AI Article Synopsis
- The study contrasts two frameworks: "social determinants of health," which looks at broader social factors, and "social determination of health," focusing on the dynamic interactions that influence health behavior, particularly regarding HIV risk among women in New Haven, CT.
- The research involved in-depth interviews over two years with 14 HIV-negative women, highlighting how behaviors typically labeled as risky are actually part of their efforts to build and maintain monogamous relationships, termed "relationship work."
- The findings suggest that for these women, the work they put into their relationships acts as a form of HIV prevention, with their living conditions and societal factors, like mass incarceration, significantly affecting their health risks.
Article Abstract
We contrast a typical "social determinants of health" framing with a more dynamic and complex "social determination of health" framing to analyze HIV-related sexual risk among women in low-income, segregated neighborhoods in New Haven, CT. Using an abductive approach, we analyze repeated, longitudinal qualitative interviews conducted over a 2-year period with a sample of 14 HIV-negative women who engaged in sex with men during the study period. Three case studies are presented to demonstrate how behaviors and sexual practices typically described as HIV "risks" can be understood as part of the work of establishing and maintaining monogamous committed relationships, which we call "relationship work," shaped in a context characterized by housing vulnerabilities and the many manifestations of mass incarceration and the surveillance state. We conclude by suggesting that for these women, their relationship work is the work of HIV prevention and life in low-income segregated neighborhoods is their HIV-related risk.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8484381 | PMC |
| http://dx.doi.org/10.1007/s10461-021-03238-4 | DOI Listing |
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