Culture, Medicine and Psychiatry

, Volume 17, Issue 4, pp 413–430 | Cite as

A different disease: HIV/AIDS and health care for women in poverty

  • Martha C. Ward
Article

Abstract

The goal of this paper is to demonstrate that HIV/AIDS for poor women is a qualitatively different disease than the one first defined in the United States in the 1980s. HIV/AIDS for poor women is not a new disease; it is only another life-threatening condition which parallels serious health problems already experienced by these populations. A time-honored and broad continuum of disease and death for poor women is linked to such factors as poverty, self-medication, infant morbidity, infant mortality and cervical cancer. The programmatic responses to HIV/AIDS in poor women have been grafted onto existing services established by and for homosexual men or onto the obstetrical-gynecological and prenatal systems already in place. Furthermore, the primary socio-psychological mechanisms of denial and dependency that characterize poor women are far more salient than notions of risk-taking or sexual lifestyles. These conclusions lead to somber predictions for the course of the epidemic and the prognosis for treatment and care for poor women with HIV.

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References

  1. Amaro, H. 1988 Considerations for Prevention of HIV Infection among Hispanic Women. Psychology of Women Quarterly 12:429–443.Google Scholar
  2. Belle, D., ed. 1982 Lives in Stress: Women and Depression. Beverly Hills, CA: Sage.Google Scholar
  3. Benson, D. and C. Maier 1990 Challenges Facing Women with HIV. Focus: A Guide to AIDS Research and Counseling. December:1–2.Google Scholar
  4. Boland, M.G., T.J. Allen, G.I. Long, and M. Tasker 1988 Children with HIV Infection: Collaborative Responsibilities of the Child Welfare and Medical Communities. Social Work Nov.–Dec.: 504–508.Google Scholar
  5. Boone, M.S. 1989 Capital Crime: Black Infant Mortality in America. Newbury Park, CA: Sage Publications.Google Scholar
  6. Byron, P. 1991 HIV: The National Scandal. MS Jan.–Feb.: 24–29.Google Scholar
  7. Centers for Disease Control 1991 Leads from the Morbidity and Mortality Weekly Report 1991. Risk for Cervical Disease in HIV-Infected Women, New York City. Journal of the American Medical Association 265(1):23–24.Google Scholar
  8. — 1992 HIV/AIDS Surveillance: U.S. AIDS Cases Reported Through December 1991. Atlanta, GA: Centers for Disease Control.Google Scholar
  9. Centers for Disease Control 1993 Revised Classification System for HIV Infection and Expanded Surveillance Case Definition for AIDS among Adolescents and Adults. Morbidity and Mortality Weekly Report 41, No. RR-17, Dec. 18.Google Scholar
  10. Ettorre, B. 1989 Women and Substance Use/Abuse: Towards a Feminist Perspective. Women's Studies International Forum 12(6):593–602.Google Scholar
  11. Faltz, B.G., and S. Madover 1986 Co-Dependency in AIDS: A Clinical Perspective. Acquired Immune Deficiency Syndrome and Chemical Dependency. Washington, DC: U.S. Department of Health and Human Serevices. No. (ADM) 88–1513.Google Scholar
  12. Fullilove, M.T., R.E. Fullilove, K. Haynes, and S. Gross. 1990 Black Women and AIDS Prevention: A View Towards Understanding the Gender Rules. The Journal of Sex Research 27(1):47–64.Google Scholar
  13. Gillespie, M.A. 1991 HIV: The Global Crisis. MS Jan.–Feb.: 17–22.Google Scholar
  14. Gwinn, M., et al. 1991 Prevalence of HIV Infection in Childbearing Women in the United States: Surveillance Using Newborn Blood Samples. Journal of the American Medical Association 265(13):1704–1708.Google Scholar
  15. Hankins, C.A., and M.A. Handley 1992 HIV Disease and AIDS in Women: Current Knowledge and a Research Agenda. Journal of Acquired Immune Deficiency Syndrome 5(10):957–971.Google Scholar
  16. Institute of Medicine, Sara S. Brown, ed. 1988 Prenatal Care: Reaching Mothers, Reaching Infants. Washington, DC: National Academy Press.Google Scholar
  17. James, M.E. 1988 HIV Seropositivity Diagnosed During Pregnancy: Psychosocial Characterization of Patients and their Adaptation. General Hospital Psychiatry 10:309–316.Google Scholar
  18. Kippax, S., J. Crawford, C. Waldby and P. Benton 1990 Women Negotiating Heterosex: Implications for AIDS Prevention. Women's Studies International Forum 13(6):533–542.Google Scholar
  19. Mack, J. 1988 Women and AIDS: Countertransference Issues. Social Casework: The Journal of Contemporary Social Work June: 340–347.Google Scholar
  20. Maldonado, M. 1991 Latinas and HIV-AIDS: Implications for the 90s. SIECUS Report January 1991:11–15.Google Scholar
  21. Mays, V.M., and S.D. Cochran 1988 Issues in the Perception of AIDS Risk and Risk Reduction Activities by Black and Hispanic/Latina Women. American Psychologist 43:949–957.Google Scholar
  22. McBarnett, L. 1988 Women and Poverty: The Effects on Reproductive Status.In Women, Health and Poverty. C.W. Perales and L.S. Young, eds. pp. 55–81. New York: Haworth Press.Google Scholar
  23. Miller, H.G., C.F. Turner and L.E. Moses, eds. 1990 AIDS: The Second Decade. National Research Council. Washington, DC: National Academy Press.Google Scholar
  24. Mitchell, J.L. 1988 Women, AIDS, and Public Policy. AIDS and Public Policy Journal 3(2): 50–52.Google Scholar
  25. Munoz, N., F.X. Bosch and O.M. Jensen, eds. 1989 Human Papillomavirus and Cervical Cancer. Lyon, France: International Agency for Research on Cancer (WHO).Google Scholar
  26. Newman, A. 1987 Patterns of AIDS Spread Elicit Proposals to Tighten Precautions: Involuntary Sterilizations? OB GYN News 22(1):36–37.Google Scholar
  27. Nyamathi, A., and R. Vasquez 1989 Impact of Poverty, Homelessness and Drugs on Hispanic Women at Risk for HIV Infection. Hispanic Journal of Behavioral Sciences 11(4):299–314.Google Scholar
  28. Olson, R.A., H.C. Huszti, P.J. Mason, and J.M. Seibert 1989 Pediatric AIDS/HIV Infection: Am Emerging Challenge to Pediatric Psychology. Journal of Pediatric Psychology 14(1):1–21.Google Scholar
  29. Peterman, T.A., W. Cates, Jr., and J.W. Curran 1989 The Challenge of Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) in Women and Children. Fertility and Sterility 49(4):571–581.Google Scholar
  30. Reining, F. 1989 Male Circumcision Status in Relationship to Seroprevalence Data in Africa: A Review of Method. Unpublished manuscript: Department of Anthropology, Catholic University.Google Scholar
  31. Singer, M. 1986 Toward a Political-economy of Alcoholism: The Missing Link in the Anthropology of Drinking. Social Science and Medicine 23(2):113–130.Google Scholar
  32. Suffet, F., and M. Lifshitz 1991 Women Addicts and the Threat of AIDS. Qualitative Health Research 1(1): 51–79.Google Scholar
  33. Ward, M.C. 1986 Poor Women, Powerful Men: America's Great Experiment in Family Planning. Boulder, CO: Westview Press.Google Scholar
  34. — 1991 Cupid's Touch: The Lessons of the Family Planning Movement for the AIDS Epidemic. Journal of Sex Research 28(2):289–346.Google Scholar
  35. Ward, M.C. 1993 Poor and Positive: Two Contrasting Views of the HIV/AIDS Epidemic. Applied Anthropology. In Press.Google Scholar
  36. Wilson, J.B. 1988 Women and Poverty: A Demographic Overview.In Women, Health and Poverty. C.A. Perales and L.S. Young, eds. pp. 21–40. New York: Haworth Press.Google Scholar
  37. Worth, D. 1989 Sexual Decision Making and AIDS: Why Condom Promotion among Vulnerable Women is Likely to Fail. Studies in Family Planning 20(6):297–307.Google Scholar
  38. — 1990 Minority Women and AIDS: Culture, Race and Gender.In Culture and AIDS. D.A. Feldman, ed. pp. 111–135. NY: Praeger.Google Scholar
  39. Zambrana, R.E. 1988 A Research Agenda on Issues Affecting Poor and Minority Women: A Model for Understanding Their Health Needs.In Women, Health and Poverty. C.A. Perales and L.S. Young, eds. pp. 137–160. New York: Haworth.Google Scholar
  40. Zuckerman, C., and L. Gordon 1988 Meeting the Psychosocial and Legal Needs of Women with AIDS and their Families. New York State Journal of Medicine 4:619–620.Google Scholar

Copyright information

© Kluwer Academic Publishers 1993

Authors and Affiliations

  • Martha C. Ward
    • 1
  1. 1.Department of AnthropologyUniversity of New OrleansNew Orleans

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