IMPACT ISSUES. AND CHALLENGES Gopal Sankaran Karin A.E. Volkwein Dale R. Bonsall EDITORS Digitized by the Internet Archive in 2010 http://www.archive.org/details/hivaidsinsportimOOsank SPORT IN NO LONGER PROPERTY OF ,, L 616.9792 HIV HIV/AIDS in sport impact : issues, and challenges / M 33247012460505 MAR 16 2000 mm hfl\/ IISNRI Gopal Sankaran, MD, Dr.PH Karin A. E. Volkwein, PhD Dale D. Donsall, M.Ed WestChesterUniversityofPennsylvania Editors NO LONGER PROPERTY -.., OF Human Kinetics Topeka & Shawnee County Public Library Topeka, Kansas 1 LibraryofCongressCataloging-in-PublicationData HIV/AIDSinsport:impact,issues,andchallenges/GopalSankaran, KarinA.E.Volkwein,DaleR.Bonsall. p. cm. Includesbibliographicalreferencesandindex. ISBN0-88011-749-4 1. AIDS(Disease) 2. Sportmedicine. 3. Athletes—Diseases. 4. Athletes-Healthandhygiene. I. Sankaran,Gopal, 1954- II. Volkwein,KarinA.E., 1959- . III. Bonsall,DaleR., 1938- RA644.A25H575523 1999 362.1-969792'0088796-dc2 98-37052 CIP ISBN:0-88011-749-4 Copyright© 1999byHumanKineticsPublishers,Inc. Allrightsreserved.Exceptforuseinareview,thereproductionorutilizationofthiswork inanyformorbyanyelectronic,mechanical,orothermeans,nowknownorhereafter invented,includingxerography,photocopying,andrecording,andinanyinformation storageandretrievalsystem,isforbiddenwithoutthewrittenpermissionofthepublisher. AcquisitionsEditor:LoarnRobertson;DevelopmentalEditor: KristineEnderle; AssistantEditor:AmyFlaig;Copyeditor:MichelleSandifer;Proofreader:JimBurns; Indexer:SharonDuffy;GraphicDesigner:KeithBlomberg;GraphicArtist:Denise Lowry;CoverDesigner:JackDavis;Printer:Ve9rsa8Press765432 PrintedintheUnitedStatesofAmerica 10 1 HumanKinetics Website:http:/www.humankinetics.com/ UnitedStates:HumanKinetics,P.O.Box5076,Champaign,IL61825-5076 1-800-747-4457 e-mail:[email protected] Canada:HumanKinetics,475DevonshireRoadUnit100,Windsor,ONN8Y2L5 1-800-465-7301 (inCanadaonly) e-mail:[email protected] Europe:HumanKinetics,P.O.BoxIW14,LeedsLS166TR,UnitedKingdom (44) 1132781708 e-mail:[email protected] Australia:HumanKinetics,57APriceAvenue,LowerMitcham,SouthAustralia5062 (088)277 1555 e-mail:[email protected] NewZealand:HumanKinetics,P.O.Box 105-231,Auckland 1 (09)5233462 e-mail:[email protected] Dedicatedtothememoryof DavidSchultz (June6, 1959-January26, 1996) aninternationalwrestler, whoplantedtheseedforthisbook. Itisourhopethat theHumanImmunodeficiencyVirus willbeeradicated inthenearfuture. AIDSMemorialSculpture AIDSMemorialSculptureforGayMen'sHealthCrisis,NewYork,NewYork,Novem- ber1997;SculptedbyJamesA.Caplan,BrynMawr,Pennsylvania. Todestanz Somediealone Somedieembraced Timesuffersendlessthoughts ThisslowDanceofDeath 1 Contents Foreword ix IntroductiontoHIV/AIDSinSport xi GopalSankaran,KarinA.E. Volkwein,andDaleR.Bonsall Chapter 1 TransmissionofHIVinSport 1 KarinA.E. VolkweinandDaleR.Bonsall Chapter2 Epidemiology,Immunology,andClinicalSpectrumofHIVandAIDS 9 GopalSankaran Chapter3 HIV,Exercise,andImmuneFunction 27 BenteKlarlundPedersen Chapter4 HIV,theGameOfficial,andControlandPrevention 35 CorrieJ. OdomandGregStrobel Chapter5 ReconstructingLives:TheVoicesofAthleteswithHIV/AIDS 45 KeithGilbert Chapter6 LivingWithHIV/AIDS:TheVoicesofSportsProfessionals 57 DeborahL.Keyser Chapter7 HIVandSport:ConstructingaFrameworkforEthicalDeliberation 69 RodgerL.Jackson Chapter8 HIV,Ethics,andtheSportPractitioner 83 JenniferM.BetterandSharonKayStoll Chapter9 LegalIssuesPertainingtoHIVinSport 95 MaryA.Hums ConclusionandRecommendations 11 GopalSankaran,KarinA.E. Volkwein,andDaleR.Bonsall Glossary 115 GuidetoResourcesforHIV/AIDS 125 NationalOrganizations 125 StateHotLines 126 InternetWebSites 129 Index 131 AbouttheEditors 135 ListofContributors 137
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