An intersectional approach for understanding the vulnerabilities of English-speaking heterosexual Caribbean youth to HIV/AIDS and sexually transmitted infections: Prevention and intervention strategies

Abstract

Caribbean youth comprise about 30 percent of the English-speaking Caribbean population, and about 81,000 Caribbean and Latin American youth are HIV infected. AIDS is the leading cause of death for 15- to 24-year-old English-speaking Caribbean youth. This article relies on intersectionality theory in the assessment of the macro-level, or structural variables, and micro-level, or individual level, variables that influence the risk-taking sexual behaviors of heterosexual English-speaking Caribbean youth and increase their vulnerability to HIV/sexually transmitted infections. This article offers macro- and micro-level prevention/intervention strategies for reducing the prevalence of sexually transmitted infections in English-speaking Caribbean youth, including the promotion of condom use, voluntary male circumcision, and HIV testing and counseling. Suggestions are offered for future research investigations to explore the contributing factors to youth’s vulnerability to sexually transmitted infections and to empirically verify the relationship between and among variables that account for desired outcomes, including decreases in risky sexual behaviors.

The Bat Meat Chain and Perceptions of the risk of contracting Ebola in the Mount Cameroon Region

“…This study of how multiple identities related to the value chain--hunting, preparation and consumption---of bat meat treated social categories (gender, age, sex) as independent variables differently predispose men and women to the risk of infection with EVD and thereby generating main effects and interactions [29,30], recognizes multiple identities as well as the influence of human social worlds in the analysis of the risk of disease contraction [10]. The focus of this ''categorical approach'' [8] to intersectionality deals with the complexity of relationships among multiple social groups within and across analytical categories…..The subject is multigroup and the method is systematically comparative'' ( [8], P. 1786). Intersectionality [7,29,30] and ethno-ecological theories [31,32] guided the collection of data for this study.…”

“…In relation to the focus of this study, it can be observed that the risk of infection with EVD is intertwined with social and economic pressures of inequality. ''These macro socio-structural dynamics intersect at the micro-level of individual experience to contour social attitudes and behaviours that place'' [8] women and youths at risk of EVD infection due to their coming in contact with the carcasses of bats. This resonates with Bowleg's view that multiple intersecting ''identities at the micro-level reflects multiple and interlocking structural-level inequality at the macro-levels of society''…”

“…Springer and associates have conceptualized sex/gender as a domain of complex phenomena that are simultaneously biological and social, rather than a domain in which the social and biological "overlap" This paper draws on intersectionalist theory [8][9] outbreaks in the recent past did not extend to Cameroon, the country was active in prevention efforts, which were restricted to sensitization, sealing of frontiers and restrictions of persons traveling from or to Ebola stricken countries. The country also volunteered to serve as testing ground for Ebola trial vaccines [11].…”

La perspectiva feminista de la interseccionalidad en el campo de la salud pública: revisión narrativa de las producciones teórico-metodológicas

“…En este eje temático sobresalen estudios en áreas como género, salud de la mujer y violencia (30,31,32,33,39,40,43) , raza, etnicidad y minorías culturales (27,34,35) , VIH-sida (28,37,38,42) , salud de poblaciones LGBT (29,36,41) . En toda esta producción, los marcadores de diferenciación social sobresalen como modeladores de las desigualdades sociales.…”

Elderly and Foreign: Vulnerability and Intersectionality in Healthcare

“…Zaměřily se na intersekci kategorií, jako je gender, rasa/etnicita, chudoba a zkušenost migrace, jež dopadají na sexualitu žen a zvyšují jejich zranitelnost ve vztahu k riziku infekce HIV (Collins, von Unger, Armbrister 2008: 389-397). Marcia E. Sutherland (2016) naopak použila intersekcionální rámec pro analýzu dat a zkoumání strukturálních a individuálních proměnných, které ovlivňují sexuální rizikové chování heterosexuální mládeže a zvyšují jejich zranitelnost k HIV a jiným pohlavně přenášeným infekcím. Yanqiu Rachel Zhou s kolegyněmi (Zhou, Majumdar, Vattikonda 2016) v kanadském kontextu zase studovaly intersekci kultury, integrace a zdraví ovlivňující zranitelnost migrantů vůči infekci HIV.…”