"Adelman and Frey take advantage of every opportunity to leave their audience with a splendid reading experience that will prompt one to think about community and communication in new and exciting ways. And as it should be, the reader also will not soon forget the echoes of the voices of the ordinary, but remarkable, men and women who inspired the work -- the residents who live and have lived in the fragile community at BH". -- Journal of Health Communication

This book examines the concept of "community", focusing on how communication practices help manage the tensions of creating and sustaining everyday communal life amidst the crisis of human loss. While acknowledging how the contradictory and inconsistent nature of human relationships inevitably affects community, this intimate and compelling text shows how community is created and sustained in concrete communication practices.

The authors explore these ideas at Bonaventure House, an award-winning residential facility for people with AIDS, where the web of social relationships and the demands of a life-threatening illness intersect in complex ways. Facing a life-threatening illness can defy meaningful social connections, but it can also inspire such ties, sometimes in ways that elude us in the course of daily life. By understanding how collective communication practices help residents forge a sense of community out of the fragility and chaos f living together with AIDS, we are able to better understand how communication is inexorably intertwined with the formation of community in other environments.

Based on seven years of ethnographic research including participant-observation, in-depth interviews, and questionnaires, thisbook weaves together narratives and visual images with conceptual analysis to uncover the ongoing oppositional forces of community life, and to show how both mundane and profound communication processes ameliorate these tensions, and thereby sustain this fragile community. Because the average length of stay for a resident is seven months -- in which time he or she moves from being a newcomer to a community member to someone the community remembers -- the text reflects this short, but crystallized life, starting with the day a new resident opens the door to the day he or she passes away.

The writing is very rich -- intimate, engaging, personal, compelling, and vivid. The stories told discuss such deeply personal topics as the dilemmas of romantic relationships in a context fraught with many perils; issues of power, authority, and control that enable and constrain social life; and communicative practices that help residents cope with bereavement over the loss of others as well as their own impending deaths. The text concludes by examining the lessons learned from Bonaventure House about creating and sustaining a health community, and serves as an inspiration for strengthening interpersonal relationships and communities in other environments.

What has been the impact of AIDS and sexually transmitted diseases on the lives of young people? Youth, AIDS and Sexual Health provides a comprehensive overview of research and policy in this increasingly important area.
The book describes the world-wide incidence and prevalence of sexually transmitted diseases among adolescents and examines how their sexual behaviour has changed as a result of the threat of AIDS. It also looks at young people's knowledge and attitudes about their own sexual health, as well as the usefulness of models of predicting those at risk. The authors also dicuss the effectiveness of institutional policies in educating young people and in preventing sexually transmitted diseases.
Drawing from the author's insights from their research programmes, Youth, AIDS and Sexual Health will be of considerable benefit to health care providers, sex educators and all those who work with and study adolescents.

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Social Aspects of AIDS

This study draws on feminist theory, cultural studies, the philosophy of science, and gay and lesbian studies to problematize the factual scientific discourse about AIDS, and interpret it as a political discourse. Waldby argues that much AIDS discourse relies on an implicit and unconscious equation between sexual health and heterosexual masculinity. In this equation, women, bisexual and gay men are the targets of preventative programmes, while heterosexual men tend to remain unaddressed by such programmes. Drawing upon examples of preventative policies from Australia, Britain and the USA, Waldby investigates the concept of public health and questions whose interests are represented in a "healthy society". It demonstrates the extent to which established ideas about the virus: the immune system, the HIV test and the epidemiology of the disease, rely upon unexamined, conservative assumptions about sexual identity and sexual difference.

Since early-on in the epidemic, there has been much interest in the role that bisexual behaviour among men may play in HIV transmission. This text reviews from an international perspective what has been learned about male bisexuality in countries as diverse as Peru and Britain. Its authors examine the forms that bisexuality takes in different cultures, what it means to the men concerned, and whether or not such behaviour poses special risks. The implications of such enquiry for HIV prevention efforts are also examined.

"AIDS, Drugs and Prevention" brings together a range of international contributions on the research, theory and practice of developing community-based HIV prevention. Its aims to understand how individual actions to prevent HIV transmission are constrained and encouraged by situational and social context. Drawing on ethnographic and epidemiological research among populations of drug users, sex workers and gay men, it explores how future HIV prevention interventions can target changes at the level of the individual as well as at the level of the community and wider social environment.
Essays are presented from an international group of contributors, including fifteen US scholars: Robert S. Broadhead, Richard Curtis, Don C. Des Jarlais, Samuel R. Friedman, Jean-Paul C. Grund, Douglas D. Heckathorn, Benny Jose, Steven K. Koester, Alan Neaigus, Cindy Patton, Bruce Stepherson, L. Synn Stern, Meryl Sufian, John K. Watters and Wayne Wiebel. "AIDS, Drugs and Prevention" considers the diverse practices of community-based responses to HIV prevention in theoretical contexts and addresses the problems of professional practice. It will be invaluable reading for lecturers, researchers and practitioners in health promotion, health policy, social work and medical sociology.

AIDS, Drugs and Prevention brings together a range of international contributions on the research, theory and practice of developing community-based HIV prevention. It aims to understand how individual actions to prevent HIV transmission are constrained and encouraged by situational and social context. Drawing on ethnographic and epidemiological research among populations of drug users, sex workers and gay men, it explores how future HIV prevention interventions can target changes at the level of the individual as well as at the level of the community and wider social environment.
AIDS, Drugs and Prevention offers practical and theoretical insights into community-based health work in the time of AIDS. It provides invaluable reading for students, lecturers, researchers and practioners in health promotion, health policy, social work and medical sociology.

First published in 1996. The incidence of HIV/AIDS in society has reached epidemic levels. People of all ages are contracting the disease, and with the advances in medication and treatment, those with the disease are living longer. This book discusses the unique issues facing older adults with HIV/AIDS and addresses living with the disease.

This is the first book-length study of the rich fiction that has emerged from the AIDS crisis. Examining first the ways in which scientific discourse on AIDS has reflected ideologies of gender and sexuality-such as the construction of AIDS as a disease of gay men, part of a battle over masculinity, and thus largely excluding women with AIDS from public attention-the book considers how such discourses have shaped narrative understandings of AIDS. On the one hand, AIDS is seen as an invariably fatal weakening of an individual's bodily defenses, a depiction often used to reconfirm an identification between disease and a weak and vulnerable gayness. On the other hand, AIDS is understood in terms of an epidemic attributable to gay "immorality" or "unnaturalness." The fiction of AIDS depends upon these two narratives, with one major subgenre of AIDS novel presenting narratives of personal illness, decline, and death, and a second focusing on epidemic "spread." These novels also question the narrative structures upon which they depend, intervening particularly against the homophobia of those structures, though also sometimes reinforcing it.

Over the past few years, ever since the advent of HIV and AIDS, there has been increasing discussion of the concept of sexual health. This upsurge is especially noticeable not only in the field of health education and promotion but also in academic sources. The recent discourse on sexual health is paralleled by an upsurge in the debate on sexual rights. This book examines the social construction of sexual health in India through an analysis of HIV and AIDS messages. The broad objective of the chapters is to trace the growth and evolution of the concept of sexual health from a health communication perspective and to understand the role of the state in determining its form and structure. The methodology used includes comparative analysis of HIV and AIDS policies, document analysis on HIV and AIDS, poster and short films analysis, in depth and open-ended Interviews and case studies. The book shows that Sexual Health is constructed in various modes in India. The models that are elaborated are the Medical model that constructs HIV scientifically and in terms of a compromised immune system; the Epidemic model that identifies risk behaviours and transmission routes and the Moralistic model. Social constructions of AIDS as plague or punishment against society are advanced by moralists who equate HIV with taboo social and sexual behaviour and the political constructions highlights public health in the face of obstacles to treatment and the delivery of services to people living with HIV. Bringing together current research and discussions on the three areas of policy, practices and theoretical perspectives related to the use and social construction of sexual health through HIV and AIDS communication approaches with specific reference to India, this book will be of interest to academics in the field of health communication, HIV and AIDS, and South Asian Studies.

Some 12 years into the epidemic, with an effective preventive vaccine or therapy against HIV disease still to be found, this book reflects on the contributions of social and behavioural research to the development of interventions for prevention. After over a decade's work documenting HIV and AIDS-related knowledge, attitudes and behaviour, social researchers have begun to focus more clearly on perceptions of sexual safety and risk, and the factors that contribute to these. The issues addressed by the book were examined during three major conferences in 1994: the annual conference of the British Sociological Association, the 2nd International Conference on the BioPsychoSocial Aspects of AIDS and the Xth International Conference on AIDS. The book brings together key papers presented at each of these conferences, documenting issues of focal concern to social researchers, policy makers and health educators in the mid-1990s.

Some 12 years into the epidemic, with an effective preventive vaccine or therapy against HIV disease still to be found, this book reflects on the contributions of social and behavioural research to the development of interventions for prevention. After over a decade's work documenting HIV and AIDS-related knowledge, attitudes and behaviour, social researchers have begun to focus more clearly on perceptions of sexual safety and risk, and the factors that contribute to these. The issues addressed by the book were examined during three major conferences in 1994: the annual conference of the British Sociological Association, the 2nd International Conference on the BioPsychoSocial Aspects of AIDS and the Xth International Conference on AIDS. The book brings together key papers presented at each of these conferences, documenting issues of focal concern to social researchers, policy makers and health educators in the mid-1990s.

In this important book, editor Michael Ross brings together the latest knowledge and research concerning the relationship between HIV and AIDS and sexual functioning. HIV/AIDS and Sexuality explores the experiences of being HIV-infected and the impact of infection on an individual's sexuality. It describes differences that may be associated with individuals who are infected or concerned about infection, and it provides new in-depth analyses of the effect of HIV on sexuality and sexual risks. The book provides clinical perspectives on sexual problems associated with HIV infection as well as some treatment approaches. Contributing authors represent the United States, Australia, and Europe and discuss heterosexual men and women, gay men, lesbians, and injecting drug users. This diversity provides a more complete picture of the experiences of people with HIV in terms of explicit and implicit sexuality. Chapters include cross-sectional and cohort study designs as well as qualitative, quantitative, and clinical approaches. Some of the topics explored are: the centrality of sexuality to equality of life and identity and the impact of HIV on sexuality in gay-identified men the psychological impact of making changes in sexual behavior on gay men with HIV infection risk behaviors in seropositive and seronegative women a study of a cohort of HIV-infected women associated with the military sexual addiction in gay men and its association with HIV risks overt and subtle communications processes that occur between health care providers and clients about sexuality and HIV stages of change in safer sexual practices in a cohort of gay men personality variables associated with risk and infection in both homosexual and heterosexual menHIV/AIDS and Sexuality opens up the area of sexuality in people living with HIV and focuses much-needed attention on the issues involved in sexual expression, HIV transmission risk, and living with HIV infection. This book is an illuminating exploration into the subject that helps professionals better understand their clients and thus provide more compassionate and effective care.

It is estimated that 90 per cent of those who are HIV positive are in employment. However, the significant body of literature into HIV/AIDS to date has primarily focused on the medical aspects of the disease and its implications for health/social policy. There has been little analysis of the employment implications of HIV/AIDS, and what does exist is essentially descriptive and usually limited to legal features of the employment relationship. This text provides a review of the theoretical and practical issues which bear upon organisational responses to HIV/AIDS. The authors set these responses in a historical and international context, before analysing recent research findings. In the first three chapters, issues are explored through an analysis which highlights international convergences and divergences. The remaining chapters draw on the authors' research to explore the "internal" dynamics of HIV/AIDS in the workplace.

Based on the findings of a research project conducted by the World Health Organisation, this book contains unpublished material on AIDS-related knowledge and sexual behaviour in countries in Africa, Asia and South America, including: Cote d'Ivoire; Kenya; Lesotho; Mauritius; Tanzania; Sri Lanka; Singapore; Thailand; and Brazil. The book provides an in-depth comparative analysis of the findings from 16 key surveys in the original research programme, the aim of which was to identify baseline levels of sexual and other risk behaviours. The text is intended to be of use to a wide range of readers, including those working in health education, social and behavioural research, anthropology, social medicine and sexual behaviour research.

Based on the findings of a research project conducted by the World Health Organisation, this book contains unpublished material on AIDS-related knowledge and sexual behaviour in countries in Africa, Asia and South America, including: Cote d'Ivoire; Kenya; Lesotho; Mauritius; Tanzania; Sri Lanka; Singapore; Thailand and Brazil. The book provides an in-depth comparative analysis of the findings from 16 key surveys in the original research programme, the aim of which was to identify baseline levels of sexual and other risk behaviours. The text is intended to be of use to a wide range of readers, including those working in health education, social and behavioural research, anthropology, social medicine and sexual behaviour research.

Culture and Sexual Risk addresses many controversial themes that have emerged over the last few years: the ethics of sex research, the role of Westem anthropologists in developing nations, the role of heterosexuals in AIDS research and the impact of AIDS on the discipline of anthropology. Brummelhuis and Herdt provide an intense examination of sexual risk and its cultural configurations heretofore missing from the AIDS literature. The chapters on Westem gay men speak to the pressing methodological, conceptual and theoretical needs in HIV/AIDS research while providing an understanding and documentation of gay men's lives within the emerging corpus of lesbian and gay studies. Chapters on the Philippines, Brazil, Haiti and Africa explore the cultural, political and economic contexts surrounding the transmission and prevention of HIV/AIDS in these cultures.

Culture and Sexual Risk addresses many controversial themes that have emerged over the last few years: the ethics of sex research, the role of Westem anthropologists in developing nations, the role of heterosexuals in AIDS research and the impact of AIDS on the discipline of anthropology. Brummelhuis and Herdt provide an intense examination of sexual risk and its cultural configurations heretofore missing from the AIDS literature. The chapters on Westem gay men speak to the pressing methodological, conceptual and theoretical needs in HIV/AIDS research while providing an understanding and documentation of gay men's lives within the emerging corpus of lesbian and gay studies. Chapters on the Philippines, Brazil, Haiti and Africa explore the cultural, political and economic contexts surrounding the transmission and prevention of HIV/AIDS in these cultures.

This guide to the legal aspects of AIDS has been thoroughly revised. Written by experienced legal professionals under the auspices of Britain's major AIDS charity, it addresses areas of the law affected by AIDS, including: insurance, housing, employment, children and young people, and immigration. It examines all the legal needs of people with AIDS and HIV infection. The book includes a section on the medico-legal aspects of AIDS (such as antibody testing and the subject of informed consent) and a chapter on the legal and practical steps towards setting up a voluntary or charitable organization. Concise and accessible, this guide should be useful to counsellors, health and social workers, lawyers, welfare agency advisors and anyone who needs a legal rights guide to AIDS.

"Heavenly Hurts Surviving AIDS-Related Deaths and Losses" imparts vital information for anyone touched by deaths and losses of HIV/AIDS. In the AIDS pandemic, efforts are focused on persons living with AIDS (PLWA). Neglected are professional and non-professional caregivers, families, and friends. They are surviving deaths of loved ones from AIDS-related illness, or are dealing with multiple losses of HIV/AIDS. "Heavenly Hurts" provides guidance, support and coping skills, along with discussions of death language; AIDS grief; death in the workplace; and cultural and spiritual issues around death.

This book provides a global overview of the role of the community sector, examining in detail the origins and activities of community organizations in Europe, the Americas, Africa, South Asia, Southeast Asia, Australia and the Pacific. It also describes the impact of sexuality and gender on AIDS activism and AIDS organizing, as well as broader cultural responses to the epidemic. It charts the emergence and development of the community sector response to HIV and AIDS, illustrating the factors that led affected individuals and communities to organize, question, challenge and redefine initial governmental responses to the epidemic. It describes the contribution of the community / NGO sector to global efforts to prevent the spread of the disease, highlighting tensions which have sometimes arisen within community based organizations themselves: tensions between activism and service provision, between altruism and self help, between volunteer participation and management control, and between fluidity of function and increasing bureaucratization. "Power and Community" has grown out of the author's intellectual and political commitment to the idea that without support from strong community

AIDS: Setting a Feminist Agenda" presents an overview of the important issues raised for feminist theory and practice by the HIV/AIDS epidemic, and outlines the direction in which feminist debates about the subject are developing. It makes essential links between feminism and HIV/AIDS work, and not only demonstrates that AIDS is a feminist issue, but also suggests areas where feminism is long overdue. The essays discuss medical issues; the specific social and political impact of HIV/AIDS on the lives of women of colour, lesbians, injecting drug users and prostitute women; And Current Health Educational And Health Promotional Practice As It relates to women.; The volume is theoretical and practical - suggesting theoretical models for understanding and challenging the social factors which are conducive to the spread of HIV among women and among men, as well as offering models of good practice for working with and for women.

First published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

HIV and AIDS have posed new challenges to societies, communities and individuals. In many parts of the world, existing health and social services have been hard pressed to cope with the dermands of the epidemic. In hospitals and in the community, new approaches to health education, support and care have been developed. Non-governmental and community organizations have had a central role to play in responding to the challenge of HIV and AIDS. "AIDS: Foundations for the Future" highlights progress made over the last decade, and offers an agenda for future activism and research. This book examines the extent to which sound foundations for the future have been laid in public, private and voluntary sector action. It focuses on topics as diverse as workplace policy on HIV and AIDS, voluntary sector responses, the reactions of health care workers, the experience of living with AIDS, outreach work and community action, patterns of male prostitution, and new interventions to promote and maintain safer sex and safer drug use.

In one short decade, the politics of AIDS has become the politics of survival. In a world whose social order is changing before our eyes, AIDS insistently brings new meaning to the age-old question of what it is we must do to survive-as individuals, as families, as communities, as nations, as members of an interdependent world. This book brings together a collection of articles that frankly discuss what it will take to stop the AIDS epidemic and deal with the devastation it has already wrought.