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Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology

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  • Singer, Merrill

Abstract

The social identity of HIV/AIDS in the U.S. has been shaped, for the most part, by two factors, the prevailing configuration of social relations across class, racial, gender, and sexual orientation, on the one hand, and the prevailing array of public health, especially epidemiological, categories of disease transmission, on the other. Focusing on the AIDS epidemic among inner city people of color, this paper challenges the distortions wrought in our understanding from both of these factors and instead develops an alternative perspective for AIDS research among medical anthropologists and health social scientists generally.

Suggested Citation

  • Singer, Merrill, 1994. "Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology," Social Science & Medicine, Elsevier, vol. 39(7), pages 931-948, October.
    • Handle: RePEc:eee:socmed:v:39:y:1994:i:7:p:931-948
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    3. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
    4. Randolph C. H. Chan & Don Operario & Winnie W. S. Mak, 2020. "Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV," IJERPH, MDPI, vol. 17(6), pages 1-15, March.
    5. Tsai, Alexander C. & Tomlinson, Mark & Comulada, W. Scott & Rotheram-Borus, Mary Jane, 2016. "Food insufficiency, depression, and the modifying role of social support: Evidence from a population-based, prospective cohort of pregnant women in peri-urban South Africa," Social Science & Medicine, Elsevier, vol. 151(C), pages 69-77.
    6. Rock, Melanie & Buntain, Bonnie J. & Hatfield, Jennifer M. & Hallgrímsson, Benedikt, 2009. "Animal-human connections, "one health," and the syndemic approach to prevention," Social Science & Medicine, Elsevier, vol. 68(6), pages 991-995, March.
    7. Emmanuel Peprah & Mari Armstrong-Hough & Stephanie H. Cook & Barbara Mukasa & Jacquelyn Y. Taylor & Huichun Xu & Linda Chang & Joyce Gyamfi & Nessa Ryan & Temitope Ojo & Anya Snyder & Juliet Iwelunmor, 2021. "An Emerging Syndemic of Smoking and Cardiopulmonary Diseases in People Living with HIV in Africa," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    8. Sobo, Elisa J. & Cervantes, Griselda & Ceballos, Diego A. & McDaniels-Davidson, Corinne, 2022. "Addressing COVID-19 vaccination equity for Hispanic/Latino communities by attending to aguantarismo: A Californian US–Mexico border perspective," Social Science & Medicine, Elsevier, vol. 305(C).
    9. Hsueh, Loretta & Layland, Eric K. & Kipke, Michele D. & Bray, Bethany C., 2021. "Linking racism and homonegativity to healthcare system distrust among young men of color who have sex with men: Evidence from the Healthy Young Men's (HYM) study," Social Science & Medicine, Elsevier, vol. 284(C).
    10. Atun, Rifat A. & Lebcir, Reda M. & McKee, Martin & Habicht, Jarno & Coker, Richard J., 2007. "Impact of joined-up HIV harm reduction and multidrug resistant tuberculosis control programmes in Estonia: System dynamics simulation model," Health Policy, Elsevier, vol. 81(2-3), pages 207-217, May.
    11. Boateng, Godfred O. & Workman, Cassandra L. & Miller, Joshua D. & Onono, Maricianah & Neilands, Torsten B. & Young, Sera L., 2022. "The syndemic effects of food insecurity, water insecurity, and HIV on depressive symptomatology among Kenyan women," Social Science & Medicine, Elsevier, vol. 295(C).
    12. Rani Lill Anjum & Elena Rocca, 2019. "From Ideal to Real Risk: Philosophy of Causation Meets Risk Analysis," Risk Analysis, John Wiley & Sons, vol. 39(3), pages 729-740, March.
    13. Saxena, Akshar & Mendenhall, Emily, 2022. "Syndemic thinking in large-scale studies: Case studies of disability, hypertension, and diabetes across income groups in India and China," Social Science & Medicine, Elsevier, vol. 295(C).
    14. Angela Wangari Walter & Cesar Morocho, 2021. "HIV Related Knowledge, HIV Testing Decision-Making, and Perceptions of Alcohol Use as a Risk Factor for HIV among Black and African American Women," IJERPH, MDPI, vol. 18(9), pages 1-19, April.
    15. Rhodes, Tim & Singer, Merrill & Bourgois, Philippe & Friedman, Samuel R. & Strathdee, Steffanie A., 2005. "The social structural production of HIV risk among injecting drug users," Social Science & Medicine, Elsevier, vol. 61(5), pages 1026-1044, September.
    16. Snodgrass, Jeffrey G. & Lacy, Michael G. & Cole, Steven W., 2022. "Internet gaming, embodied distress, and psychosocial well-being: A syndemic-syndaimonic continuum," Social Science & Medicine, Elsevier, vol. 295(C).
    17. Conroy, Amy A. & McKenna, Stacey A. & Comfort, Megan L. & Darbes, Lynae A. & Tan, Judy Y. & Mkandawire, James, 2018. "Marital infidelity, food insecurity, and couple instability: A web of challenges for dyadic coordination around antiretroviral therapy," Social Science & Medicine, Elsevier, vol. 214(C), pages 110-117.
    18. Proctor, Dylan Atchley, 2022. "Testing the waters: Syndemic gastrointestinal distress in Lambaréné, Gabon, 1926–1932," Social Science & Medicine, Elsevier, vol. 295(C).

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