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Will AIDS be contained within U.S. minority urban populations?

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  • Wallace, Rodrick
  • Fullilove, Mindy
  • Fullilove, Robert
  • Gould, Peter
  • Wallace, Deborah

Abstract

Recent empirical research, and a simple stochastic modeling exercise, suggest that affluent suburban communities are at increased risk for the diffusion of HIV from present inner city epicenters, while the 'core group' construct of sexually transmitted disease theory suggests, somewhat counter-intuitively, that the hypercongregated and strongly self-interacting nature of affluent heterosexual elites in the U.S. places them at significant and increasing risk as well. In turn, a growing body of work strongly associates high HIV prevalence in minority urban populations with the processes of coupled physical and social disintegration which have produced the now-common and politically-generated 'hollowed out' pattern of U.S. cities. We conclude that a return to the principles of the Great Reform Movement, which first brought public health and public order to U.S. urban areas, is a necessary, but at present largely unrecognized, component to any successful national program to control AIDS in the United States, and particularly to stem the diffusion of HIV into heterosexual populations outside present diseases epicenters.

Suggested Citation

  • Wallace, Rodrick & Fullilove, Mindy & Fullilove, Robert & Gould, Peter & Wallace, Deborah, 1994. "Will AIDS be contained within U.S. minority urban populations?," Social Science & Medicine, Elsevier, vol. 39(8), pages 1051-1062, October.
  • Handle: RePEc:eee:socmed:v:39:y:1994:i:8:p:1051-1062
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    Cited by:

    1. R Wallace & D Wallace & J E Ullmann & H Andrews, 1999. "Deindustrialization, Inner-City Decay, and the Hierarchical Diffusion of AIDS in the USA: How Neoliberal and Cold War Policies Magnified the Ecological Niche for Emerging Infections and Created a Nati," Environment and Planning A, , vol. 31(1), pages 113-139, January.
    2. Xiushi Yang, 2006. "Temporary Migration and HIV Risk Behaviors in China," Environment and Planning A, , vol. 38(8), pages 1527-1543, August.
    3. 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.
    4. R Wallace & D Wallace, 1999. "Emerging Infections and Nested Martingales: The Entrainment of Affluent Populations into the Disease Ecology of Marginalization," Environment and Planning A, , vol. 31(10), pages 1787-1803, October.

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