 Assisting or compromising intervention? The concept of 'culture' in biomedical and social research on HIV/AIDSJulie J. Taylor Social Science & Medicine, 2007, vol. 64, issue 4, 965-975 Abstract: This paper addresses how the notion of 'culture' has been understood and employed by both epidemiologists and anthropologists with respect to the literature on HIV/AIDS in Sub-Saharan Africa. It examines the shift towards non-biomedical understandings of the epidemic. The concept of 'culture' has been 'bandied about' [Schoepf, B.G. (2004). AIDS, history and struggles over meaning. In E. Kalipeni, S. Craddock, J.R. Oppong, & J. Ghosh (Eds.), HIV and AIDS in Africa: Beyond epidemiology. Oxford: Blackwell.], and yet no authors in the literature reviewed here attempt a more systematic account of the 'bandying about' itself. This paper thus attempts to address and close this gap. For biomedical researchers and epidemiologists, broadly speaking, 'culture' appears to compromise intervention, whilst for medical anthropologists, 'culture' is often seen as having the potential to assist intervention. 'Culture' comes to be multifaceted and laden with varying assumptions, which range from 'culture' being bounded and timeless, to 'culture' being linked to macro-processes, historically shaped, and contested. In turn, 'culture' has variously been understood as both the cause of, and solution to, the epidemic. It is also understood as having structured local interpretations of, and responses to, the epidemic. At the same time as noting the apparent dichotomy between the biomedical and social approaches, however, the models may inadvertently share certain assumptions about 'culture' as an essentializing signifier of difference. To this extent HIV/AIDS research could be improved by incorporating wider anthropological debates about the problems of the 'culture' concept. Keywords: Sub-Saharan; Africa; HIV/AIDS; Intervention; Culture; Epidemiology; Anthropology (search for similar items in EconPapers) Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:64:y:2007:i:4:p:965-975 Ordering information: This journal article can be ordered from Access Statistics for this article Social Science & Medicine is currently edited by Ichiro (I.) Kawachi and S.V. (S.V.) Subramanian More articles in Social Science & Medicine from Elsevier |
Is your work missing from RePEc? Here is how to contribute.
Questions or problems? Check the EconPapers FAQ or send mail to .
EconPapers is hosted by the
School of Business at Örebro University.