Department of Geography, Dartmouth College, Hanover, NH, 03755, USA.
Soc Sci Med. 2022 Jan;292:114628. doi: 10.1016/j.socscimed.2021.114628. Epub 2021 Dec 2.
Despite social determinants being central to LGBTQ health inequities, they are scarcely targeted by federal public health interventions. Racism, sexual stigma, and social disconnection, in particular, contribute to numerous LGBTQ health inequities including HIV. This article explores the case of a peer support group at a federally supported HIV care center in a rural Southern (US) location alongside oral history interviews with queer-identifying Black men recorded in the same region. Geographies of care literature center trusting social relations in care provision. For the narrators, unchecked harmful social relations vis a vis stigma and disconnection from queer collectivity produce an 'uncaring landscape' in the geographic environment. The peer support group diverged from the stipulated context of HIV to offer space for queer collectivity and destigmatizing social care. The findings support a more radical, expansive provision of state-supported care for sexual minorities.
尽管社会决定因素是 LGBTQ 健康不平等的核心，但它们几乎没有成为联邦公共卫生干预措施的目标。特别是种族主义、性污名和社会脱节，导致了许多 LGBTQ 健康不平等，包括 HIV。本文探讨了一个位于美国南部农村地区的联邦支持的艾滋病毒护理中心的同伴支持小组，以及在同一地区记录的同性恋身份的黑人男性的口述历史采访。关怀地理学的文献以关怀提供中的信任关系为中心。对于叙述者来说，与污名和与酷儿群体脱节有关的不受控制的有害社会关系，在地理环境中产生了一个“漠不关心的景观”。同伴支持小组偏离了规定的艾滋病毒背景，为酷儿群体和去污名化的社会关怀提供了空间。研究结果支持为性少数群体提供更激进、更广泛的国家支持的护理。
