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Merrill Singer (b. October 6, 1950 McKeesport, Pennsylvania, USA) [1] is a medical anthropologist and professor emeritus in Anthropology at the University of Connecticut and in Community Medicine at the University of Connecticut Health Center. He is best known for his research on substance abuse, HIV/AIDS, syndemics, health disparities, and minority health.
Singer studied anthropology at California State University, Northridge (Master of Arts, Anthropology, 1975) and completed a PhD in Anthropology at the University of Utah in 1979.[ citation needed ] He held a National Institute on Alcohol Abuse and Alcoholism Postdoctoral Fellowship in the Department of Psychiatry, George Washington University (1979–80) and another at the University of Connecticut School of Medicine from 1982 to 1983.[ citation needed ]
He was a researcher, rising to Associate Director, at the Hispanic Health Council in Hartford, Connecticut from 1982 to 2007, and moved to the University of Connecticut in 2007, becoming Professor in 2008 and retiring in the late 2010s. [2]
As Director of the Center for Community Health Research at the Hispanic Health Council, he helped to develop the theoretical perspective within medical anthropology known as "critical medical anthropology". Singer also developed the public health concepts of "syndemics" and "oppression illness". Most recently, he has published a number of articles on "pluralea". [3]
The first of these terms refers to the clustering of diseases in populations and the biological interaction of diseases in individual bodies. Moreover, the term syndemics also points to the determinant importance of social conditions in disease concentrations, interactions, and health consequences. In syndemics, the interaction of diseases or other adverse health conditions commonly arises because of adverse social conditions (e.g., poverty, exploitation, stigmatization, oppressive social relationships) that put socially devalued groups at heightened risk. The term oppression illness refers to the internalization of social discrimination and the health consequences of coming to accept one does not deserve to be healthy. The term pluralea refers to the adverse intersection of environmental crises and their health effects.
In his work on alcohol and drug use, Singer explains that all drugs are commodities and draws attention to social constructions of legitimate or legal and illegitimate or illegal drugs. In his book Drugging the Poor: Legal and Illegal Drugs and Social Inequality, Singer notes that all drugs are forms of self-medicating, and that distinctions of legal or illegal serve to reinforce social hierarchies and inequalities. Furthermore, Singer argues that drug use among the poor is a type of self-medicating in response to the pressures of being poor. Responding to ways illegal drug users are vilified, Singer argues that by using language of blame to describe drug users as responsible for deteriorating urban centers, “attention is diverted from the role of class inequality as a source of social misery.”
Singer has been the principal investigator on a series of U.S. federal and foundation funded drinking, drug use, and AIDS prevention grants since 1984. Recent grants include:
Additionally, he is co-editor with Pamela Erickson of the book series Advances in Critical Medical Anthropology with Left Coast Press.
Singer is the father of two children, Jake H. Singer (also known as Jacob Hillis Singer), an industrial designer, and Elyse Ona Singer, who is currently an assistant professor in the Department of Anthropology at the University of Oklahoma. [4] [5]
The AIDS epidemic, caused by HIV, found its way to the United States between the 1970s and 1980s, but was first noticed after doctors discovered clusters of Kaposi's sarcoma and pneumocystis pneumonia in homosexual men in Los Angeles, New York City, and San Francisco in 1981. Treatment of HIV/AIDS is primarily via the use of multiple antiretroviral drugs, and education programs to help people avoid infection.
Medical anthropology studies "human health and disease, health care systems, and biocultural adaptation". It views humans from multidimensional and ecological perspectives. It is one of the most highly developed areas of anthropology and applied anthropology, and is a subfield of social and cultural anthropology that examines the ways in which culture and society are organized around or influenced by issues of health, health care and related issues.
The sociology of health and illness, sociology of health and wellness, or health sociology examines the interaction between society and health. As a field of study it is interested in all aspects of life, including contemporary as well as historical influences, that impact and alter our health and wellbeing.
Critical medical anthropology (CMA) is a branch of medical anthropology that blends critical theory and ground-level ethnographic approaches in the consideration of the political economy of health, and the effect of social inequality on people's health. It puts emphasis on the structure of social relationships, rather than purely biomedical factors in analyzing health and accounting for its determinants.
A syndemic or synergistic epidemic is the aggregation of two or more concurrent or sequential epidemics or disease clusters in a population with biological interactions, which exacerbate the prognosis and burden of disease. The term was developed by Merrill Singer in the early 1990s to call attention to the synergistic nature of the health and social problems facing the poor and underserved. Syndemics develop under health disparity, caused by poverty, stress, or structural violence and are studied by epidemiologists and medical anthropologists concerned with public health, community health and the effects of social conditions on health.
Ronald Frankenberg was a British anthropologist and sociologist, known for his study of conflict and decision-making in a Welsh village. He also contributed to the development of medical anthropology.
The Rudolf Virchow Awards are annual American awards in anthropology.
The history of HIV/AIDS in Australia is distinctive, as Australian government bodies recognised and responded to the AIDS pandemic relatively swiftly, with the implementation of effective disease prevention and public health programs, such as needle and syringe programs (NSPs). As a result, despite significant numbers of at-risk group members contracting the virus in the early period following its discovery, Australia achieved and has maintained a low rate of HIV infection in comparison to the rest of the world.
Pamela Irene Erickson is a medical anthropologist. The holder of both a Dr.P.H and a PhD, she is Professor of Anthropology and Community Medicine at the University of Connecticut, Storrs. A former editor of the scholarly journal Medical Anthropology Quarterly, much of her own research has focused on reproductive health among Hispanic girls and young women. Prominent among the publications resulting from these investigations is her 1998 book, Latina Adolescent Childbearing in East Los Angeles. Erickson has also done fieldwork in Nepal, the Philippines, India, and Ecuador and this work is reflected in her 2008 textbook, Ethnomedicine. A Fellow of the American Anthropological Association and the Society for Applied Anthropology, Erickson has also served on the Governing Council of the Family and Reproductive Health Section of the American Public Health Association. Additionally, she is co-editor, with Merrill Singer of the book series Advances in Critical Medical Anthropology with Routledge.
Gregg Gonsalves is a global health activist, an epidemiologist, an associate professor at Yale School of Public Health and an associate professor (adjunct) at Yale Law School. As well as being co-director of Yale Law School's Global Health Justice Partnership, Gonsalves is the public health correspondent of the progressive magazine The Nation.
Perry N. Halkitis is an American of Greek ancestry public health psychologist and applied statistician known for his research on the health of LGBT populations with an emphasis on HIV/AIDS, substance use, and mental health. Perry is Dean and Professor of Biostatistics, Health Education, and Behavioral Science at the Rutgers School of Public Health.
The Catholic Church is a major provider of medical care to HIV/AIDS patients. Much of its work takes place in developing countries, although it has also had a presence in the global north. Its opposition to condoms, despite their effectiveness in preventing the spread of HIV, has invited criticism from public health officials and anti-AIDS activists.
Seth C. Kalichman is an American clinical community psychologist and professor of social psychology at the University of Connecticut, known for his research into HIV/AIDS treatment and HIV/AIDS denialism. Kalichman is also the director of the Southeast HIV/AIDS Research & Education Project in Atlanta, Georgia, and Cape Town, South Africa, and the editor of the journal AIDS and Behavior. He is the developer of the Sexual Compulsivity Scale.
Nancy Romero-Daza is a medical anthropologist with an appointment as associate professor at the University of South Florida. From 1994 to 1998, she worked for the Hispanic Health Council in Hartford, Connecticut in several capacities, including senior research scientist. Her work covers many different areas of medical anthropology, including HIV/AIDS, women's health, health problems in the inner city, infant mortality, drug abuse, syndemics, and commercial sex. Romero-Daza's geographical areas of interest include Costa Rica, Southern Africa, and the United States.
Jean J. Schensul is a medical anthropologist and senior scientist at The Institute for Community Research, in Hartford, Connecticut. Dr. Schensul is most notable for her research on HIV/AIDS prevention and other health-related research in the United States, as well as her extensive writing on ethnographic research methods. She has made notable contributions to the field of applied anthropology, with her work on structural interventions to health disparities leading to the development of new organizations, community research partnerships, and community/university associations. Schensul’s work has been dedicated to community-based research on topics such as senior health, education, and substance abuse, among others.
Breastfeeding by HIV-infected mothers is the practice of breastfeeding of HIV-infected mothers and include those who may want to or are currently breastfeeding. HIV can be transmitted to the infant through breastfeeding. The risk of transmission varies and depends on the viral load in the mother's milk. An infant can be infected with HIV throughout the duration of the pregnancy or during childbirth (intrapartum).
Dorothea Cross Leighton was an American social psychiatrist and a founder of the field of medical anthropology. Leighton held faculty positions at Cornell University and the University of North Carolina and she was the founding president of the Society for Medical Anthropology. She and her husband, Alexander Leighton, wrote The Navajo Door, which has been described as the first written work in applied medical anthropology.
Janet L. Mitchell was an American physician known for her advances in perinatal HIV/AIDS treatment. During the early days of the AIDS epidemic in the U.S. Mitchell developed protocols for health treatment of pregnant women who were HIV positive or at risk for developing AIDS. She advocated against mandatory testing and testifying before Congress, she advocated in favor of an inclusive approach to health care and social services. One of her innovations derived from a study that saw a 70% decrease in HIV transmission to babies when AZT was administered to their mothers during the pregnancy.
New York City was affected by the AIDS epidemic of the 1980s more than any other U.S. city. The AIDS epidemic has been and continues to be highly localized due to a number of complex socio-cultural factors that affect the interaction of the populous communities that inhabit New York.
Prasanna Nair is an Indian-born doctor working in the United States. She works in primary health care with a specialty in pediatric endocrinology
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