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You're the First One I've Told
The Faces of HIV in the Deep South
Kathryn Whetten-Goldstein (Author), Brian Wells Pence (Author)
Second Edition, Revised
272 pages, 8 figures, 1 map, 6 x 9
Health and Medicine, History: Medicine and Nursing, African American Studies, Sociology
The Deep South has seen a 36 percent increase in AIDS cases while the rest of the nation has seen a 2 percent decline. Many of the underlying reasons for the disease’s continued spread in the region—ignorance about HIV, reluctance to get tested, non-adherence to treatment protocols, resistance to behavioral changes—remain unaddressed by policymakers.
In this extensively revised second edition, Kathryn Whetten and Brian Wells Pence present a rich discussion of twenty-five ethnographic life stories of people living with HIV in the South. Most importantly, they incorporate research from their recent quantitative study, “Coping with HIV/AIDS in the Southeast” (CHASE), which includes 611 HIV-positive patients from North Carolina, South Carolina, Georgia, Alabama, and Louisiana. This new edition continues to bring the participants’ voices to life while highlighting how the CHASE study confirmed many of the themes that originally emerged from the life histories. This is the first cohesive compilation of up-to-date evidence on the unique and difficult aspects of living with HIV in the Deep South.
"The South has been the epicenter of the U.S. HIV epidemic for the last decade, and the authors have used a balanced set of information from both surveys and personal observations to present a poignant and accessible portrait of the complexities of human health and disease."
—John A. Bartlett, MD, Duke Global Health Institute
"Expertly linking patients’ pasts to their current struggles to obtain health care and support, the stories related here contextualize AIDS within the lived experiences of the poor and marginalized communities that bear the greatest burden of HIV in the American South. This book offers indispensable insight into the ways that large-scale social forces shape the lives of those facing AIDS."
—Paul Farmer, Kolokotrones University Professor, Harvard University
Author / Editor Bio
KATHRYN WHETTEN, MPH, PhD, is a professor of public policy and global health at Duke University and the director of the Center for Health Policy and Inequalities Research. She is the author of Drinkers, Drivers, and Bartenders: Balancing Private Choice and Public Accountability.
BRIAN W. PENCE, MPH, PhD, is an associate professor of community and family medicine and global health at Duke University’s Center for Health Policy and Inequalities Research.
Table Of Contents
List of Figures and Tables
Preface to the Second Edition
1. Setting the Stage
2. Voices of the Past
3. Enter HIV
4. Abuse, Trauma, and HIV
5. Distrust, Conspiracy, Confidentiality, and Provider Relationships
6. Benefit Systems
7. The Importance of Children
8. Sex, Love, Family, and Other Support
9. Theoretical Framework
10. The Future
Read by Interviewer to Respondent