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Over the past two decades, population mobility has intensified and become more diverse, raising important questions concerning the health and well-being of people who are mobile as well as communities of origin and destination. Ongoing concerns have been voiced about possible links between mobility and HIV, with calls being made to contain or control migrant populations, and debate linking HIV with issues of global security and surveillance being fuelled. This volume challenges common assumptions about mobility, HIV and AIDS. A series of interlinked chapters prepared by international experts explores the experiences of people who are mobile as they relate to sexuality and to HIV susceptibility and impact. The various chapters discuss the factors that contribute to the vulnerability of different mobile groups but also examine the ways in which agency, resilience and adaptation shape lived experience and help people protect themselves throughout the mobility process. Looking at diverse forms of migration and mobility – covering flight from conflict, poverty and exploitation, through labour migration to ‘sex tourism’ – the book reports on research findings from around the world, including the USA, the UK, sub-Saharan Africa, Australia, Central America and China. Mobility, Sexuality and AIDS recognises the complex relationships between individual circumstances, population mobility and community and state response. It is invaluable reading for policy makers, students and practitioners working in the fields of migration, development studies, anthropology, sociology, geography and public health.
Sexual Cultures and Migration in the Era of AIDS is the first demographic anthropological study of what happens to sexual behaviour and the rules of risk-taking in sexual encounters when people migrate from countryside to city, from one city to another, or from one country to another culture. It represents a milestone in the study of cross-cultural sexuality and sexually transmitted diseases. At the foreground of the study are commercial sex and prostitution, sexual tourism, heterosexual marriage and social pressure, and homosexuality and bisexuality in emerging sexual cultures. The volume brings together quantitative and qualitative case studies by an international panel of anthropologists, demographers, and sociologists aimed at better understanding the impact of human movement and mobility on sexual change and fertility.
This collection brings together scholars and artists in disability studies, sexuality, queer theory, and feminism, to show how much sexuality studies and disability studies have to learn from each other.
How do modern women in developing countries experience sexuality and love? Drawing on a rich array of interview, ethnographic, and survey data from her native country of Kenya, Sanyu A. Mojola examines how young African women, who suffer disproportionate rates of HIV infection compared to young African men, navigate their relationships, schooling, employment, and finances in the context of economic inequality and a devastating HIV epidemic. Writing from a unique outsider-insider perspective, Mojola argues that the entanglement of love, money, and the transformation of girls into Òconsuming womenÓ lies at the heart of womenÕs coming-of-age and health crises. At once engaging and compassionate, this text is an incisive analysis of gender, sexuality, and health in Africa.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
The last twenty years have seen a growth in multi-disciplinary work in the area of sexuality, culture and health. What was once a set of specialist concerns has been steadily mainstreamed. Alongside this, a broader interest has developed in ‘social’ and 'cultural’ factors relating to sexuality and sexual health, from family planning and STI management to gender and intimate partner violence and the technologisation of sex. This book offers a research-based overview of key topics relevant to social and cultural perspectives on sexuality and sexual health. Beginning with an extended introduction and divided into six sections, it looks at culture, sex and gender, sexual diversity, sex work, migration and sexual violence. Each section opens with an editorial discussion which places the theme, and the chapters that follow, in a contemporary context. Six additional substantive chapters can be accessed online at www.routledge.com/cw/aggleton. Including cutting-edge conceptual and empirical material from around the world, this is a key resource for students in, and across, a variety of academic disciplines in the social and health sciences. It is especially suitable for readers from sexuality studies, gender studies, development studies, anthropology and sociology as well as those with public health and social work backgrounds.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
This open access edited volume explores physical disability and sexuality in South Africa, drawing on past studies, new research conducted by the editors, and first-person narratives from people with physical disabilities in the country. Sexuality has long been a site of oppression and discrimination for people with disabilities based on myths and misconceptions, and this book explores how these play out for people with physical disabilities in the South African setting. One myth with which the book is centrally concerned, is that people with disabilities are unable to have sex, or are seen as lacking sexuality by society at large. Societal understandings of masculinity, femininity, bodies and attractiveness, often lead people with physical disabilities to be seen as being undesirable romantic or sexual partners. The contributions in this volume explore how these prevailing social conditions impact on the access to sexual and reproductive healthcare, involvement in romantic relationships, childbearing, and sexual citizenship as a whole, of people with physical disabilities in the Western Cape of the country. The authors' research, and first person contributions by people with physical disabilities themselves, suggest that education and public health policy must change, if the sexual and reproductive health rights and full inclusion of people with disabilities are to be achieved.
Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
This groundbreaking work, with its unique anthropological approach, sheds new light on a central conundrum surrounding AIDS in Africa. Robert J. Thornton explores why HIV prevalence fell during the 1990s in Uganda despite that country's having one of Africa's highest fertility rates, while during the same period HIV prevalence rose in South Africa, the country with Africa's lowest fertility rate. Thornton finds that culturally and socially determined differences in the structure of sexual networks—rather than changes in individual behavior—were responsible for these radical differences in HIV prevalence. Incorporating such factors as property, mobility, social status, and political authority into our understanding of AIDS transmission, Thornton's analysis also suggests new avenues for fighting the disease worldwide.