دورية أكاديمية
Towards ending the US HIV epidemic by 2030: Understanding social determinants of health and HIV in Mississippi.
| العنوان: | Towards ending the US HIV epidemic by 2030: Understanding social determinants of health and HIV in Mississippi. |
|---|---|
| المؤلفون: | Sprague C; Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA.; Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.; Faculty of Health Sciences, Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa.; Center for Peace, Democracy & Development, University of Massachusetts Boston, Boston, MA, USA., Brown SM; Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA.; Faculty of Health Sciences, Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa.; Department of Health Sciences, Sargent College, Boston University, Boston, MA, USA., Simon S; Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA.; Center for Peace, Democracy & Development, University of Massachusetts Boston, Boston, MA, USA., McMahan LD; Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA.; Center for Peace, Democracy & Development, University of Massachusetts Boston, Boston, MA, USA.; School of Social Work, Boston College, Chestnut Hill, MA, USA., Kassiel I; Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA., Konkle-Parker D; Department of Medicine, Division of Infectious Diseases, University of Mississippi Medical Center, Jackson, MS, USA. |
| المصدر: | Global public health [Glob Public Health] 2020 Jan; Vol. 15 (1), pp. 31-51. Date of Electronic Publication: 2019 Jun 21. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 101256323 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-1706 (Electronic) Linking ISSN: 17441692 NLM ISO Abbreviation: Glob Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Abingdon, UK : Routledge, c2006- |
| مواضيع طبية MeSH: | Black or African American* , Epidemics* , Health Status Disparities* , Social Determinants of Health*, HIV Infections/*epidemiology, Adult ; Female ; Health Equity ; Healthcare Disparities ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Mississippi/epidemiology ; Poverty ; Qualitative Research ; Social Stigma ; Social Support ; Socioeconomic Factors |
| مستخلص: | The disproportionate burden of HIV-related inequities borne by African Americans in the US South amplifies the role of social determinants of health (SDH) in shaping social patterning of illness. Despite some attention, SDH remain overlooked in a biomedically oriented, federal HIV policy. Mississippi is the poorest state with the worst HIV outcomes, nationally. Using qualitative methods, we investigated how primarily African American, HIV-positive Mississippians experienced SDH and health inequities in their daily lives. Employing grounded theory and in-depth interviews ( n = 25) in an urban and rural site in 2015 yielded these findings: (1) absence of an enabling structural environment; (a) HIV-stigma constructed via social discourse; (b) lack of psycho-social support and HIV education; (c) insufficient economic and social support resources; and (2) presence of family support for coping. Due to stigma, being HIV-positive seemed to lead to further status loss; diminished social position; reduced life chances; and contractions in particular freedoms. Stigma further compounded existing inequalities - contributing to the moral, social experience of those living with HIV. Trump's plan to end HIV by 2030 creates the opportunity to rethink the biomedical-paradigm and fully engage SDH - using social science theory and methods that address multi-level social determinants in ways that are also policy-responsive. |
| فهرسة مساهمة: | Keywords: HIV stigma; Social determinants of health; Southern United States; policy; social theory |
| تواريخ الأحداث: | Date Created: 20190622 Date Completed: 20200804 Latest Revision: 20221207 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1080/17441692.2019.1631366 |
| PMID: | 31221026 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1744-1706 |
|---|---|
| DOI: | 10.1080/17441692.2019.1631366 |