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Other titles in the Critical Issues in Health and Medicine series:
Structural Intimacies: Sexual Stories in the Black AIDS Epidemic (Critical Issues in Health and Medicine)by Sonja Mackenzie
Synopses & Reviews
and#160;There is an inherently powerful and complex paradox underlying HIV/AIDS preventionandmdash;between the focus on collective advocacy mobilized to combat global HIV/AIDS and the staggeringly disproportionate rates of HIV/AIDS in many places. Inand#160;Treating AIDS, Thurka Sangaramoorthy examines the everyday practices of HIV/AIDS prevention in the United States from the perspective of AIDS experts and Haitian immigrants in South Florida. Although there is worldwide emphasis on the universality of HIV/AIDS as a social, political, economic, and biomedical problem, developments in HIV/AIDS prevention are rooted in and focused exclusively on disparities in HIV/AIDS morbidity and mortality framed through the rubric of race, ethnicity, and nationality. Everyone is at equal risk for contracting HIV/AIDS, Sangaramoorthy notes, but the ways in which people experience and manage that riskandmdash;and the disease itselfandmdash;is highly dependent on race, ethnic identity, sexuality, gender, immigration status, and other notions of andldquo;difference.andrdquo;
Sangaramoorthy documents in detail the work of AIDS prevention programs and their effect on the health and well-being of Haitians, a transnational community long plagued by the stigma of being stereotyped in public discourse as disease carriers. By tracing the ways in which public knowledge of AIDS prevention science circulates from sites of surveillance and regulation, to various clinics and hospitals, to the social worlds embraced by this immigrant community, she ultimately demonstrates the ways in which AIDS prevention programs help to reinforce categories of individual and collective difference, and how they continue to sustain the persistent and pernicious idea of race and ethnicity as risk factors for the disease.
Structural Intimacies brings together scholarship on the structural dimensions of the AIDS epidemic and the social construction of sexuality to address the continuing HIV epidemic in the Black population, It asserts that shifting forms of sexual stories, structural intimacies, are emerging and presents a compelling argument: in an era of deepening medicalization of HIV/AIDS, public health must move beyond individual-level interventions to community-level health equity frames and policy changes.
and#160;Inand#160;Treating AIDS, Thurka Sangaramoorthy examines the everyday practices of HIV/AIDS prevention in the United States from the perspective of AIDS experts and Haitian immigrants in south Florida. Using in-depth ethnographic data, she underscores the difference between the global response to this public health crisisandmdash;where everyone is implicated as a potential carrier of riskandmdash;and the uncontested existence of racial and ethnic disparities in HIV/AIDS rates, access to treatment and care, and, especially, the stigma borne by carriers of the disease.
This extensively revised second edition presents twenty-five different case studies and incorporates research from the authorsandrsquo; recent quantitative study, andldquo;Coping with HIV/AIDS in the Southeastandrdquo; (CHASE). CHASE includes 611 HIV-positive patients from eight clinics in North Carolina, South Carolina, Georgia, Alabama, and Louisiana. This is the first cohesive compilation of up-to-date evidence on the unique and difficult aspects of those living with HIV in the Deep South.
Why does society have difficulty discussing sexualities? Where does fear of Black sexualities emerge and how is it manifested? How can varied experiences of Black females and males who are lesbian, gay, bisexual, transgender (LGBT), or straight help inform dialogue and academic inquiry?
From questioning forces that have constrained sexual choices to examining how Blacks have forged healthy sexual identities in an oppressive environment, Black Sexualities acknowledges the diversity of the Black experience and the shared legacy of racism. Contributors seek resolution to Blacks' understanding of their lives as sexual beings through stories of empowerment, healing, self-awareness, victories, and other historic and contemporary life-course panoramas and provide practical information to foster more culturally relative research, tolerance, and acceptance.
One of the most relevant social problems in contemporary American life is the continuing HIV epidemic in the Black population. With vivid ethnographic detail, this book brings together scholarship on the structural dimensions of the AIDS epidemic and the social construction of sexuality to assert that shifting forms of sexual storiesandmdash;structural intimaciesandmdash;are emerging, produced by the meeting of intimate lives and social structural patterns. These stories render such inequalities as racism, poverty, gender power disparities, sexual stigma, and discrimination as central not just to the dramatic, disproportionate spread of HIV in Black communities in the United States, but to the formation of Black sexualities.
Sonja Mackenzie elegantly argues that structural vulnerability is feltandmdash;quite literallyandmdash;in the blood, in the possibilities and constraints on sexual lives, and in the rhetorics of their telling. The circulation of structural intimacies in daily life and in the political domain reflects possibilities for seeking what Mackenzie calls intimate justice at the nexus of cultural, economic, political, and moral spheres. Structural Intimacies presents a compelling case: in an era of deepening medicalization of HIV/AIDS, public health must move beyond individual-level interventions to community-level health equity frames and policy changes
About the Author
KEITH WAILOO is the Martin Luther King Jr. Professor of History at Rutgers University, and the author and editor of several books, among them Dying in the City of the Blues: Sickle Cell Anemia and the Politics of Race and Health.
KAREN M. O'NEILL is a sociologist and associate professor of human ecology at Rutgers University, and the author of Rivers by Design: State Power and the Origins of U.S. Flood Control.
JEFFREY DOWD is a Ph.D. candidate in the sociology department at Rutgers University.
ROLAND V. ANGLIN is the director of the Initiative for Regional and Community Transformation (IRCT) at the Edward J. Bloustein School of Planning and Public Policy, Rutgers University.
Table of Contents
1. Storying Sexuality in the Black AIDS Epidemic
2. A Liquor Store on Every Corner: Intimate States of Alcohol and HIV / AIDS
3. Never a Black Brokeback Mountain: Sexual Silence and the andquot;Down Lowandquot; in the Age of AIDS
4. Crazy Talk: The Conspiracy Counter-Narrative in the Black AIDS Epidemic
5. The President, the Preacher, and Race and Racism in the Obama Era
Appendix: Methodological Matters
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