Doctor of Philosophy, Case Western Reserve University, 2020, Anthropology
This research investigates political and economic issues of inequality and unemployment in Uganda, as manifested in one informal settlement in Kabalagala, and the effect of these issues on HIV. Uganda is one important site to study the intersections of inequality, formal sector unemployment, urbanization, and HIV/AIDS. Contemporary inequality and formal sector unemployment are driven by colonial policies that shaped urban stratification, and postcolonial policies that privileged economic growth over job creation. A central goal was to understand men's risk of HIV in the context of these and other structural and social drivers of risk.
This research used an explanatory sequential mixed methods study design, including a pilot study (2016), survey pre-test (2017), and 12 months of fieldwork that began with survey data collection (N = 292) and ended with in-depth interviews (n = 54, a subset of the survey sample). Survey data were analyzed using multiple linear regression, and interview data and field notes were analyzed through thematic analysis. Quantitative data described the patterning of risky sexual behavior (e.g. HIV risk), while qualitative data expanded on these relationships and helped to clarify areas of contention.
Men in this study have lower rates of HIV testing, compared to national averages. Men also frequently report defaulting on ART, once they do receive a positive diagnosis and begin treatment. Inequality and unemployment impact their daily lives through experiences of uncertainty that must be managed. Economic instability is important, and when men cannot access resources, they are likely to engage in a variety of strategies to improve their economic status. Men also face myriad vulnerabilities driven by the political-economic context, from housing instability to incarceration.
This work contributes to the anthropological literature on the political economy of health, HIV, vulnerability, and social resilience. Men's experiences of HIV and (open full item for complete abstract)
Committee: Janet McGrath Ph.D. (Committee Chair); Lee Hoffer Ph.D. (Committee Member); Jill Korbin Ph.D. (Committee Member); Aloen Townsend Ph.D. (Committee Member)
Subjects: Cultural Anthropology; Public Health