Health & Wellness Journal 62nd

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orld AIDS Day, observed every year on December 1, brings people together from all walks of life to stand united in the fight against HIV (human immunodeficiency virus) and AIDS (acquired immunodeficiency syndrome). Since 1988, this day has been a powerful reminder to challenge HIV stigma, offer support to those living with the virus, and honor the lives we’ve lost along the way.

HIV is a virus that weakens the immune system, and without treatment, it can progress to AIDS. While there’s no cure yet, early and proper care can make a huge difference. With the right treatment, people living with HIV can lead long, healthy lives and reduce the risk of transmission to their partners.

HIV does not discriminate—it can impact people of any age, gender, race, ethnicity, or sexual orientation. However, in the U.S., certain racial and ethnic groups face a disproportionate impact. Black Americans, for instance, have been significantly affected since the start of the epidemic. According to the CDC, while Black/African American individuals make up about 12% of the U.S. population, they accounted for 37% of new HIV infections in 2022. This group also represents a higher share of people living with HIV and HIV-related deaths compared to other racial and ethnic groups. These statistics highlight the urgent need for continued awareness, support, and resources to combat health disparities in HIV prevention and care within the Black community.

Numerous factors contribute to the epidemic among Black people, including the impact of stigma and discrimination, limited access to affordable healthcare, higher rates of poverty, increased vulnerability to sexually transmitted infections, and reduced awareness of HIV status. Addressing these challenges requires compassion, understanding, and systemic change to ensure equitable support and resources.

Tiffany Quinton is a dedicated educator,

HIV/AIDS and the Black Community: TIFFANY

QUINTON’S

Survivor Story and the Power of Education

speaker, and advocate who has become a powerful force in raising awareness about HIV/AIDS within the community. Her bold commitment to education and advocacy stems from a deeply personal place, having lived with HIV for 30 years. With a radiant smile and a selfless passion for helping others, Tiffany shares her story with courage and authenticity. Through her testimony and community outreach, she inspires and empowers individuals to take charge of their health, striving to reduce the impact of HIV/AIDS and make a lasting difference.

Tiffany actively supports HIV/AIDS initiatives through roles like team captain for the AIDS Walk, lead counselor at Camp Hope for children living with HIV, and as a former leader of the HIV Ministry at Wheeler Avenue Baptist Church, where she remains involved.

Tiffany faces significant challenges living with HIV, from battling public judgment to managing the physical and financial toll of the virus.

“Some people look at us like we don’t deserve to be happy or like we’re less than a child of God,” she shared. Yet, Tiffany refuses to be defined by these judgments. With unwavering faith and courage, she rises above them. Beyond the stigma, she contends with the health risks associated with a compromised immune system—there are days when she smiles in public, but behind closed doors, she’s battling illness, unable to get out of bed. The financial strain of HIV is another hurdle, as her medications cost thousands of dollars each month.

Despite these obstacles, Tiffany’s resilience

through. She has overcome financial struggles and now thrives as a top seller with Mary Kay Inc., gaining local and national recognition for her record-breaking sales.

“Mary Kay has been a blessing,” said Tiffany. “Not only has it allowed me to support myself financially, but it has connected me to a sisterhood of supportive women who uplift me without judgment. They aren’t just colleagues; they’re part of a supportive, loving community that keeps me encouraged.” Tiffany is encouraged by the growing efforts from local churches and schools to educate and raise awareness about HIV/AIDS. She finds it particularly encouraging to see a growing number of young people actively seeking knowledge on the topic. Yet, she knows there’s still much work to be done, recognizing the significant impact the virus has on our community.

“Some avoid the topic because it hasn’t affected them personally, while others ignore it out of discomfort,” she explained. Tiffany praises her church for offering a ministry and support system for those living with HIV/AIDS and hopes more churches and organizations will do the same. “For any school, church, or group uncomfortable addressing this issue, I’m here to help. I’ll lead workshops or discussions wherever needed to spark meaningful, informed conversations,” she said.

The man who infected Tiffany seemed perfect—he had the looks, the lifestyle, the wealth, and the charm. But Tiffany’s dream turned into a harsh reality when she discovered he was living a double life and had unknowingly infected her with

HIV. Reflecting on her experience, Tiffany emphasized,

“HIV is 100% preventable. Never trust anyone with your body. I urge everyone to approach relationships cautiously and assume anyone could have the virus—even married individuals. Many mistakenly believe marriage makes them immune to risk, but that’s not always the case. Today’s reality demands that we all prioritize regular testing and take precautions to protect ourselves.”

Recent data indicates some encouraging trends, including declining new HIV diagnoses among Black people overall, especially among women, and a leveling off of new diagnoses among Black gay and bisexual men. However, given the epidemic’s continued and disproportionate impact on Black people, continued focus on this population is key to addressing HIV in the United States. “For 30 years, I’ve lived with HIV, and I share my story without shame. I believe I’m still here for a purpose—and if opening up about my experience saves even one life, then every challenge I’ve faced will have been worth it,” Tiffany shared. “If you’re living with this virus, be honest with your partner. Someone else’s life is not yours to take.”

Follow Tiffany Quinton’s inspiring journey on Instagram @goteamtiffany. For your Mary Kay beauty needs, visit her at www. marykay.com/tquinton.

Source(s): cdc.gov, hiv.gov, kff.org, and worldaidsday.org

Dawn Paul, also known as The Dr. Dawn®, is an award-winning media personality, public speaker, certified life coach, author, and entrepreneur. She has extensive experience in writing, reporting, and editing for the Black press. Follow her on social media at @TheDrDawn.

shines
By Dawn Paul aka The Dr. Dawn® Contributing Writer
Educator, speaker, and advocate Tiffany Quinton is a champion for raising HIV/AIDS awareness in the community. Credit: DeMarcus Jones
Tiffany Quinton receives recognition from Mary Kay, Inc. earlier this year for outstanding sales achievements.
Tiffany Quinton speaks at the Association of Nurses in AIDS Care (ANAC) event in October 2024.
Credit: Association of Nurses in AIDS Care (ANAC)

Fall is upon us it’s time to Vaccinate!

Don't fall for respiratory illnesses like the Flu, RSV and COVID-19. As the weather cools down, these illnesses heat up.

A trusted healthcare provider can recommend a vaccination schedule for immunizations for people of all ages, from birth through adulthood, so don't wait.

Understanding Seasonal Affective Disorder (SAD): A Psychologist’s Perspective

easonal affective disorder (SAD) is a type of depression that follows a seasonal pattern, typically emerging in the fall or winter months and subsiding during the spring and summer. While many people experience a natural dip in energy and mood during the darker months, SAD goes beyond the “winter blues,” significantly impacting an individual’s ability to function in daily life.

What is Seasonal Affective Disorder?

SAD is classified as a subtype of major depressive disorder (MDD) or bipolar disorder, with its primary distinction being its seasonal pattern. It affects about 5% of the U.S. population, with women being four times more likely than men to experience it. The condition typically begins in early adulthood and can vary in severity from mild to debilitating.

The hallmark symptoms of SAD include:

• Persistent low mood.

• Loss of interest or pleasure in activities once enjoyed.

• Fatigue and low energy.

• Difficulty concentrating.

• Changes in appetite, often with cravings for carbohydrates.

• Hypersomnia or excessive sleeping.

• Feelings of hopelessness or worthlessness.

• In severe cases, thoughts of self-harm or suicide.

What Causes Seasonal Affective Disorder?

The exact cause of SAD is not fully understood, but it is believed to result from a combination of biological, environmental, and psychological factors:

1. Disruption of Circadian Rhythms: The reduced daylight during fall and winter can disrupt the body’s internal clock, leading to feelings of depression and fatigue.

2. Serotonin Dysregulation: Serotonin, a neurotransmitter that helps regulate mood, may be produced at lower levels during the darker months, contributing to depressive symptoms.

3. Melatonin Overproduction: Melatonin, a hormone that regulates sleep, is secreted in higher amounts during darker periods. Increased melatonin production can lead to lethargy and disruptions in sleep-wake cycles.

4. Genetic and Biological Vulnerabilities: Individuals with a family history of depression or other mood disorders may be more susceptible to SAD.

5. Psychological Factors: People with existing mental health conditions, low social support, or negative coping mechanisms may be more vulnerable to the effects of seasonal changes.

Diagnosing Seasonal Affective Disorder

Diagnosing SAD requires a careful assessment by a psychologist or other mental health professional. Key criteria include:

• A pattern of depressive episodes that occur during specific seasons for at least two consecutive years.

• Symptoms that interfere with daily functioning, such as work performance or relationships.

• Exclusion of other potential causes, such as thyroid disorders or situational stressors.

Psychological Impact of SAD

The psychological toll of SAD goes beyond the depressive symptoms themselves. Many individuals with SAD experience feelings of isolation, as their condition can make socializing or maintaining relationships challenging. The cyclical nature of the disorder can also lead to anticipatory anxiety, where individuals dread the arrival of fall or winter, knowing the struggles they will face. Over time, this can erode self-esteem and resilience, making it harder for individuals to cope.

Treatment Options for SAD

Fortunately, SAD is highly treatable. Treatment approaches include:

1. Light Therapy: Light therapy, or phototherapy, is one of the most effective treatments for SAD. This involves sitting in front of a light box that emits bright light mimicking natural sunlight, usually for 20-30 minutes daily. The exposure helps regulate circadian rhythms, increase serotonin production, and reduce melatonin levels, alleviating symptoms for many people.

2. Cognitive-Behavioral Therapy (CBT): CBT has been shown to be particularly effective for SAD, with a focus on addressing negative thought patterns and behaviors that exacerbate depressive symptoms. A specialized form of CBT for SAD (CBT-SAD) combines traditional techniques with strategies to help clients increase their engagement in pleasurable activities during the winter months.

3. Medication: In some cases, antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to help regulate serotonin levels. Medication is often used in conjunction with therapy for the best outcomes.

4. Lifestyle Modifications: Psychologists often work with clients to implement lifestyle changes that support mental health, such as:

• Regular exercise, which boosts mood and energy.

• Maintaining a consistent sleep schedule.

• Eating a balanced diet to manage cravings and energy levels.

• Spending time outdoors during daylight hours, even on cloudy days.

5. Vitamin D Supplementation: Low levels of vitamin D, often linked to reduced sunlight exposure, have been associated with depressive symptoms. Supplementing vitamin D under a healthcare provider’s guidance can be beneficial.

How Psychologists Can Help Clients with SAD

Addressing SAD involves more than symptom management—it requires a holistic approach to understanding the client’s experience and developing per-

sonalized strategies for coping. Key interventions include:

• Psychoeducation: Helping clients understand SAD, its causes, and treatment options empowers them to take proactive steps.

• Relapse Prevention Planning: Because SAD follows a seasonal pattern, preparing clients for the recurrence of symptoms is crucial. This may include setting up light therapy in advance, scheduling self-care routines, or engaging in early therapeutic interventions.

• Emotional Support: Validating the client’s experience and offering empathy can help reduce feelings of isolation and shame.

• Behavioral Activation: Encouraging clients to engage in mood-boosting activities, even when they lack motivation, can break the cycle of depression.

Supporting Loved Ones with SAD

For family members and friends, understanding SAD and offering support can make a significant difference. Encourage open communication, patience, and involvement in activities that promote well-being, such as walks or shared hobbies. Seasonal affective disorder is a complex condition that goes beyond seasonal mood swings, significantly impacting individuals’ lives. Through a combination of light therapy, cognitive-behavioral techniques, medication, and lifestyle changes, many people can manage their symptoms and reclaim their quality of life. Psychologists’ role is to provide compassionate, evidence-based care while empowering clients to take charge of their mental health. By addressing the biological and psychological aspects of SAD, individuals can navigate the darker seasons with resilience and hope.

What OLDER ADULTS SHOULD KNOW This RSV Season

ach year, up to 160,000 older adults living in the United States are hospitalized and as many as 10,000 die due to respiratory syncytial virus (RSV). RSV is a highly contagious virus that spreads through close contact with infected individuals, typically increasing during the fall and peaking in winter.

While most people with RSV develop mild symptoms, like that of a common cold, RSV can cause severe illness in older adults, especially those with certain medical conditions, like chronic lung disease, chronic heart disease or a weakened immune system. That’s why the American Lung Association, with support from GlaxoSmithKline, is encouraging adults at increased risk for severe illness to protect themselves against RSV. Here’s what they want you to know:

Severe Illness is Preventable: In 2023, RSV vaccines became available to help protect older adults from severe RSV illness, however, according to the most recent data, only 24% of older adults received it. The Centers for Disease Control and Prevention recommends RSV vaccination for adults aged 75 and older, and adults ages 60 to 74 at increased risk for severe RSV disease. You can get vaccinated any time, but the best time to receive an RSV vaccination is late summer and early fall before RSV starts to spread in the community. If you have already received an RSV vaccine, you do not need another one. Talk with your healthcare provider about whether RSV vaccination is recommended for you.

Vaccination is critical to saving lives and reducing hospitalizations during the respiratory virus season, but unfortunately, not enough older adults are getting vaccinated and disparities persist that put some populations at increased risk of severe illness, health experts say.

National Immunization Survey data shows that RSV vaccination rates vary, with 27% of white/non-Hispanic adults having received a vaccine, compared to 21% of Black/ non-Hispanic adults, and 15% of Hispanic/Latino adults. At the same time, Black and Hispanic/Latino populations have higher rates of underlying conditions that increase the risk of severe RSV illness.

Healthy Habits Can Also Help Stop the Spread:

In addition to vaccination, you can help stop the spread of RSV with these everyday actions:

• Washing your hands with soap and water for 20 seconds

• Covering your coughs and sneezes with a tissue

• Avoiding close contact with people who are sick

• Staying at home when you are sick and avoiding close contact with others

• Cleaning frequently touched surfaces

• Taking steps for cleaner indoor air

For more information about RSV in adults and to learn steps to prevent severe illness, visit Lung.org/rsv.

Source: StatePoint

Walking Pneumonia Cases Surge Nationwide, Impacting Children and African Americans Disproportionately

The Centers for Disease Control and Prevention (CDC) reports a surge in mycoplasma pneumoniae infections—commonly called “walking pneumonia”—across the United States. The illness, a milder form of pneumonia, is affecting children in unprecedented numbers, with cases rising since June, according to Nationwide Children’s Hospital.

Dr. Jason Newland, Chief of Infectious Diseases at Nationwide Children’s Hospital, said the increase is unusual, particularly in children as young as 2 years old. “We’ve not experienced this in a long time, this much mycoplasma or walking pneumonia,” Newland explained to WOSU radio station in Ohio. Although anyone can contract walking pneumonia, individuals over 5 typically experience it.

The bacteria mycoplasma pneumoniae causes walking pneumonia, which infects the lungs. While some individuals recover without antibiotics, symptoms can range from mild to severe. “Thankfully, it’s termed walking pneumonia because most of the time, you know, people feel bad, but they can walk around and do okay. Now, for some, it can be really severe,” Newland said. “Some of our families would tell you, ‘man, it is not as mild as some would make you think.’”

A Nationwide Concern with Disproportionate Impact

Pneumonia disproportionately affects African Americans, with higher infection

rates, more severe complications, and increased mortality compared to other racial groups, according to research. Socioeconomic factors, limited access to preventive care like vaccinations, and higher rates of underlying conditions such as asthma and diabetes contribute to these disparities.

“This is not a new bacteria. It’s a bacteria that commonly causes pneumonia, but we are seeing an increase in detection over the last few weeks. … This particular bacteria is what typically causes what we refer to as ‘walking pneumonia,’” said Dr. Craig Shapiro, an infectious diseases specialist, told reporters. Shapiro noted that the illness is generally mild in healthy children but can lead to severe complications in those with preexisting health conditions.

Recognizing Symptoms and Seeking Care

Symptoms of walking pneumonia include a lingering cough, fatigue, chills, and shortness of breath. Infected individuals may experience symptoms for weeks or months, with the infection often impairing the lungs’ ability to clear mucus and bacteria. Parents should monitor for signs of labored breathing, persistent coughing, or difficulty with physical activities. Shapiro advised keeping symptomatic children home from school to limit the spread of infection. “It’s important to remember to wash your hands. That’s going to be the best way to prevent any infection,” Shapiro said. “Really, you should keep them home so that they’re not around other people.”

Dr. Michael Chang of UTHealth Houston emphasized the importance of timely treatment, particularly in children with weakened immune systems or underlying conditions. For suspected mycoplasma infections, doctors often prescribe antibiotics like azithromycin or doxycycline, which are most effective when started within the first few days of symptoms.

A Post-Pandemic Shift in Patterns

Newland attributed part of the summer’s spike to increased social interactions as pandemic restrictions have eased. “As we’ve continued to do more and more and more stuff together over the last few years, we just found more susceptible groups,” he said. Although the number of walking pneumonia may be declining, respiratory viruses like RSV are rising as the cold and flu season approaches.

To reduce the spread of respiratory illnesses, Newland recommends a return to common-sense precautions learned during the pandemic, such as frequent hand washing, staying home when sick, and mask-wearing in crowded settings. “There are common-sense things that we have learned through our experiences in the last four years that have definitely worked in preventing us from getting sick with one of these respiratory viruses,” Newland said. “Recognizing the symptoms early and ensuring equitable access to healthcare are key to improving outcomes for those most affected by this illness,” Shapiro added.

Source: NNPA Newswire

Study Uncovers Disparities in Post-Surgical Pain Management for Black Patients

lack patients recovering from major surgery are less likely to receive multimodal analgesia, a pain management approach proven to reduce opioid dependence, according to new research presented at the ANESTHESIOLOGY 2024 annual meeting in Philadelphia. The study reveals that Black patients are 29% less likely than their white counterparts to receive multimodal analgesia, which utilizes various medications to improve pain control while reducing opioid use. Experts noted that this approach has been particularly effective after complex surgeries, such as lung or abdominal cancer procedures and hernia repairs.

In addition to this disparity, the research found that Black patients were 74% more likely to be prescribed oral opioids in combination with intravenous (IV) opioids compared to white patients, despite the known risks of opioid addiction. “We know that multimodal analgesia provides more effective pain management with less need for opioids, which are highly addictive. It should be standard practice, especially in high-risk surgical patients,” said Dr. Niloufar Masoudi, lead author of the study and anesthesiologist at Johns Hopkins University.

The study examined the pain management of 2,460 white patients and 482 Black patients during the first 24 hours following high-risk surgeries between 2016 and 2021. Researchers ruled out variables such as insurance, health conditions, and age, identifying significant racial disparities in pain treatment. While most patients received IV opioids, Black patients were significantly more likely to receive additional oral opioids.

Dr. Masoudi emphasized that the causes of these disparities could include patient preferences, differences in reported pain, or practitioner bias. She called for more research to uncover the exact reasons and for further studies across other ethnic groups to determine if they face similar issues.

“Pain specialists need to understand the benefits of multimodal analgesia, recognize the existence of disparities in its use, and develop standardized protocols to ensure all patients receive this preferred form of pain management when medically appropriate,” Dr. Masoudi said.

During the five-day conference, experts also discussed the critical issue of medication errors in perioperative settings. Dr. Elizabeth Rebello of the Anderson Cancer Center highlighted distractions, inadequate training, and fatigue as significant contributors to these errors. She noted that communication and teamwork, combined with smart pumps and barcoding technology, can help reduce errors.

“Implementing non-punitive reporting systems and fostering a culture of safety are key to preventing medication errors,” Dr. Rebello stated.

As the medical community continues to address these disparities and challenges, Dr. Masoudi stressed, “We must do more to ensure equitable treatment for all patients. Every patient deserves the highest standard of care, regardless of race.”

Source: NNPA Newswire

M2024 Report Card, revealing Texas’ preterm birth rate remains high at 11.1% while health disparities persist among racial and ethnic groups.

This year’s report details the “persistent challenges” in maternal and infant health across the state, with the state receiving a D in maternal and infant health, a news release stated.

impacting more than 3% of live births.

The Report Card also highlights trends in prenatal care that bring concern. In Texas, rates of inadequate prenatal care persist. Individuals without prenatal care face preterm birth rates nearly 9% higher than those receiving adequate care.

“In order to save lives and support healthy pregnancies and births, it’s critical that we work to improve outcomes and eliminate health disparities across

our country,” said Dr. Amanda P. Williams, Interim Chief Medical Officer at March of Dimes. “Our work must focus on equitable, science-backed solutions that address these challenges from all sides—through public health, policy advocacy, and community-based programs that support moms and babies.”

“Every baby deserves the chance for a healthy start, yet the data continue to show unacceptable health outcomes for far too many families,” said Cindy Rahman, March of Dimes Interim President and CEO. “March of Dimes is committed to advocating for policies that make healthcare more accessible like Medicaid expansion, addressing the root causes of disparities, and increasing public awareness of effective solutions like our Low Dose, Big Benefits campaign, which supports families and communities to take proactive steps toward healthy pregnancies.”

Here are some overall key findings from the 2024 Report Card for Texas:

• Preterm birth: The preterm birth rate in Texas was 11.1% in 2023, lower than the rate in 2022.

• Inadequate prenatal care: 22% of birthing people did not receive adequate prenatal care.

• Maternal mortality: The maternal mortality rate in Texas is 28.2 per 100,000 births.

• Infant mortality: The infant mortality rate decreased in the last decade; In 2022, 2,228 babies died before their first birthday.

• Environmental exposure: Exposure to extreme heat or air pollution can increase the risk of poor maternal and infant health outcomes, including preterm birth.

The latest data shows that more than 6 million women live in counties with no or limited access to maternity care services, a situation exacerbated by recent hospital closures and reductions in obstetric services.

Source: March of Dimes

PRIMARY CARE QUALITY CARE FOR EVERY STAGE OF LIFE

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