Communicating Health as an Impossibility: Sex Work, HIV/AIDS, and the Dance of Hope and Hopelessness

Basu, Ambar

doi:10.1080/1041794x.2010.504452

Cited by 33 publications

(19 citation statements)

References 23 publications

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“…Early childhood experience of CSA was also documented as a risk factor for re-victimization as well as initiation into commercial sex work. Lack of proper family support, family and personal history of mental health pathology, and pathological family exposures to sexual images were some of the other potential risk factors, that emerged in the review [ 36 ] [ 37 – 43 ]. Lack of sanitation and poor safety of women were also found to be community level factors that increased the risks for CSA from the review of qualitative studies [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…Only one quantitative study evaluated the associations between increased risk of Sexually Transmitted Infections (STI) and CSA [ 69 ]. The studies suggest that sexually trafficked women and MSMs involved in commercial sex work and had experienced CSA also report high prevalence and risk behaviors for HIV infection [ 31 , 34 , 37 – 39 , 45 , 70 – 74 ]. However, their HIV status in this study could be an outcome of sex work rather than the experience of CSA itself.…”

Section: Resultsmentioning

confidence: 99%

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Child sexual abuse in India: A systematic review

et al. 2018

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ObjectiveChild Sexual Abuse (CSA) is a pressing human right issue and public health concern. We conducted a systematic review of quantitative and qualitative studies published in the past decade on CSA in India to examine the distribution of the prevalence estimates for both genders, to improve understanding of the determinants and consequences of CSA and identify gaps in the current state of research.MethodsFor this systematic review, we searched electronic literature databases (PubMed, POPLINE, and PsycINFO) for articles published in English on Child Sexual Abuse in India between January 1, 2006 and January 1, 2016 using 55 search terms. Data were extracted from published articles only.FindingsFifty-one studies met inclusion criteria for the review. The review indicates that prevalence rates of CSA is high among both boys and girls in India. Due to heterogeneity of study designs and lack of standardised assessments, reported prevalence estimates varied greatly among both genders in different studies. There is a need to conduct representative studies using a validated instrument to obtain valid epidemiological estimates. Commercial sex workers, men who have sex with men, and women with psychiatric disorders were at higher risks for sexual abuse during childhood. In addition, the synthesis of qualitative data across studies included in the review suggests that exposure and perpetration of CSA is a multifaceted phenomenon grounded in the interplay between individual, family, community, and societal factors. The review indicates poor physical, behavioural, social, and mental health outcomes of CSA in India. We conclude with a research agenda calling for quantitative and qualitative studies to explore the determinants and perpetration of child sexual abuse in India from an ecological lens. This research agenda may be necessary to inform the development of a culturally tailored primary prevention and treatment strategy for CSA victims in India.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Child sexual abuse in India: A systematic review

et al. 2018

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“…Mapping absences and silences as exemplified in this project then creates the space for culture-centered praxis in health communication that emphasizes the possibilities for building dialogic opportunities in subaltern contexts, with an emphasis on listening to the voices at the margins (Basu, 2010;Dutta, 2008;Dutta-Bergman, 2000;Guha & Spivak, 1988). Based on our analysis, we make the argument that contemporary postcolonial scholarship needs to engage with the politics of neoimperialism that underlie the material inequities and dichotomies across the globe, more specifically in terms of the military and economy rationale that underlie global disease management within neoliberalism (see also Dirlik, 2007).…”

Section: Aid Economics and Securitymentioning

confidence: 97%

Public Health, Global Surveillance, and the “Emerging Disease” Worldview: A Postcolonial Appraisal of PEPFAR

Sastry

Dutta

2012

Health Communication

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Drawing upon a postcolonial lens, this project looks at how meanings of HIV/AIDS are discursively constructed within the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), which was launched in 2003 under the presidency of George W. Bush and has been heralded as the largest global public health intervention program in history. Building on existing literature that theorizes the interrelationships of public health and national security, global surveillance, and transnational hegemony, the postcolonial theoretical standpoint interrogates how such meanings are constructed within PEPFAR. A postcolonial deconstruction of the 2009 PEPFAR report to the Congress revealed three meanings of HIV/AIDS that were discursively constructed in such policy documents: (a) the "Third World" as a site of intervention, (b) U.S. altruism as "lifting" the burden of the soul, and (c) AIDS, economics, and security. The themes put forth the linkages among the symbolic representations in neocolonial configurations and the politics of material disparities across the globe, thus issuing a call for the creation of participatory and dialogic spaces for engaging subaltern voices that are typically treated as targets of policy and intervention discourses.

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“…CCA takes this impetus and applies it to how knowledge claims are made about subaltern groups across the globe, and how the health agendas of such groups are rendered invisible, or irrelevant when compared to the health agendas forwarded by "experts" outside such communities. For example, Basu's (2010) work argues that health interventions targeting sex workers in India need to recognize that sex workers see themselves primarily as mothers providing for their children, and not as a "high-risk" group for HIV/AIDS, as they are often construed within health discourses. The material risks that sex workers undertake are constellated within their role as mothers who provide sustenance and care-a fact that is often erased from the discourse on sex workers.…”

Section: Discursive Erasurementioning

confidence: 99%

How to Have (Critical) Method in a Pandemic: Outlining a Culture-Centered Approach to Health Discourse Analysis

Sastry

Basu

2020

Front. Commun.

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In this elucidative essay, we offer a broad outline of the culture-centered approach to health discourse analysis as a warrant for the relevance of critical health communication amid the global COVID-19 pandemic. While there is a proliferation of methods and approaches to health discourse analysis, we outline one broad approach, based on the theoretical tenets and political commitments of CCA. In particular, we emphasize (a) the heuristic value of the CCA's primary and theoretical components-the matrix of culture, structure, and agency, and (b) the importance of exploring discursive erasure as two central principles that guide analysis within this framework. Given the range and scale of existing and likely future transformations in social, political, and cultural understandings of health in the wake of the global COVID-19 pandemic, we offer, through this "how to" essay, a rationale for the continued relevance of critical health communication.

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Communicating Health as an Impossibility: Sex Work, HIV/AIDS, and the Dance of Hope and Hopelessness

Cited by 33 publications

References 23 publications

Child sexual abuse in India: A systematic review

Child sexual abuse in India: A systematic review

Public Health, Global Surveillance, and the “Emerging Disease” Worldview: A Postcolonial Appraisal of PEPFAR

How to Have (Critical) Method in a Pandemic: Outlining a Culture-Centered Approach to Health Discourse Analysis

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