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Uncaring landscapes and HIV peer support in the rural Southern United States

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  • Scott, Darius

Abstract

Despite social determinants being central to LGBTQ health inequities, they are scarcely targeted by federal public health interventions. Racism, sexual stigma, and social disconnection, in particular, contribute to numerous LGBTQ health inequities including HIV. This article explores the case of a peer support group at a federally supported HIV care center in a rural Southern (US) location alongside oral history interviews with queer-identifying Black men recorded in the same region. Geographies of care literature center trusting social relations in care provision. For the narrators, unchecked harmful social relations vis a vis stigma and disconnection from queer collectivity produce an ‘uncaring landscape’ in the geographic environment. The peer support group diverged from the stipulated context of HIV to offer space for queer collectivity and destigmatizing social care. The findings support a more radical, expansive provision of state-supported care for sexual minorities.

Suggested Citation

  • Scott, Darius, 2022. "Uncaring landscapes and HIV peer support in the rural Southern United States," Social Science & Medicine, Elsevier, vol. 292(C).
    • Handle: RePEc:eee:socmed:v:292:y:2022:i:c:s0277953621009606
    DOI: 10.1016/j.socscimed.2021.114628
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    1. Broussard, Kathleen, 2020. "The changing landscape of abortion care: Embodied experiences of structural stigma in the Republic of Ireland and Northern Ireland," Social Science & Medicine, Elsevier, vol. 245(C).
    2. repec:aph:ajpbhl:10.2105/ajph.2016.303630_8 is not listed on IDEAS
    3. Ford, Chandra L. & Airhihenbuwa, Collins O., 2010. "The public health critical race methodology: Praxis for antiracism research," Social Science & Medicine, Elsevier, vol. 71(8), pages 1390-1398, October.
    4. Ford, C.L. & Airhihenbuwa, C.O., 2010. "Critical race theory, race equity, and public health: Toward antiracism praxis," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 30-35.
    5. Pachankis, John E. & Hatzenbuehler, Mark L. & Starks, Tyrel J., 2014. "The influence of structural stigma and rejection sensitivity on young sexual minority men's daily tobacco and alcohol use," Social Science & Medicine, Elsevier, vol. 103(C), pages 67-75.
    6. Coulter, R.W.S. & Kenst, K.S. & Bowen, D.J. & Scout, 2014. "Research funded by the National Institutes of Health on the health of lesbian, gay, bisexual, and transgender populations," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 105-112.
    7. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    8. Power, Andrew & Bell, Sarah L. & Kyle, Richard G. & Andrews, Gavin J., 2019. "‘Hopeful adaptation’ in health geographies: Seeking health and wellbeing in times of adversity," Social Science & Medicine, Elsevier, vol. 231(C), pages 1-5.
    9. Henry, Caitlin, 2021. "Palliative space-time: Expanding and contracting geographies of US health care," Social Science & Medicine, Elsevier, vol. 268(C).
    10. Peterson, J.L. & Jones, K.T., 2009. "HIV prevention for black men who have sex with men in the United States," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 976-980.
    11. Quinn, Katherine & Bowleg, Lisa & Dickson-Gomez, Julia, 2019. "“The fear of being Black plus the fear of being gay”: The effects of intersectional stigma on PrEP use among young Black gay, bisexual, and other men who have sex with men," Social Science & Medicine, Elsevier, vol. 232(C), pages 86-93.
    12. Tandon, Ajay & Cain, Jewelwayne & Kurowski, Christoph & Dozol, Adrien & Postolovska, Iryna, 2020. "From slippery slopes to steep hills: Contrasting landscapes of economic growth and public spending for health," Social Science & Medicine, Elsevier, vol. 259(C).
    13. Bell, Sarah L. & Phoenix, Cassandra & Lovell, Rebecca & Wheeler, Benedict W., 2015. "Seeking everyday wellbeing: The coast as a therapeutic landscape," Social Science & Medicine, Elsevier, vol. 142(C), pages 56-67.
    14. Getrich, Christina M. & Rapport, Kaelin & Burdette, Alaska & Ortez-Rivera, Ana & Umanzor, Delmis, 2019. "Navigating a fragmented health care landscape: DACA recipients' shifting access to health care," Social Science & Medicine, Elsevier, vol. 223(C), pages 8-15.
    15. Caceres, B.A. & Brody, A. & Luscombe, R.E. & Primiano, J.E. & Marusca, P. & Sitts, E.M. & Chyun, D., 2017. "A systematic review of cardiovascular disease in sexual minorities," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 13-21.
    16. Gesler, Wilbert M., 1992. "Therapeutic landscapes: Medical issues in light of the new cultural geography," Social Science & Medicine, Elsevier, vol. 34(7), pages 735-746, April.
    17. Bell, Sarah L. & Foley, Ronan & Houghton, Frank & Maddrell, Avril & Williams, Allison M., 2018. "From therapeutic landscapes to healthy spaces, places and practices: A scoping review," Social Science & Medicine, Elsevier, vol. 196(C), pages 123-130.
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