Gender, violence and HIV: Women's survival in the streets
Open accessAbstract
In this article I propose that gender inequality promotes--directly or indirectly--vulnerability to HIV as a consequence of a multidimensional violence (structural, symbolic and physical) experienced by injection drug using (IDU) women in The Mission District (San Francisco). Given the female subordinated position stipulated by the street ideology, I analyze how drug dependence afforded by precarious strategies of subsistence places IDU women under multiple dangers and threats. In this setting, unequal gender relations are part of a complex system of transactions in the street economy and a way to reduce or increase the everyday violence. Facing multiple dangers and risks, some women adopt a subordinated position, some try to negotiate the conditions of the exchanges and the others resist the exploitation. Finally, everyday violence under conditions of gender inequality and scarcity of resources imposes a logic defined by the challenge of survival under the threat of immediate dangers, which transform HIV into a secondary risk.
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References 41 · Cited by 100
Research works printed but not linked: 7
- Qualitative methodology and the ethnographic approach within the studies of drug abuse and HIV have been presented in NIDA Research Monographs (see Lambert (ed.) 1990;
- Lambert, Ashery and Needle (eds.) 1995). REFERENCES
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- Rodriguez, B. 1993 Women, Poverty and AIDS. An Introduction. In Critical Perspectives in Health and Social Justice, pp. 3-21. Cambridge, MA: Institute for Health and Social Justice.
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- Authors
- Epele, M. E.
- Affiliations
- Universidad Nacional de La Plata (AR)
- Corresponding author
- Epele, María Esther
- ORCID
- Epele, María Esther
- Venue
- Culture, Medicine and Psychiatry
- Published
- 2002-02
- Volume
- 26
- Issue
- 1
- Pages
- 33-54
- ISSN
- 0165-005X (ISSN-L)
- 1573-076X
- OpenAlex
- W199608579
- Cited by
- 100
- References
- 41
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 11 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 3 · 2015: 10 · 2014: 8 · 2013: 11 · 2012: 4
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Culture Medicine and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc-sa)
- Funders
- Styrelsen för Internationellt Utvecklingssamarbete
- Center for Latin American Studies, University of California, Berkeley
- Consejo Nacional de Investigaciones Científicas y Técnicas
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
- Keywords
- HIV vulnerability, gender inequality, intravenous drug use, women who inject drugs, street economy, everyday violence, drug addiction, survival strategies, exploitation, resistance, San Francisco
- MeSH terms
- Adaptation, Psychological, Female, Ill-Housed Persons, Humans, Interpersonal Relations, Male, Power, Psychological, San Francisco, Social Support, Socioeconomic Factors, Survival, Violence, HIV Infections, Substance Abuse, Intravenous, Women's Health, Risk Assessment
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