Abstract
This paper employs syndemics theory to explain high rates of sexually transmitted disease among inner city African
American and Puerto Rican heterosexual young adults in Hartford, CT, USA. Syndemic theory helps to elucidate the
tendency for multiple co-terminus and interacting epidemics to develop under conditions of health and social disparity.
Based on enhanced focus group and in-depth interview data, the paper argues that respondents employed a cultural logic
of risk assessment which put them at high risk for STD infection. This cultural logic was shaped by their experiences of
growing up in the inner city which included: coming of age in an impoverished family, living in a broken home,
experiencing domestic violence, limited expectations of the future, limited exposure to positive role models, lack of
expectation of the dependency of others, and fear of intimacy.
r 2006 Elsevier Ltd. All rights reserved.
AbstractThis paper employs syndemics theory to explain high rates of sexually transmitted disease among inner city AfricanAmerican and Puerto Rican heterosexual young adults in Hartford, CT, USA. Syndemic theory helps to elucidate thetendency for multiple co-terminus and interacting epidemics to develop under conditions of health and social disparity.Based on enhanced focus group and in-depth interview data, the paper argues that respondents employed a cultural logicof risk assessment which put them at high risk for STD infection. This cultural logic was shaped by their experiences ofgrowing up in the inner city which included: coming of age in an impoverished family, living in a broken home,experiencing domestic violence, limited expectations of the future, limited exposure to positive role models, lack ofexpectation of the dependency of others, and fear of intimacy.r 2006 Elsevier Ltd. All rights reserved.
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