HIV/AIDS
Glossary of Terms
A
- B C
- F G - L M - R S
- Z
Abstinence
– Sexual abstinence means different things to different
people. In general it refers to a personal choice to refrain
from sexual activity, including vaginal and anal intercourse,
and oral sex.
AIDS
(Acquired Immune Deficiency Syndrome) – A state of illness
in which the individual is HIV positive
and has a CD4 (Helper T-cell) count below
200 or the presence of one or more opportunistic
infections.
Anal
Sex - A form of sexual intercourse (occurring in both
male-to-male and male-to-female relationships) in which the
penis is inserted into the anus of the sexual partner.
Anonymous
Testing - The assignment of a code (i.e., a number,
letters, combination of numbers and letters or false name) to
ensure that not even the individual administering the test can
associate the results with a name; ensures testing confidentiality.
The person’s name can not be associated with test taken.
Antibody
(Immunoglobulin) - Disease fighting protein circulating
throughout the body to fight disease causing microorganisms
(i.e., viruses, bacteria, parasite, fungi); created by specific
white blood cells of the immune
system in response to a foreign organism entering the body.
Antibodies destroy, render ineffective or identify disease causing
organisms for destruction by other immune cells. For more information
click here.
Antibody
Negative Test Result (Seronegative) – No HIV
antibodies have been detected in the
blood; test findings can mean one of two things: person is HIV
positive but has taken the test during the window
period so antibodies are not yet detectable; or the person
is not HIV infected.
Antibody
Positive Test Result (Seropositive) – HIV antibodies
have been detected in the blood; person is HIV infected.
Asymptomatic
– Having no signs or symptoms of disease or illness. An
HIV infected individual can be asymptomatic anywhere from a
few months to ten or more years.
Autologous
Blood Donation – A person donates his or her
blood for their personal use at a later time (usually for an
elective surgery procedure).
AZT
(ADV or Ziovudine) – A drug used to prevent HIV
from replicating itself in the body; has proven to be quite
successful in reducing perinatal transmission.
B-cell
– A lymphocyte that circulates
in the body identifying foreign organisms (i.e., viruses, parasites,
bacteria, fungi) to be destroyed; transforms into plasma cells
and produces specific antibodies once a foreign microorganism
is identified. For more information please click here.
Bisexual
– A person who is attracted to or engages in sexual activity
with people regardless of their gender.
Bladder
- Hollow organ that stores urine prior
to its excretion from the body.
Bloodborne
Disease – Infectious organisms such as HIV,
whose primary means of transmission
is through blood and/or other body fluids.
Blood-to-Blood
Contact – The blood of two or more people mixing
together as a result of contact, i.e., perinatally,
needle/syringe sharing, organ transplants, and blood transfusions
(last two listed are rare).
Body
Fluids – Fluids of the human body. Body fluids
identified with HIV transmission are blood, semen, vaginal secretions,
breast milk, and other body fluids containing blood (fluid surrounding
the brain and spinal cord, bone joints and that found in the
uterus surrounding the unborn baby).
Body
Modification – Refers to any procedure not medically
necessary that changes or alters the form of the body. Types
of body modifications include, tattooing, piercing, branding
and ritual scarification. Modern cosmetic surgery falls under
this definition as well. For a body modification glossary, click
here.
Casual
Contact – Contact resulting from common interaction
(i.e., touching, kissing, hugging, touching objects touched
by an infected individual, toilet seats).
Cervix
– Part of the female reproductive system; the rounded
lower portion, or neck, of the uterus,
which protrudes into the vagina.
CD4+
- A protein structure on the surface of cells of the immune
system; HIV enters the cell by attaching itself to the CD4+
receptors. Once inside the cell, HIV begins to replicate itself,
and over time renders the immune system defenseless.
CD4+T
(Helper T Cells, T-helper Cells; T4) – A type
of lymphocyte; regulates the immune
system, signaling immune cells to get to work in defending
the body against foreign organisms (i.e., viruses, bacteria,
parasites and fungi). These cells tells one type of immune cells
(B Cells) to begin making antibodies;
it influences what type of antibodies other immune cells will
produce; some T cells (CD8+T Cells) can become killer cells
and destroy infected cells.
CD4+
Count (T Cell Count) – The number of helper T
cells in a cubic milliliter of blood. As the CD4 cell count
decreases, the risk of developing opportunistic
infections increases. According to the CDC,
an HIV infected individual is diagnosed as having AIDS when
their CD4+ count is lower than 200 or they have one or more
opportunistic infections. The normal range for CD4 cell counts
is 500 – 1500 per cubic millimeter of blood.
CD8
Cells (Killer Cells, T8) – White blood cells
with CD8 protein on their surface. Helps destroy foreign agents
(i.e., viruses and bacteria) entering the body.
CDC
(Center for Disease Control and Prevention) –
An agency of the U.S. Department of Health and Human Services,
located in Atlanta Georgia. It is recognized as the lead federal
agency for protecting the nation’s health and safety through
the development and application of disease prevention and control,
environmental health, and health promotion and education activities.
For more information, click here.
Chronic
– A prolonged, lingering or recurring state of disease.
Cofactor
– Conditions, activities, or substances that can influence
an individual’s progression or susceptibility to a given
disease or illness. Examples of cofactors related to HIV infection
include alcohol and other drug abuse, stress, poor nutrition,
and other infections such as sexually transmitted
infections.
Communicable
Disease - Any disease that can be transmitted from
person-to-person, animal-to-person, or animal-to-animal.
Condom
- [Common street names: rubbers, jimmy, hat, protection, shield,
raincoat] A thin sheath of latex (rubber), polyurethane (plastic),
or animal tissue used as a barrier against the exchange of body
fluids during sexual activity. When used correctly condoms
(not made of animal tissue) can provide protection against pregnancy,
HIV and some sexually transmitted infections.
The male condom fits over the erect penis.
The female condom (made of polyurethane) fits inside the vagina;
can also be inserted into the anus. For more information, please
click here.
Confidential
Testing - The person’s name and other identifying
information, such as an address, are recorded with the test;
while test results are only given to the person receiving the
test, they may be accessible to some individuals (i.e., medical
and other health care staff including social workers) having
access to the medical record. The person can be identified with
the test taken.
Cooker
– Injecting drug paraphernalia; a cap, spoon or other
item used to “cook” or prepare drug for use in a
syringe or needle.
Dementia
– A chronic, progressive and generally irreversible loss
in mental capabilities. Symptoms can include memory loss and
confusion affecting the ability to function in a social or occupational
setting.
Diagnosis
– confirmation of a specific disease or infection; usually
determine through the evaluation of clinical symptoms and laboratory
test results.
Disinfectant
– A chemical which inactivates or destroys disease causing
agents on a surface or item to the point where they are no longer
capable of transmitting infection; and the surface or item is
rendered safe for handling, use, or disposal.
Donor
– An individual who voluntarily gives blood, organs, body
tissue, eggs or semen for the use of another.
Down Low – A term for African
American men who self-identify as heterosexual
but secretly engage in same sex activity (MSM).
While the term is culturally specific to African American men,
the behavior is not.
Dry
Kiss – A kiss that does not involve open mouth
contact.
Ejaculation
– The discharge of semen during orgasm.
ELISA
(EIA) – Enzyme-Linked Immunosorbent Assay also
known as Enzyme Immunoassay; a test used to detect the presence
of HIV antibodies in an individual’s blood or oral fluids.
Enzyme
Immunoassay – See ELISA.
Epidemic
- Fast-spreading disease or illness: an outbreak of a disease
or illness that spreads more quickly and more extensively among
a population than would normally be expected.
Gay
– A male homosexual.
Helper-T
Cells – See CD4+T.
Hemoglobin – An iron-protein
compound in red blood cells that gives blood its red color;
carries oxygen from the lungs to cells throughout the body and
carries carbon dioxide from the cells back to the lungs.
Heterosexual
(Straight) – A person who is sexually and non-sexually
attracted to members of the opposite sex.
High
Risk Behavior – For HIV, it is any behavior that
places an individual at risk of unprotected exposure to another
person’s body fluids (i.e., sharing drug paraphernalia,
particularly needles and syringes; contact with someone’s
blood; engaging in unprotected sexual activity without knowing
the sexual partner’s HIV status).
HIV
(Human Immunodeficiency Disease) – The virus
that over time leads to AIDS in the vast
majority of HIV infected individuals.
HIV
Antibody Test – Any of a variety of tests used
to identify the presence of HIV antibodies in blood, other body
fluids and organs.
HIV
Infection - Positive result on a HIV antibody test,
followed by a positive result on a second confirmatory (more
sensitive and specific) test for HIV antibody (e.g., Western
Blot Test).
HIV
Positive – Person, body fluids, or organs infected
with HIV.
Homosexual
(Gay, Lesbian) – A person who is sexually and
non-sexually attracted to members of the same gender.
IDU
– Injecting drug use/user; a person who injects/shoots
drugs into their body.
Immune
System - Group of cells, and organs (i.e., tonsils,
adenoids, lymph nodes, thymus, spleen, appendix, and bone marrow)
that act together to defend the body against foreign organisms
(i.e., bacteria, viruses, parasites and fungi) that may cause
disease The health of the body is dependent on the immune system
’s ability to recognize and then repel or destroy these
organisms. For a graphic representation, click here.
For more detailed information, please click here.
Incidence
– The frequency in which a disease or illness occurs within
a given population over a period of time.
Incubation
Period – The interval between the time somebody
is infected with a disease and the appearance of its first symptoms.
Infection
- The invasion of the body by disease causing organisms (i.e.,
bacteria, viruses, parasites and fungi) and their multiplication
which can lead to tissue damage and disease.
Intravenous
Drug Use – The shooting of drugs directly into
the vein; see IDU.
Interstitial
Fluid – see lymph
Kaposi’s
Sarcoma (KS) – A form of cancer which can be
found in the tissues under the skin or mucous
membranes lining the mouth, nose, and anus; can spread to
other organs of the body; appears as raised red purple patches
or nodules; an AIDS related opportunistic
infection. For more information click here.
Lesbian
– A female homosexual.
Lubricant
– A substance used to reduce friction during sex (i.e.,
K-Y Jelly); when used with condoms must be water based as oil
based lubricants breaks down the latex.
Lymph
(Interstitial Fluid) – The clear fluid between
the cells of the body; carries microscopic particles such as
white blood cells, and other substances necessary for the cell’s
health; it is transported to the blood stream through the lymphatic
vessels.
Lymph
Nodes (Lymph Glands) – Small bean shaped organs
of the immune system located in clusters
along the paths of the larger lymphatic vessels (i.e., neck,
armpit, and groin); produces and stores lymphocytes, filters
lymph and removes foreign material (i.e. bacterial). The lymph
nodes enlarge when producing and storing additional white blood
cells to help fight infection. For more information click here.
Lymphatic
System – Is closely interlinked to the cardiovascular
system; consist of the organs of the immune
system connected together by a network of lymphatic vessels;
its three primary functions are: to collect and return interstitial
fluid to the body and maintain fluid balance; defend the
body against disease; and to transport fat from the intestines
to the blood stream. More information can be found here.
Lymphocyte
– White blood cells of the immune system; the two types
of lymphocytes are T cell (CD8 and CD4)
and B cell; kills and destroys foreign
pathogens entering the body (bacteria, viruses, parasites and
fungi).
Masturbation
- The touching, stroking, or massaging of the genitals for sexual
pleasure, usually to orgasm.
Monogamy
– Having an exclusive sexual relationship with only one
partner for a period of time.
Mucous
Membrane – The moist layer of tissue lining all
body passages, cavities and openings (except the ears) to the
outside.
Mutual
Monogamy - Both partners being sexually faithful to
one another for a period of time; sexual activity occurs only
between the two partners.
MSM
- Men who have sex with men. They may self-identify as heterosexual,
gay, or bisexual. MSM can be involved in heterosexual relationships.
Negative
Test Result – HIV antibody test finding shows
no detectable signs of antibodies to HIV. Does not necessarily
mean that HIV is not present, testing may have occurred during
window period.
Nonoxynol-9
(N-9) – A chemical used in some contraceptive
devices (foams, creams, suppositories, films, jellies, and pre-lubricated
condoms) to prevent pregnancy; once recommended for increased
protection against HIV and sexually
transmitted infections. Based upon recent study findings
that N-9 may increase one’s risk of HIV infection, CDC
states, “given that N-9 has been proven ineffective against
HIV transmission, the possibility of risk, with no benefit,
indicates that N-9 should not be recommended as an effective
means of HIV prevention.”
Opportunistic
Infection – An infection resulting from a compromised
immune system. When the immune system
becomes unable to defend the body adequately, it provides the
opportunity for foreign organisms to take advantage of the situation,
resulting in illness, infection and disease. These infections,
diseases, and some types of cancers would not normally occur
were it not for the body’s lowered resistance to disease.
OraQuick
– [OraQuick Rapid HIV-1 Antibody Test] An HIV antibody
test; a fingerstick sample of blood is collected from an individual
and transferred to a vial where it is mixed with a developing
solution; test results provided in as little as 20 minutes;
positive test results must be reconfirmed with an additional
test.
Orasure
– An HIV antibody test; an oral specimen collection device
used to collect oral fluid from the mouth. The oral fluid is
tested for the presence of HIV antibodies. A trained collector
will ask you to place the Orasure HIV-1 Oral Specimen Collection
Pad between your lower cheek and gum and gently rub the pad
back and forth until it is wet, then leave it in place for two
minutes. The collector will then ask you to put the pad in a
vial and snap off the stick.
Oral
Sex – Contact of the mouth or tongue with another
person’s penis (fellatio), vagina (cunnilingus) or anus
(analingus) during sexual activity.
Partner
Notification – a confidential process of notifying
sexual and/or needle sharing partners of someone infected with
a sexually transmitted disease or HIV in order to inform them
of their potential exposure and urge them to undergo testing,
counseling and, when necessary, treatment.
Penis – The external male
sex organ; used to ejaculate semen, and
to expel urine. For more information, click
here.
Plasma Cell - A type of white
blood cell that produces and secretes antibodies.
It is produced by the B cell.
Perinatal
Transmission (Vertical Transmission) of HIV –
The transmission of HIV from mother to baby
before or during birth.
Piercing
- The practice of making a hole through parts of the body or
skin to allow for the insertion of bone, shell, ivory, glass,
metal or other material to wear as an ornament. For more information,
click here.
Positive
Test Result - HIV antibody test finding shows the presence
of antibodies to HIV. HIV infection has occurred.
Prevalence
– The total number of cases of a disease in a specific
population at a given point in time.
Risk
Elimination – Discontinuing an activity or behavior
that places one at risk of acquiring HIV.
Risk
Reduction – Adopting behaviors or activities
that lowers the likelihood of being exposed to/or infected with
HIV.
Risky
Behavior – Any behavior or activity that places
one at risk of exposure to another person’s body
fluids; and the potential of becoming infected with a communicable
disease.
Safer
Sex – any sexual activity that involves no exchange
of body fluids.
Scarification
– Form of body modification; application
of scars through cutting, branding, and skin removal.
Semen
- Whitish fluid ejaculated from the penis during orgasm; contains
sperm, white blood cells and other fluid
secretions.
Seroconversion
– The development of antibodies;
the change from an absence of HIV antibodies (seronegative)
to the presence of HIV antibodies (seropositive) in the blood.
Seronegative
– See Antibody Negative Test Result.
Seropositive
– See Antibody Positive Test Result.
Sex
(Sexual Intercourse) – Genital contact between
individuals; penetration of the anus, vagina
or mouth by the penis; oral stimulation
of the penis, vagina or anus.
Sexual
Orientation - An enduring emotional, romantic, sexual
and/or affectional attraction to another person; exists along
a continuum that ranges from exclusive homosexual
to exclusive heterosexual and includes
various forms of bisexuality; Persons
may or may not express their sexual orientation in their behaviors.
Sexuality
Transmitted Diseases (STD) – See sexually transmitted
infection (STI).
Sexually
Transmitted Infections (STI; or Sexually Transmitted Diseases,
STD) - A disease transmitted from one person to another
as a direct result of sexual contact. For more information,
please click here.
Shooting
Gallery – Places where illegal drugs and needles
are shared.
T
Cells – See CD4+T. For more
information, please click here.
Tattoo-
Permanent placement of ink under the skin in the form of a picture,
design or other marking; temporary tattoos are created by placing
nonpermanent ink on top of skin. For more information, please
click here.
Transfusion
– The giving of blood; the medical transfer of whole blood,
blood components, or bone marrow from a healthy donor into the
bloodstream of another.
Transgender
- 1. A political or social label that refers to people whose
gender identity and/or presentation differs from traditional
notions of gender identity and presentation. This can encompass
people who seek legal/physical changes (transsexuals) as well
as those who only occasionally present/identify their gender
differently (crossdressers, drag kings, drag queens). 2. An
individual identity used by some people as an alternative to
transsexual (sometimes includes those who do not wish to undergo
any surgical procedure to change their gender).
Transsexual
– An individual whose gender identity (their sense of
themselves as a man or woman) is in conflict with their anatomical
and legal sex. Many desire to live fully in their self-identified
gender, and many undergo hormone therapy and/or sex reassignment
surgery.
Transmission
– The passage or transfer of a disease from one person
to another.
Urethra
– The tube that carries urine from the bladder
to the outside of the body.
Urine
– Clear yellowish liquid waste excreted by the kidneys;
exits the body through the uretha.
Uterus
- Womb: a hollow muscular organ in the pelvic cavity of female
mammals, in which the fetus is nourished and develops before
birth. For more information, click here.
Vagina
- Part of the female reproductive tract; female genitals; a
lubricated muscular tube connecting the cervix
of the uterus to the vulva.
It receives the penis during copulation
and expands to expel the fetus during birth. For more information,
click here.
Vulva – The external female
genitals, including two pairs of fleshy folds surrounding the
opening of the vagina.
Western
Blot Test – An HIV antibody test used to confirm
or supplement positive ELISA/EIA results.
White
Blood Cell – Lymphocyte;
a blood cell that does not contain hemoglobin; helps the body
fight infection and diseases, as part of the immune
system. When mature, white blood cells actively seek out
possible pathogens or any other unknown substance and, using
a very complex chemical signaling system, can attack directly
or provide for the removal of this substance.
Window
Period – The period between the time someone
becomes HIV infected to the moment HIV antibodies
can be detected in their body.
Works
– The drug paraphernalia used to prepare and inject illegal
drugs; i.e., needles, syringes, cotton, and cooker.
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