When Communities Assess Their AIDS Epidemics is a detailed ethnographic description of the AIDS epidemic in eleven cities in the United States and in the U.S. Virgin Islands. Employing a rapid ethnographic assessment methodology, cities from the Atlantic to the Pacific have implemented Project RARE (Rapid Assessment, REsponse, and Evaluation) efforts. These RARE projects examine the moving edge of the AIDS epidemic through descriptions of high-risk sites and identification of the segments of the populations that are at the greatest risk. Utilizing a series of focus groups and street interviews, local field research teams gain an insider's perspective on HIV risk within social contexts. Benjamin P. Bowser, Ernest Quimby, and Merrill Singer have compiled these critical studies that analyze current conditions, challenges, and recommendations encountered by RARE. When Communities Assess Their AIDS Epidemics is a powerful and engaging text that will appeal to those interested in public health and anthropology.
These detailed portraits of the AIDS epidemic in 11 US cities help us understand the dire consequences of failing to control a deadly disease. This book is must reading for those interested in AIDS as well as all who are concerned by threats to America's health.
Benjamin P. Bowser is professor of sociology and social services at California State University at Hayward. Ernest Quimby is graduate associate professor of sociology at Howard University. Merrill Singer is professor of anthropology and senior research scientist at the Center for Health, Intervention, and Prevention at the University of Connecticut.
Preface Eric Goosby, M.D. vii Introduction Louis Kushnick xi
1 Exploring the Boundaries of the AIDS Epidemic in the U.S. Ernest Quimby Merrill Singer Benjamin P. Bowser 1
2 Rapid Assessment: A Method in Community-Based Research Robert T. Trotter, II Merrill Singer 9
3 Responding to the AIDS Crisis in Newark, New Jersey Ric Curtis Alix Conde Maria Irizarry Christina Wolf 29
4 AIDS Health Emergency in Chicago Paul LaKosky Elijah Ward Lawrence J. Ouellet 47
5 Confined Youth Trying to Make It Real, Despite the Odds: RARE in Baltimore Ernest Quimby 65
6 AIDS in Philadelphia: Emerging from the Shadow of Crack William Eric Perkins David Metzger 89
7 AIDS in the Shadow of Power: Washington, D.C. Ernest Quimby Arvilla Payne-Jackson 103
8 Rapid Assessment in Oakland: HIV, Race, Class, and Bureaucracy Benjamin P. Bowser Barbara Hill 129
9 The AIDS Epidemic in Palm Beach County, Florida Karen Dodge Barbara Feeney 151
10 The Risks of Paradise: Project RARE and the Fight Against AIDS in the U.S. Virgin Islands Agatha P. Nelson Patricia R. Todman Merrill Singer 163
11 The RARE Experience in Miami Louis Herns Marcelin Bryan Page 177
12 Twilight's Last Gleaning: Rapid Assessment of Late Night HIV Risk in Hartford, CT Merrill Singer Julie Eiserman 193
13 RARE Research in Preventing HIV Among Men Who Have Sex with Men in Pima County, Arizona Halley Eisner-Freitas Floyd Meeks 209
14 Conclusion: Assessing Primary, Secondary, and Future Benefits of Project RARE Merrill Singer Benjamin P. Bowser Ernest Quimby 231 Index 249 About the Contributors 253