the young people who were nervous."

According to state data, In 2020, more than one thousand new HIV diagnoses were reported among adult and adolescents, and more than 34,000 people in the state live with the disease.

With concerning trends emerging for pregnant and postpartum women, frustration is growing that Idaho lawmakers could end the session without addressing these issues.

The maternal mortality rate doubled each year between 2019 and 2021 in Idaho. The state also ranks last for income eligibility for pregnant women on Medicaid.

House Bill 201 would have extended Medicaid coverage from 60 days to 12 months after birth but has not received a hearing.

Hilarie Hagen, health policy associate at Idaho Voices for Children, said a large coalition of health care organizations, providers and families supported the legislation.

"Providing access to affordable health coverage helps reduce maternal mortality rates, improves birth outcomes, and Idaho's maternal health trends are going to continue on their downward trajectory every year we don't take action," Hagen stressed.

Rep. John Vander Woude, R-Nampa, chairman of the House Health and Welfare Committee, said he was supportive of the bill, and he had received a number of calls in support of it. However, Vander Woude noted the committee will not hold a hearing on it this session because he believes the Legislature has to get control of the Medicaid budget first.

This week, Bonner General Hospital in Sandpoint announced it would no longer deliver babies because of a provider shortage. The hospital also cited Idaho's legal and political climate as part of the reason for closing its maternity ward.

Hagen pointed out the provider shortage has become exacerbated in recent years.

"We are increasingly seeing providers choose to leave the state because of policy decisions made by Idaho lawmakers," Hagen asserted. "It's really discouraging to see that we are reducing access for moms and their babies."

Another measure unlikely to pass this session is House Bill 81, which would have extended the federally funded Maternal Mortality Review Committee passed its sunset date in July. Hagen emphasized Idaho will be the only state in the nation without a Maternal Mortality Review Committee.


get more stories like this via email

Research from The University of Utah explores the physical- and mental-health implications of social belonging in women.
Study author Lisa Diamond said disproportionately high mental- and physical-health problems among marginalized people have been written off as "minority stress," the cumulative chronic stress experienced because of discrimination and unfair treatment and said the missing piece is what is known as "social safety," the reliable social connections, belonging and sense of protection individuals foster in their social networks.

Through her research, Diamond found women who occupied one or more marginalized categories such as those relating to race, sexuality and gender reported significantly lower social safety, leading to a greater risk for physical and mental problems.

"That sense that you have people around you that are connected to you, invested in you, that you matter to. That feeling is a critical component of human health," she said. "It is not optional. It's not like the icing on a cake. It's the cake."

Diamond added the mental and physical effects one can endure do not depend so much on what type of marginalization they experiences, but rather from the mere fact of being discriminated against and misunderstood. She said a crucial aspect to good mental and physical health is ensuring access to safe and affirmative social ties.

Diamond said the unpredictable and unprecedented COVID-19 pandemic ripped everyone's social safety right out from under them, leaving many feeling isolated. She added while remote work and online school ushered in by the pandemic have their benefits, many are still struggling to recuperate the sense of safety and normalcy they lost which has made many deficient to the "basic nourishment of affirmative social connection."

"We should think carefully about the way we structure our days and our lives, and make sure that we are prioritizing the face-to-face connections that are meaningful to us. We need that, a lot more than we thought we did," she said.

She encouraged state policymakers and community leaders to adopt what she calls a "safety first" approach which begins by identifying whether an individual has access to relationships and people who can provide them with affirmation, protection and belonging.


get more stories like this via email

New data from the Centers for Disease Control and Prevention show another increase in the nation's maternal mortality rate, and a Minnesota expert says there are several underlying factors.

The report, released last week, covers data from 2021. That year, deaths of pregnant women or new mothers in the U.S. went up by nearly 40% over the previous year.

The agency says it follows gradual increases leading up to the pandemic as well.

Dr. Stephen Contag is an associate professor in the Maternal-Fetal Medicine division at the University of Minnesota Medical School. He said improved reporting is playing a role.

But he added that there are other issues at play.

"Disparities in transportation," said Contag. "Getting to health care. Or differences in the number of obstetricians or health providers that can provide that care to patients in certain parts of the country."

The findings show that Black women are especially affected by this issue. The maternal mortality rate for this population rose by nearly 70%, compared with nearly 25% for white women.

Some health experts say COVID-19 likely played a role in the 2021 spike, and that the big jump may have peaked. But there's concern the other factors will keep pressure on these rates.

The maternal death disparities have been documented in Minnesota as well. Contag said he sees hope in reversing trends, including changing how the state's Maternal Mortality Review Committee works.

The panel is now operating under a mandate.

"Now that we have that mandate," said Contag, "it's much easier to obtain the information that we need to review these cases in a fair manner."

He suggested that will lead to more recommendations that get to the root causes of these deaths.

And earlier this year, a new Minnesota law took effect, expanding postnatal care by requiring public and private health plans to cover a series of care visits for up to 12 weeks after a baby is delivered.

Two of those visits would have to involve comprehensive care.




get more stories like this via email