Document 0836
 DOCN  M9460836
 TI    A different disease: HIV/AIDS and health care for women in poverty.
 DT    9404
 AU    Ward MC; Department of Anthropology, University of New Orleans, LA
       70148.
 SO    Cult Med Psychiatry. 1993 Dec;17(4):413-30. Unique Identifier : AIDSLINE
       MED/94155608
 AB    The goal of this paper is to demonstrate that HIV/AIDS for poor women is
       a qualitatively different disease than the one first defined in the
       United States in the 1980s. HIV/AIDS for poor women is not a new
       disease; it is only another life-threatening condition which parallels
       serious health problems already experienced by these populations. A
       time-honored and broad continuum of disease and death for poor women is
       linked to such factors as poverty, self-medication, infant morbidity,
       infant mortality and cervical cancer. The programmatic responses to
       HIV/AIDS in poor women have been grafted onto existing services
       established by and for homosexual men or onto the
       obstetrical-gynecological and prenatal systems already in place.
       Furthermore, the primary socio-psychological mechanisms of denial and
       dependency that characterize poor women are far more salient than
       notions of risk-taking or sexual lifestyles. These conclusions lead to
       somber predictions for the course of the epidemic and the prognosis for
       treatment and care for poor women with HIV.
 DE    Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*PREVENTION &
       CONTROL/TRANSMISSION  Adolescence  Adult  Cervix
       Neoplasms/EPIDEMIOLOGY/ETIOLOGY/PREVENTION & CONTROL  Female  Health
       Services Needs and Demand/*TRENDS  Human  HIV
       Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL/TRANSMISSION  Infant
       Infant Mortality/TRENDS  Infant, Newborn  Knowledge, Attitudes, Practice
       Life Style  Medical Indigency/*TRENDS  *Poverty  Pregnancy  Risk Factors
       Sex Behavior  Social Environment  Women's Health Services/*TRENDS
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).