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.
The Bureau of Justice Statistics indicates that 61.5 million Americans came into direct contact with the police during 2018. Almost 47% (28.9 million people) of those encounters were initiated by police themselves [1]. Fortunately, the vast majority of those encounters were nonviolent. Violence, particularly lethal violence, is rare. For example, it is estimated that one out of 33,000 people die as the result of police violence. However, one out of 1,000 black men die because of direct encounters with the police, making these violent encounters a leading cause of death among this demographic (especially men between the ages of 20 and 35 years) [2]. Moreover, Blacks are more likely than Whites to believe that violent encounters occur between police officers and citizens indicating that the interpretation of encounters might vary by race and ethnicity [3].While lethal violence is the most severe outcome of interactions with the police, even routine interactions with the police can have profound impacts on an individual. In fact, a burgeoning literature base suggests that encounters with the police can lead to various negative health and behavioral outcomes including psychological distress, depression, anxiety, and suicidal behavior [4,5]. These findings suggest that proactive policing strategies such as stop and frisk may end up having adversediatrogenicdconsequences [6], even if such strategies were originally intended to keep communities safe.In addition to experiencing direct encounters, vicarious or indirect encounters are pervasive in the United States. These indirect encounters can be proximate to the individual and include family and friends or be collective exposures that include images and videos in the media. Far-reaching examples of lethal police violence have made their way into peoples' family rooms. On March 3, 1991, the nation was shocked witnessing the brutal beating of Rodney King by Los Angeles police officers. Nearly 30 years later, on May 25, 2020, the nation witnessed a police officer kneel on George Floyd's neck for over 9 minutesdseveral of those minutes after Floyd lay lifeless. Both men were Black. Just witnessing the murder of George Floyd on social media has been linked to posttraumatic stress disorder [7,8]. Jarring video evidence also exists for other recent cases including
The Women in Gerontology Legacy (WIGL) Project involved interviewing 46 older women gerontologists between 2014 and 2015. The current study focuses on the WIGL interview questions regarding the interactions between participants’ experiences as gerontologists and their own aging. Emergent themes focus on the direction of influence: professional lives influencing personal lives, personal lives informing professional lives and mutuality between personal and professional lives. Thematic findings expand our current understanding of how professional knowledge and experiences contribute to personal aging experiences and the role personal aging experiences can have on the professional lives of women gerontologists. There is a potential for disconnect to occur between our personal experiences and the experiences of others. The current study contributes to our understanding of when and how this occurs, so we can then ensure our messages fall on receptive ears by overcoming the natural tendency to distort or ignore messages that may create anxiety.
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