When HIV is ordinary and diabetes new: remaking suffering in a South African township.
Identifieur interne : 001A74 ( PubMed/Curation ); précédent : 001A73; suivant : 001A75When HIV is ordinary and diabetes new: remaking suffering in a South African township.
Auteurs : Emily Mendenhall [États-Unis] ; Shane A. NorrisSource :
- Global public health [ 1744-1706 ] ; 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.
DOI: 10.1080/17441692.2014.998698
PubMed: 25643001
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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'. 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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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mendenhall</LastName><ForeName>Emily</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>a Science, Technology, and International Affairs Program, Walsh School of Foreign Service , Georgetown University , Washington , DC , USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Norris</LastName><ForeName>Shane A</ForeName><Initials>SA</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>02</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Glob Public Health</MedlineTA><NlmUniqueID>101256323</NlmUniqueID><ISSNLinking>1744-1692</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Int Health. 2012 Mar;4(1):30-7</RefSource><PMID Version="1">24030878</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Curr Diab Rep. 2014 Jun;14(6):491</RefSource><PMID Version="1">24743941</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2009 Sep 12;374(9693):934-47</RefSource><PMID Version="1">19709736</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2012 Dec 8;380(9858):2029-43</RefSource><PMID Version="1">23201214</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cult Med Psychiatry. 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MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D044383" MajorTopicYN="N">African Continental Ancestry Group</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003924" MajorTopicYN="N">Diabetes Mellitus, Type 2</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" 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