When HIV is ordinary and diabetes new: Remaking suffering in a South African Township
Identifieur interne : 000922 ( Pmc/Checkpoint ); précédent : 000921; suivant : 000923When 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.
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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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. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Glob Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Glob Public Health</journal-id><journal-id journal-id-type="archive">RGPH</journal-id><journal-id journal-id-type="publisher-id">rgph20</journal-id><journal-title-group><journal-title>Global Public Health</journal-title></journal-title-group><issn pub-type="ppub">1744-1692</issn><issn pub-type="epub">1744-1706</issn><publisher><publisher-name>Routledge</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25643001</article-id><article-id pub-id-type="pmc">4353257</article-id><article-id pub-id-type="publisher-id">998698</article-id><article-id pub-id-type="doi">10.1080/17441692.2014.998698</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>When HIV is ordinary and diabetes new: Remaking suffering in a South African Township</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mendenhall</surname><given-names>Emily</given-names></name><xref ref-type="aff" rid="aff0001"><sup>a</sup></xref><xref ref-type="aff" rid="aff0002"><sup>b</sup></xref><xref ref-type="corresp" rid="an0001"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Norris</surname><given-names>Shane A.</given-names></name><xref ref-type="aff" rid="aff0002"><sup>b</sup></xref></contrib><aff id="aff0001"><label><sup>a</sup></label><institution><named-content content-type="department">Science, Technology, and International Affairs Program, Walsh School of Foreign Service</named-content>,<named-content content-type="institution-name">Georgetown University</named-content></institution>,<named-content content-type="city">Washington</named-content>,<named-content content-type="state">DC</named-content>,<country>USA</country></aff><aff id="aff0002"><label><sup>b</sup></label><institution><named-content content-type="department">MRC/Wits Developmental Pathways for Health Research Unit</named-content>,<named-content content-type="institution-name">University of the Witwatersand</named-content></institution>,<named-content content-type="city">Johannesburg</named-content>,<country>South Africa</country></aff></contrib-group><author-notes><corresp id="an0001"><label>* </label>Corresponding author. Email: <email>em1061@georgetown.edu</email></corresp></author-notes><pub-date pub-type="ppub"><day>21</day><month>4</month><year>2015</year><pmc-comment>string-date: April 2015</pmc-comment>
</pub-date><pub-date pub-type="epub"><day>2</day><month>2</month><year>2015</year></pub-date><volume>10</volume><issue>4</issue><fpage seq="3">449</fpage><lpage>462</lpage><history><date date-type="received"><day>14</day><month>5</month><year>2014</year></date><date date-type="accepted"><day>3</day><month>11</month><year>2014</year></date></history><permissions><copyright-statement>© 2015 The Author(s). Published by Taylor & Francis.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>The Author(s)</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/Licenses/by-nc-nd/4.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/Licenses/by-nc-nd/4.0/">http://creativecommons.org/Licenses/by-nc-nd/4.0/</ext-link>), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.</license-p></license></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="rgph-10-449.pdf"></self-uri><abstract><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></abstract><kwd-group kwd-group-type="author"><title>Keywords</title><kwd>social suffering</kwd><kwd>HIV/AIDS</kwd><kwd>diabetes</kwd><kwd>mental health</kwd><kwd>South Africa</kwd></kwd-group><funding-group><award-group><funding-source><named-content content-type="funder-name">Department for International Development, UK Government</named-content><named-content content-type="funder-identifier">10.13039/501100002992</named-content></funding-source><award-id>African Research Leader Scheme (UK)</award-id></award-group><funding-statement>The authors disclosed receipt of the following financial support for the research, authorship, and or publication of this article. This research was made possible by funding from the MRC/DFID African Research Leader Scheme (UK).</funding-statement></funding-group><counts><fig-count count="0"></fig-count><table-count count="2"></table-count><ref-count count="29"></ref-count><page-count count="14"></page-count></counts></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Mendenhall, Emily" sort="Mendenhall, Emily" uniqKey="Mendenhall E" first="Emily" last="Mendenhall">Emily Mendenhall</name><name sortKey="Norris, Shane A" sort="Norris, Shane A" uniqKey="Norris S" first="Shane A." last="Norris">Shane A. Norris</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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