Article Database

Diversity Dilemmas and Opportunities: Training the Next Generation of Anthropologists

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No abstract available.

‘Men At Risk’: Sex Work, Tourism, and STI/HIV Risk in Jamaica

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Female sex tourism has become an accepted income generator for many underemployed men in Jamaica who seek to reap economic benefits from relationships with visiting tourist women. This issue provides contexts to explore the numerous ways in which health intersects with issues of masculinity, sexuality and marginality. Based on ethnographic fieldwork in a popular Jamaican resort town, this paper examines the health implications of female sex tourism for the local population and tourist visitors. Data from this project indicate the need for improved sexually transmitted infection education and HIV outreach work towards men who are involved in transactional sex with tourist women. Due to prevalent perceptions of masculinity and gendered notions of sexuality, men who engage in sex tourism constitute a population that rarely receives the attention of local and national health authorities. Data from this qualitative study suggest that engaging this particular vulnerable population could potentially decrease the risk of STI and HIV infection in the country’s most popular resort areas. Research of this kind is urgently needed to better understand the risk factors and challenges for Caribbean populations, as well as to inform future prevention efforts in the region.

Making “Easy” Money: Resilience and Risk In Jamaica

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Purpose: Local adaptations to economic blight and overreliance on the tourism industry demonstrate significant aspects of resilience and risk among Caribbean populations. Those individuals who choose sex tourism as a way to benefit from its increasing revenue demonstrate resilience through their adaptations to shifts in the local and national economies, including national debt, expansion of the all-inclusive hotel industry, and seasonal variations in tourist arrivals. Based on ethnographic research conducted in Negril, Jamaica, I argue that the very activities of “hustling” and sex work that illustrate local men’s resilience are the same practices that put their sexual health at risk.

Methodology/Approach: This research contextualizes the practice of female sex tourism using the anthropology of tourism, gender and sexuality studies, and the anthropology of HIV/AIDS with a focus on the Caribbean region. This work is based on a project that entailed nine months of fieldwork in 2010–2011 in Negril where I conducted ethnographic observations, life history interviews with three men who sell sex, and 54 semi-structured interviews.

Findings: Men who sell sex to women tourists demonstrate resilience in the face of economic shifts and changing cultural norms. These men are also, however, exposed to risk through their sexual activities and health seeking behaviors.

Research implications: In order for the issues of STI/HIV risk to be adequately addressed among this population, effective public health efforts must prioritize health over tourism revenue and utilize anthropological approaches to explore the health costs of the tourist dollar.

The Southern Mind and the Savage Ideal: Deconstructing Identities of Place in the Cracker State

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This qualitative study discusses one Southern college of education and its engagement with White supremacy. This research stemmed from the Institution’s publication of an offensive catalog cover and the subsequent reactions to its inherent racism. Following this incident, our institution was dubbed ‘Cracker State’ in the media, informing our decision to analyze the historical connotations of this term for our pre-service educators. Utilizing Critical Whiteness Studies and Southern epistemology frameworks, we reconceptualize White Fragility while pulling from this experience and data collected to advance a strategy for confronting Southern White supremacy. Participants included 154 majority White and female students. Data stemmed from document analysis and two years of empirical data drawn from classroom discussions and student assignments. Due to the demographics and location of our college, we utilize the autobiographical demand of place and pay particular attention to understanding the influence of the South on the development of our students’ ideology. We explore this Southern place utilizing the following themes: (1) romantic fictions, (2) the specter of guilt, (3) God’s chosen people, and (4) the final great tragedy of the South. The goal is to begin a conversation regarding place-based pedagogy.

Hors de soi: Dissociation et réintégration corporelles dans C’est vole que je vole (1998) de la martiniquaise Nicole Cage-Florentiny

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A chapter written by Jacqueline Couti in the book: Amour, Sexe, Genre et Trauma dans la Caraïbe Francophone edited by Gladys M. Francis.

Dreaming the Other, Dreaming the Self: Construction and Reconstruction of Trans/National Identity in Caribbean Literature

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Littérature Comparée, “Discourses on Trans/National Identity in Caribbean Literature,” proposes to consider Caribbean literature outside its tradi- tionally restrictive cadre and resituate it within a broader hemispheric context.

Dangerous Creole Liaisons

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Dangerous Creole Liaisons explores a French Caribbean context to broaden discussions of sexuality, nation building, and colonialism in the Americas. Couti examines how white Creoles perceived their contributions to French nationalism through the course of the nineteenth century as they portrayed sexualized female bodies and sexual and racial difference to advance their political ideologies. Questioning their exhilarating exoticism and titillating eroticism underscores the ambiguous celebration of the Creole woman as both seductress and an object of lust. She embodies the Caribbean as a space of desire and a political site of contest that reflects colonial, slave and post-slave societies. The under-researched white Creole writers and non-Caribbean authors (such as Lafcadio Hearn) who traveled to and wrote about these islands offer an intriguing gendering and sexualization of colonial and nationalist discourses. Their use of the floating motif of the female body as the nation exposes a cultural cross-pollination, an intense dialogue of political identity between continental France and her Caribbean colonies. Couti suggests that this cross-pollination still persists. Eventually, representations of Creole women’s bodies (white and black) bring two competing conceptions of nationalism into play: a local, bounded, French nationalism against a transatlantic and more fluid nationalism that included the Antilles in a “greater France”.

African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned?

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The Pregnancy Ecological Momentary Assessment Pilot Study: Applications of Mobile Technology

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The Pregnancy Ecological Assessment (PregEMA) Pilot Study was designed to apply EMA approaches (i.e., capturing experiences in real time in the natural environment) among a population of pregnant women.  A total of 28 women completed EMA surveys on their smartphone over a 4 week period during their second and third trimester.  We assessed mood, eating, physical activity, stress, location and context at the beginning of the day, end of day, and randomly throughout the day and week.  The majority of participants completed EMA surveys (average 76% completion rate) with limited missing surveys. Key findings from the EMA data were that on average, women indicated having trouble sleep 71% of the time, were taking prenatal vitamins 73% of the time, were physically active 55% of the time, and spent 5.7 hours per day sitting. The innovative approaches employed in PregEMA allowed us to understand women’s experiences in real-time and in women’s natural environments.  Future work could consider how these methods may be integrated into larger population studies, trials and clinical or community-based interventions.

Understanding Pregnancy and Postpartum Health Using Ecological Momentary Assessment and Mobile Technology: Protocol for the Postpartum Mothers Mobile Study

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Background: There are significant racial disparities in pregnancy and postpartum health outcomes, including postpartum weight retention and cardiometabolic risk. These racial disparities are a result of a complex interplay between contextual, environmental, behavioral, and psychosocial factors.

Objective: This protocol provides a description of the development and infrastructure for the Postpartum Mothers Mobile Study (PMOMS), designed to better capture women’s daily experiences and exposures from late pregnancy through 1 year postpartum. The primary aims of PMOMS are to understand the contextual, psychosocial, and behavioral factors contributing to racial disparities in postpartum weight and cardiometabolic health, with a focus on the daily experiences of stress and racism, as well as contextual forms of stress (eg, neighborhood stress and structural racism).

Methods: PMOMS is a longitudinal observation study that is ancillary to an existing randomized control trial, GDM² (Comparison of Two Screening Strategies for Gestational Diabetes). PMOMS uses an efficient and cost-effective approach for recruitment by leveraging the infrastructure of GDM², facilitating enrollment of participants while consolidating staff support from both studies. The primary data collection method is ecological momentary assessment (EMA) and through smart technology (ie, smartphones and scales). The development of the study includes: (1) the pilot phase and development of the smartphone app; (2) feedback and further development of the app including selection of key measures; and (3) implementation, recruitment, and retention.

Results: PMOMS aims to recruit 350 participants during pregnancy, to be followed through the first year after delivery. Recruitment and data collection started in December 2017 and are expected to continue through September 2020. Initial results are expected in December 2020. As of early May 2019, PMOMS recruited a total of 305 participants. Key strengths and features of PMOMS have included data collection via smartphone technology to reduce the burden of multiple on-site visits, low attrition rate because of participation in an ongoing trial in which women are already motivated and enrolled, high EMA survey completion and the use of EMA as a unique data collection method to understand daily experiences, and shorter than expected timeframe for enrollment because of the infrastructure of the GDM² trial.

Conclusions: This protocol outlines the development of the PMOMS, one of the first published studies to use an ongoing EMA and mobile technology protocol during pregnancy and throughout 1 year postpartum to understand the health of childbearing populations and enduring racial disparities in postpartum weight and cardiometabolic health. Our findings will contribute to the improvement of data collection methods, particularly the role of EMA in capturing multiple exposures and knowledge in real time. Furthermore, the results of the study will inform future studies investigating weight and cardiometabolic health during pregnancy and the postpartum period, including how social determinants produce population disparities in these outcomes.