When HIV is ordinary and diabetes new: Remaking suffering in a South African Township
Identifieur interne : 002E33 ( Ncbi/Merge ); précédent : 002E32; suivant : 002E34When HIV is ordinary and diabetes new: Remaking suffering in a South African Township
Auteurs : Emily Mendenhall ; Shane A. NorrisSource :
- Global Public Health [ 1744-1692 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Blessures de guerre (psychologie), Comorbidité, Diabète de type 2 (), Diabète de type 2 (psychologie), Diabète de type 2 (épidémiologie), Dépression (étiologie), Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (psychologie), Infections à VIH (épidémiologie), Politique, Population d'origine africaine (psychologie), Problèmes sociaux (psychologie), Prévalence, Recherche qualitative, République d'Afrique du Sud (épidémiologie), Santé des femmes, Stress psychologique (), Stress psychologique (psychologie), Stress psychologique (épidémiologie), Stress psychologique (étiologie), Sujet âgé, Violence (psychologie), Études de cohortes.
- MESH :
- psychologie : Blessures de guerre, Diabète de type 2, Infections à VIH, Population d'origine africaine, Problèmes sociaux, Stress psychologique, Violence.
- épidémiologie : Diabète de type 2, Infections à VIH, République d'Afrique du Sud, Stress psychologique.
- étiologie : Dépression, Stress psychologique.
- Adulte, Adulte d'âge moyen, Comorbidité, Diabète de type 2, Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Humains, Politique, Prévalence, Recherche qualitative, Santé des femmes, Stress psychologique, Sujet âgé, Études de cohortes.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Adult, African Continental Ancestry Group (psychology), Aged, Cohort Studies, Comorbidity, Depression (etiology), Diabetes Mellitus, Type 2 (complications), Diabetes Mellitus, Type 2 (epidemiology), Diabetes Mellitus, Type 2 (psychology), Female, HIV Infections (epidemiology), HIV Infections (psychology), Humans, Interviews as Topic, Middle Aged, Politics, Prevalence, Qualitative Research, Social Problems (psychology), Socioeconomic Factors, South Africa (epidemiology), Stress, Psychological (complications), Stress, Psychological (epidemiology), Stress, Psychological (etiology), Stress, Psychological (psychology), Violence (psychology), War-Related Injuries (psychology), Women's Health.
- MESH :
- geographic , epidemiology : South Africa.
- complications : Diabetes Mellitus, Type 2, Stress, Psychological.
- epidemiology : Diabetes Mellitus, Type 2, HIV Infections, Stress, Psychological.
- etiology : Depression, Stress, Psychological.
- psychology : African Continental Ancestry Group, Diabetes Mellitus, Type 2, HIV Infections, Social Problems, Stress, Psychological, Violence, War-Related Injuries.
- Adult, Aged, Cohort Studies, Comorbidity, Female, Humans, Interviews as Topic, Middle Aged, Politics, Prevalence, Qualitative Research, Socioeconomic Factors, Women's Health.
Abstract
Escalation of non-communicable diseases (NCDs) among urban South African populations disproportionately afflicted by HIV/AIDS presents not only medical challenges but also new ways in which people understand and experience sickness. In Soweto, the psychological imprints of political violence of the Apartheid era and structural violence of HIV/AIDS have shaped social and health discourses. Yet, as NCDs increasingly become part of social and biomedical discussions in South African townships, new frames for elucidating sickness are emerging. This article employs the concept of syndemic suffering to critically examine how 27 women living with Type 2 diabetes in Soweto, a township adjacent to Johannesburg known for socio-economic mobility as well as inequality, experience and understand syndemic social and health problems. For example, women described how reconstructing families and raising grandchildren after losing children to AIDS was not only socially challenging but also affected how they ate, and how they accepted and managed their diabetes. Although previously diagnosed with diabetes, women illustrated how a myriad of social and health concerns shaped sickness. Many related diabetes treatment to shared AIDS nosologies, referring to diabetes as ‘the same’ or ‘worse’. These narratives demonstrate how suffering weaves a social history where HIV becomes ordinary, and diabetes new.
Url:
DOI: 10.1080/17441692.2014.998698
PubMed: 25643001
PubMed Central: 4353257
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Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Escalation of non-communicable diseases (NCDs) among urban South African populations disproportionately afflicted by HIV/AIDS presents not only medical challenges but also new ways in which people understand and experience sickness. In Soweto, the psychological imprints of political violence of the Apartheid era and structural violence of HIV/AIDS have shaped social and health discourses. Yet, as NCDs increasingly become part of social and biomedical discussions in South African townships, new frames for elucidating sickness are emerging. This article employs the concept of syndemic suffering to critically examine how 27 women living with Type 2 diabetes in Soweto, a township adjacent to Johannesburg known for socio-economic mobility as well as inequality, experience and understand syndemic social and health problems. For example, women described how reconstructing families and raising grandchildren after losing children to AIDS was not only socially challenging but also affected how they ate, and how they accepted and managed their diabetes. Although previously diagnosed with diabetes, women illustrated how a myriad of social and health concerns shaped sickness. Many related diabetes treatment to shared AIDS nosologies, referring to diabetes as ‘the same’ or ‘worse’. These narratives demonstrate how suffering weaves a social history where HIV becomes ordinary, and diabetes new.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Coovadia, H" uniqKey="Coovadia H">H. Coovadia</name></author><author><name sortKey="Jewkes, R" uniqKey="Jewkes R">R. Jewkes</name></author><author><name sortKey="Barron, P" uniqKey="Barron P">P. Barron</name></author><author><name sortKey="Sanders, D" uniqKey="Sanders D">D. Sanders</name></author><author><name sortKey="Mcintyre, D" uniqKey="Mcintyre D">D. McIntyre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crowther, N J" uniqKey="Crowther N">N. J. Crowther</name></author><author><name sortKey="Norris, S A" uniqKey="Norris S">S. A. Norris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Daftary, A" uniqKey="Daftary A">A. Daftary</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ellison, G T H" uniqKey="Ellison G">G. T. H. Ellison</name></author><author><name sortKey="Wet, T" uniqKey="Wet T">T. Wet</name></author><author><name sortKey="Ijselmuiden, C B" uniqKey="Ijselmuiden C">C. B. Ijselmuiden</name></author><author><name sortKey="Richter, L" uniqKey="Richter L">L. Richter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garro, L C" uniqKey="Garro L">L. C. Garro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Good, B" uniqKey="Good B">B. Good</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holt, R I G" uniqKey="Holt R">R. I. G. Holt</name></author><author><name sortKey="De Groot, M" uniqKey="De Groot M">M. de Groot</name></author><author><name sortKey="Golden, S H" uniqKey="Golden S">S. H. Golden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karim, S S A" uniqKey="Karim S">S. S. A. Karim</name></author><author><name sortKey="Churchyard, G J" uniqKey="Churchyard G">G. J. Churchyard</name></author><author><name sortKey="Karim, A A" uniqKey="Karim A">A. A. Karim</name></author><author><name sortKey="Lawn, S D" uniqKey="Lawn S">S. D. Lawn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kleinman, A" uniqKey="Kleinman A">A. Kleinman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leone, T" uniqKey="Leone T">T. Leone</name></author><author><name sortKey="Coast, E" uniqKey="Coast E">E. Coast</name></author><author><name sortKey="Narayanan, S" uniqKey="Narayanan S">S. Narayanan</name></author><author><name sortKey="De Graft Aikins, A" uniqKey="De Graft Aikins A">A. de Graft Aikins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lund, C" uniqKey="Lund C">C. Lund</name></author><author><name sortKey="Breen, A" uniqKey="Breen A">A. Breen</name></author><author><name sortKey="Flisher, A J" uniqKey="Flisher A">A. J. Flisher</name></author><author><name sortKey="Kakuma, R" uniqKey="Kakuma R">R. Kakuma</name></author><author><name sortKey="Corrigall, J" uniqKey="Corrigall J">J. Corrigall</name></author><author><name sortKey="Joska, J A" uniqKey="Joska J">J. A. Joska</name></author><author><name sortKey="Patel, V" uniqKey="Patel V">V. Patel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mattingly, C" uniqKey="Mattingly C">C. Mattingly</name></author><author><name sortKey="Garro, L C" uniqKey="Garro L">L. C. Garro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mayosi, B M" uniqKey="Mayosi B">B. M. Mayosi</name></author><author><name sortKey="Flisher, A J" uniqKey="Flisher A">A. J. Flisher</name></author><author><name sortKey="Lalloo, U G" uniqKey="Lalloo U">U. G. Lalloo</name></author><author><name sortKey="Sitas, F" uniqKey="Sitas F">F. Sitas</name></author><author><name sortKey="Tollman, S M" uniqKey="Tollman S">S. M. Tollman</name></author><author><name sortKey="Bradshaw, D" uniqKey="Bradshaw D">D. Bradshaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mayosi, B M" uniqKey="Mayosi B">B. M. Mayosi</name></author><author><name sortKey="Lawn, J E" uniqKey="Lawn J">J. E. Lawn</name></author><author><name sortKey="Niekerk, A" uniqKey="Niekerk A">A. Niekerk</name></author><author><name sortKey="Bradshaw, D" uniqKey="Bradshaw D">D. Bradshaw</name></author><author><name sortKey="Karim, S S" uniqKey="Karim S">S. S. Karim</name></author><author><name sortKey="Abdool, C" uniqKey="Abdool C">C. Abdool</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, E" uniqKey="Mendenhall E">E. Mendenhall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, E" uniqKey="Mendenhall E">E. Mendenhall</name></author><author><name sortKey="Norris, S A" uniqKey="Norris S">S. A. Norris</name></author><author><name sortKey="Shidhaye, R" uniqKey="Shidhaye R">R. Shidhaye</name></author><author><name sortKey="Prabhakaran, D" uniqKey="Prabhakaran D">D. Prabhakaran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, E" uniqKey="Mendenhall E">E. Mendenhall</name></author><author><name sortKey="Richter, L M" uniqKey="Richter L">L. M. Richter</name></author><author><name sortKey="Stein, A" uniqKey="Stein A">A. Stein</name></author><author><name sortKey="Norris, S A" uniqKey="Norris S">S. A. Norris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, E" uniqKey="Mendenhall E">E. Mendenhall</name></author><author><name sortKey="Seligman, R" uniqKey="Seligman R">R. Seligman</name></author><author><name sortKey="Fernandez, A" uniqKey="Fernandez A">A. Fernandez</name></author><author><name sortKey="Jacobs, E A" uniqKey="Jacobs E">E. A. Jacobs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murray, C" uniqKey="Murray C">C. Murray</name></author><author><name sortKey="Vos, T" uniqKey="Vos T">T. Vos</name></author><author><name sortKey="Lozano, R" uniqKey="Lozano R">R. Lozano</name></author><author><name sortKey="Naghavi, M" uniqKey="Naghavi M">M. Naghavi</name></author><author><name sortKey="Flaxman, A D" uniqKey="Flaxman A">A. D. Flaxman</name></author><author><name sortKey="Michaud, C" uniqKey="Michaud C">C. Michaud</name></author><author><name sortKey="Lopez, A D" uniqKey="Lopez A">A. D Lopez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nichter, M" uniqKey="Nichter M">M. Nichter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nichter, M" uniqKey="Nichter M">M. Nichter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Phaswana Mafuya, N" uniqKey="Phaswana Mafuya N">N. Phaswana-Mafuya</name></author><author><name sortKey="Peltzer, K" uniqKey="Peltzer K">K. Peltzer</name></author><author><name sortKey="Chirinda, W" uniqKey="Chirinda W">W. Chirinda</name></author><author><name sortKey="Musekiwa, A" uniqKey="Musekiwa A">A. Musekiwa</name></author><author><name sortKey="Kose, Z" uniqKey="Kose Z">Z. Kose</name></author><author><name sortKey="Hoosain, E" uniqKey="Hoosain E">E. Hoosain</name></author><author><name sortKey="Ramlagan, S" uniqKey="Ramlagan S">S. Ramlagan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Radloff, L S" uniqKey="Radloff L">L. S. Radloff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Richter, L M" uniqKey="Richter L">L. M. Richter</name></author><author><name sortKey="Norris, S A" uniqKey="Norris S">S. A. Norris</name></author><author><name sortKey="Pettifor, J" uniqKey="Pettifor J">J. Pettifor</name></author><author><name sortKey="Yach, D" uniqKey="Yach D">D. Yach</name></author><author><name sortKey="Cameron, N" uniqKey="Cameron N">N. Cameron</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schoenberg, N E" uniqKey="Schoenberg N">N. E. Schoenberg</name></author><author><name sortKey="Drew, E M" uniqKey="Drew E">E. M. Drew</name></author><author><name sortKey="Stroller, E P" uniqKey="Stroller E">E. P. Stroller</name></author><author><name sortKey="Kart, C S" uniqKey="Kart C">C. S. Kart</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schwartz, T" uniqKey="Schwartz T">T. Schwartz</name></author><author><name sortKey="Magdi, G" uniqKey="Magdi G">G. Magdi</name></author><author><name sortKey="Steen, T W" uniqKey="Steen T">T. W. Steen</name></author><author><name sortKey="Sjaastad, I" uniqKey="Sjaastad I">I. Sjaastad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singer, M" uniqKey="Singer M">M. Singer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stewart, S" uniqKey="Stewart S">S. Stewart</name></author><author><name sortKey="Carrington, M" uniqKey="Carrington M">M. Carrington</name></author><author><name sortKey="Pretorius, S" uniqKey="Pretorius S">S. Pretorius</name></author><author><name sortKey="Methusi, P" uniqKey="Methusi P">P. Methusi</name></author><author><name sortKey="Silwa, K" uniqKey="Silwa K">K. Silwa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yarris, K" uniqKey="Yarris K">K. Yarris</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double pmid="25643001"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">When HIV is ordinary and diabetes new: Remaking suffering in a South African Township</title><author><name sortKey="Mendenhall, Emily" sort="Mendenhall, Emily" uniqKey="Mendenhall E" first="Emily" last="Mendenhall">Emily Mendenhall</name><affiliation><nlm:aff id="aff0001"></nlm:aff></affiliation><affiliation><nlm:aff id="aff0002"></nlm:aff></affiliation></author><author><name sortKey="Norris, Shane A" sort="Norris, Shane A" uniqKey="Norris S" first="Shane A." last="Norris">Shane A. Norris</name><affiliation><nlm:aff id="aff0002"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25643001</idno><idno type="pmc">4353257</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4353257</idno><idno type="RBID">PMC:4353257</idno><idno type="doi">10.1080/17441692.2014.998698</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">002434</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002434</idno><idno type="wicri:Area/Pmc/Curation">002433</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002433</idno><idno type="wicri:Area/Pmc/Checkpoint">000922</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000922</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">When HIV is ordinary and diabetes new: Remaking suffering in a South African Township</title><author><name sortKey="Mendenhall, Emily" sort="Mendenhall, Emily" uniqKey="Mendenhall E" first="Emily" last="Mendenhall">Emily Mendenhall</name><affiliation><nlm:aff id="aff0001"></nlm:aff></affiliation><affiliation><nlm:aff id="aff0002"></nlm:aff></affiliation></author><author><name sortKey="Norris, Shane A" sort="Norris, Shane A" uniqKey="Norris S" first="Shane A." last="Norris">Shane A. Norris</name><affiliation><nlm:aff id="aff0002"></nlm:aff></affiliation></author></analytic><series><title level="j">Global Public Health</title><idno type="ISSN">1744-1692</idno><idno type="eISSN">1744-1706</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Escalation of non-communicable diseases (NCDs) among urban South African populations disproportionately afflicted by HIV/AIDS presents not only medical challenges but also new ways in which people understand and experience sickness. In Soweto, the psychological imprints of political violence of the Apartheid era and structural violence of HIV/AIDS have shaped social and health discourses. Yet, as NCDs increasingly become part of social and biomedical discussions in South African townships, new frames for elucidating sickness are emerging. This article employs the concept of syndemic suffering to critically examine how 27 women living with Type 2 diabetes in Soweto, a township adjacent to Johannesburg known for socio-economic mobility as well as inequality, experience and understand syndemic social and health problems. For example, women described how reconstructing families and raising grandchildren after losing children to AIDS was not only socially challenging but also affected how they ate, and how they accepted and managed their diabetes. Although previously diagnosed with diabetes, women illustrated how a myriad of social and health concerns shaped sickness. Many related diabetes treatment to shared AIDS nosologies, referring to diabetes as ‘the same’ or ‘worse’. These narratives demonstrate how suffering weaves a social history where HIV becomes ordinary, and diabetes new.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Coovadia, H" uniqKey="Coovadia H">H. Coovadia</name></author><author><name sortKey="Jewkes, R" uniqKey="Jewkes R">R. Jewkes</name></author><author><name sortKey="Barron, P" uniqKey="Barron P">P. Barron</name></author><author><name sortKey="Sanders, D" uniqKey="Sanders D">D. Sanders</name></author><author><name sortKey="Mcintyre, D" uniqKey="Mcintyre D">D. McIntyre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crowther, N J" uniqKey="Crowther N">N. J. Crowther</name></author><author><name sortKey="Norris, S A" uniqKey="Norris S">S. A. Norris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Daftary, A" uniqKey="Daftary A">A. Daftary</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ellison, G T H" uniqKey="Ellison G">G. T. H. Ellison</name></author><author><name sortKey="Wet, T" uniqKey="Wet T">T. Wet</name></author><author><name sortKey="Ijselmuiden, C B" uniqKey="Ijselmuiden C">C. B. Ijselmuiden</name></author><author><name sortKey="Richter, L" uniqKey="Richter L">L. Richter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garro, L C" uniqKey="Garro L">L. C. Garro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Good, B" uniqKey="Good B">B. Good</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holt, R I G" uniqKey="Holt R">R. I. G. Holt</name></author><author><name sortKey="De Groot, M" uniqKey="De Groot M">M. de Groot</name></author><author><name sortKey="Golden, S H" uniqKey="Golden S">S. H. Golden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karim, S S A" uniqKey="Karim S">S. S. A. Karim</name></author><author><name sortKey="Churchyard, G J" uniqKey="Churchyard G">G. J. Churchyard</name></author><author><name sortKey="Karim, A A" uniqKey="Karim A">A. A. Karim</name></author><author><name sortKey="Lawn, S D" uniqKey="Lawn S">S. D. Lawn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kleinman, A" uniqKey="Kleinman A">A. Kleinman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leone, T" uniqKey="Leone T">T. Leone</name></author><author><name sortKey="Coast, E" uniqKey="Coast E">E. Coast</name></author><author><name sortKey="Narayanan, S" uniqKey="Narayanan S">S. Narayanan</name></author><author><name sortKey="De Graft Aikins, A" uniqKey="De Graft Aikins A">A. de Graft Aikins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lund, C" uniqKey="Lund C">C. Lund</name></author><author><name sortKey="Breen, A" uniqKey="Breen A">A. Breen</name></author><author><name sortKey="Flisher, A J" uniqKey="Flisher A">A. J. Flisher</name></author><author><name sortKey="Kakuma, R" uniqKey="Kakuma R">R. Kakuma</name></author><author><name sortKey="Corrigall, J" uniqKey="Corrigall J">J. Corrigall</name></author><author><name sortKey="Joska, J A" uniqKey="Joska J">J. A. Joska</name></author><author><name sortKey="Patel, V" uniqKey="Patel V">V. Patel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mattingly, C" uniqKey="Mattingly C">C. Mattingly</name></author><author><name sortKey="Garro, L C" uniqKey="Garro L">L. C. Garro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mayosi, B M" uniqKey="Mayosi B">B. M. Mayosi</name></author><author><name sortKey="Flisher, A J" uniqKey="Flisher A">A. J. Flisher</name></author><author><name sortKey="Lalloo, U G" uniqKey="Lalloo U">U. G. Lalloo</name></author><author><name sortKey="Sitas, F" uniqKey="Sitas F">F. Sitas</name></author><author><name sortKey="Tollman, S M" uniqKey="Tollman S">S. M. Tollman</name></author><author><name sortKey="Bradshaw, D" uniqKey="Bradshaw D">D. Bradshaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mayosi, B M" uniqKey="Mayosi B">B. M. Mayosi</name></author><author><name sortKey="Lawn, J E" uniqKey="Lawn J">J. E. Lawn</name></author><author><name sortKey="Niekerk, A" uniqKey="Niekerk A">A. Niekerk</name></author><author><name sortKey="Bradshaw, D" uniqKey="Bradshaw D">D. Bradshaw</name></author><author><name sortKey="Karim, S S" uniqKey="Karim S">S. S. Karim</name></author><author><name sortKey="Abdool, C" uniqKey="Abdool C">C. Abdool</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, E" uniqKey="Mendenhall E">E. Mendenhall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, E" uniqKey="Mendenhall E">E. Mendenhall</name></author><author><name sortKey="Norris, S A" uniqKey="Norris S">S. A. Norris</name></author><author><name sortKey="Shidhaye, R" uniqKey="Shidhaye R">R. Shidhaye</name></author><author><name sortKey="Prabhakaran, D" uniqKey="Prabhakaran D">D. Prabhakaran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, E" uniqKey="Mendenhall E">E. Mendenhall</name></author><author><name sortKey="Richter, L M" uniqKey="Richter L">L. M. Richter</name></author><author><name sortKey="Stein, A" uniqKey="Stein A">A. Stein</name></author><author><name sortKey="Norris, S A" uniqKey="Norris S">S. A. Norris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, E" uniqKey="Mendenhall E">E. Mendenhall</name></author><author><name sortKey="Seligman, R" uniqKey="Seligman R">R. Seligman</name></author><author><name sortKey="Fernandez, A" uniqKey="Fernandez A">A. Fernandez</name></author><author><name sortKey="Jacobs, E A" uniqKey="Jacobs E">E. A. Jacobs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murray, C" uniqKey="Murray C">C. Murray</name></author><author><name sortKey="Vos, T" uniqKey="Vos T">T. Vos</name></author><author><name sortKey="Lozano, R" uniqKey="Lozano R">R. Lozano</name></author><author><name sortKey="Naghavi, M" uniqKey="Naghavi M">M. Naghavi</name></author><author><name sortKey="Flaxman, A D" uniqKey="Flaxman A">A. D. Flaxman</name></author><author><name sortKey="Michaud, C" uniqKey="Michaud C">C. Michaud</name></author><author><name sortKey="Lopez, A D" uniqKey="Lopez A">A. D Lopez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nichter, M" uniqKey="Nichter M">M. Nichter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nichter, M" uniqKey="Nichter M">M. Nichter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Phaswana Mafuya, N" uniqKey="Phaswana Mafuya N">N. Phaswana-Mafuya</name></author><author><name sortKey="Peltzer, K" uniqKey="Peltzer K">K. Peltzer</name></author><author><name sortKey="Chirinda, W" uniqKey="Chirinda W">W. Chirinda</name></author><author><name sortKey="Musekiwa, A" uniqKey="Musekiwa A">A. Musekiwa</name></author><author><name sortKey="Kose, Z" uniqKey="Kose Z">Z. Kose</name></author><author><name sortKey="Hoosain, E" uniqKey="Hoosain E">E. Hoosain</name></author><author><name sortKey="Ramlagan, S" uniqKey="Ramlagan S">S. Ramlagan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Radloff, L S" uniqKey="Radloff L">L. S. Radloff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Richter, L M" uniqKey="Richter L">L. M. Richter</name></author><author><name sortKey="Norris, S A" uniqKey="Norris S">S. A. Norris</name></author><author><name sortKey="Pettifor, J" uniqKey="Pettifor J">J. Pettifor</name></author><author><name sortKey="Yach, D" uniqKey="Yach D">D. Yach</name></author><author><name sortKey="Cameron, N" uniqKey="Cameron N">N. Cameron</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schoenberg, N E" uniqKey="Schoenberg N">N. E. Schoenberg</name></author><author><name sortKey="Drew, E M" uniqKey="Drew E">E. M. Drew</name></author><author><name sortKey="Stroller, E P" uniqKey="Stroller E">E. P. Stroller</name></author><author><name sortKey="Kart, C S" uniqKey="Kart C">C. S. Kart</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schwartz, T" uniqKey="Schwartz T">T. Schwartz</name></author><author><name sortKey="Magdi, G" uniqKey="Magdi G">G. Magdi</name></author><author><name sortKey="Steen, T W" uniqKey="Steen T">T. W. Steen</name></author><author><name sortKey="Sjaastad, I" uniqKey="Sjaastad I">I. Sjaastad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singer, M" uniqKey="Singer M">M. Singer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stewart, S" uniqKey="Stewart S">S. Stewart</name></author><author><name sortKey="Carrington, M" uniqKey="Carrington M">M. Carrington</name></author><author><name sortKey="Pretorius, S" uniqKey="Pretorius S">S. Pretorius</name></author><author><name sortKey="Methusi, P" uniqKey="Methusi P">P. Methusi</name></author><author><name sortKey="Silwa, K" uniqKey="Silwa K">K. Silwa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yarris, K" uniqKey="Yarris K">K. Yarris</name></author></analytic></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">When HIV is ordinary and diabetes new: remaking suffering in a South African township.</title><author><name sortKey="Mendenhall, Emily" sort="Mendenhall, Emily" uniqKey="Mendenhall E" first="Emily" last="Mendenhall">Emily Mendenhall</name><affiliation wicri:level="2"><nlm:affiliation>a Science, Technology, and International Affairs Program, Walsh School of Foreign Service , Georgetown University , Washington , DC , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Science, Technology, and International Affairs Program, Walsh School of Foreign Service , Georgetown University , Washington , DC </wicri:regionArea><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Norris, Shane A" sort="Norris, Shane A" uniqKey="Norris S" first="Shane A" last="Norris">Shane A. Norris</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25643001</idno><idno type="pmid">25643001</idno><idno type="doi">10.1080/17441692.2014.998698</idno><idno type="wicri:Area/PubMed/Corpus">001A74</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001A74</idno><idno type="wicri:Area/PubMed/Curation">001A74</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001A74</idno><idno type="wicri:Area/PubMed/Checkpoint">001A74</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001A74</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">When HIV is ordinary and diabetes new: remaking suffering in a South African township.</title><author><name sortKey="Mendenhall, Emily" sort="Mendenhall, Emily" uniqKey="Mendenhall E" first="Emily" last="Mendenhall">Emily Mendenhall</name><affiliation wicri:level="2"><nlm:affiliation>a Science, Technology, and International Affairs Program, Walsh School of Foreign Service , Georgetown University , Washington , DC , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Science, Technology, and International Affairs Program, Walsh School of Foreign Service , Georgetown University , Washington , DC </wicri:regionArea><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Norris, Shane A" sort="Norris, Shane A" uniqKey="Norris S" first="Shane A" last="Norris">Shane A. Norris</name></author></analytic><series><title level="j">Global public health</title><idno type="eISSN">1744-1706</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>African Continental Ancestry Group (psychology)</term><term>Aged</term><term>Cohort Studies</term><term>Comorbidity</term><term>Depression (etiology)</term><term>Diabetes Mellitus, Type 2 (complications)</term><term>Diabetes Mellitus, Type 2 (epidemiology)</term><term>Diabetes Mellitus, Type 2 (psychology)</term><term>Female</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (psychology)</term><term>Humans</term><term>Interviews as Topic</term><term>Middle Aged</term><term>Politics</term><term>Prevalence</term><term>Qualitative Research</term><term>Social Problems (psychology)</term><term>Socioeconomic Factors</term><term>South Africa (epidemiology)</term><term>Stress, Psychological (complications)</term><term>Stress, Psychological (epidemiology)</term><term>Stress, Psychological (etiology)</term><term>Stress, Psychological (psychology)</term><term>Violence (psychology)</term><term>War-Related Injuries (psychology)</term><term>Women's Health</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Blessures de guerre (psychologie)</term><term>Comorbidité</term><term>Diabète de type 2 ()</term><term>Diabète de type 2 (psychologie)</term><term>Diabète de type 2 (épidémiologie)</term><term>Dépression (étiologie)</term><term>Entretiens comme sujet</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Infections à VIH (psychologie)</term><term>Infections à VIH (épidémiologie)</term><term>Politique</term><term>Population d'origine africaine (psychologie)</term><term>Problèmes sociaux (psychologie)</term><term>Prévalence</term><term>Recherche qualitative</term><term>République d'Afrique du Sud (épidémiologie)</term><term>Santé des femmes</term><term>Stress psychologique ()</term><term>Stress psychologique (psychologie)</term><term>Stress psychologique (épidémiologie)</term><term>Stress psychologique (étiologie)</term><term>Sujet âgé</term><term>Violence (psychologie)</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Diabetes Mellitus, Type 2</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Diabetes Mellitus, Type 2</term><term>HIV Infections</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Depression</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Blessures de guerre</term><term>Diabète de type 2</term><term>Infections à VIH</term><term>Population d'origine africaine</term><term>Problèmes sociaux</term><term>Stress psychologique</term><term>Violence</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>African Continental Ancestry Group</term><term>Diabetes Mellitus, Type 2</term><term>HIV Infections</term><term>Social Problems</term><term>Stress, Psychological</term><term>Violence</term><term>War-Related Injuries</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Diabète de type 2</term><term>Infections à VIH</term><term>République d'Afrique du Sud</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dépression</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cohort Studies</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Middle Aged</term><term>Politics</term><term>Prevalence</term><term>Qualitative Research</term><term>Socioeconomic Factors</term><term>Women's Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Diabète de type 2</term><term>Entretiens comme sujet</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Politique</term><term>Prévalence</term><term>Recherche qualitative</term><term>Santé des femmes</term><term>Stress psychologique</term><term>Sujet âgé</term><term>Études de cohortes</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afrique du Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Escalation of non-communicable diseases (NCDs) among urban South African populations disproportionately afflicted by HIV/AIDS presents not only medical challenges but also new ways in which people understand and experience sickness. In Soweto, the psychological imprints of political violence of the Apartheid era and structural violence of HIV/AIDS have shaped social and health discourses. Yet, as NCDs increasingly become part of social and biomedical discussions in South African townships, new frames for elucidating sickness are emerging. This article employs the concept of syndemic suffering to critically examine how 27 women living with Type 2 diabetes in Soweto, a township adjacent to Johannesburg known for socio-economic mobility as well as inequality, experience and understand syndemic social and health problems. For example, women described how reconstructing families and raising grandchildren after losing children to AIDS was not only socially challenging but also affected how they ate, and how they accepted and managed their diabetes. Although previously diagnosed with diabetes, women illustrated how a myriad of social and health concerns shaped sickness. Many related diabetes treatment to shared AIDS nosologies, referring to diabetes as 'the same' or 'worse'. These narratives demonstrate how suffering weaves a social history where HIV becomes ordinary, and diabetes new.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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