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This chapter examines the associations between gender, social support, and health outcomes for individuals living with HIV disease. We include social integration and social isolation as structural measures of social support as well as perceived social support and social conflict as functional measures of social support. We include both mental health and physical health outcomes, which are too often studied in isolation of each other.

Data are from the Coping with HIV/AIDS in the Southeast (CHASE) study; this study reports on baseline data from 611 participants collected from 2001 to 2002. We first examined differences by gender and race, and then used blocked linear regression to determine the additive effects of the social support variables on both mental and physical health outcomes while controlling for potential confounders.

There were notable differences in the significance and strength of social support variables in health outcome models for men and women. Unlike men, social conflict was the strongest predictor of greater psychological distress and poorer physical health-related quality of life among women.

While the results from this study contribute to a greater understanding of gender differences in the relationships between social support and health outcomes, the data used for this study are limited to those living with HIV/AIDS in the Southeast.

Our findings suggest that social conflict may be more detrimental for the health of women than men.

Age-difference in couple relationships in Mexico and Latin America has been a field of study predominantly approached by demographers and sociodemographers. In Western Europe and North America, the tendency is similar yet sociologists and anthropologists have contributed important knowledge to this discussion. The results of both groups of studies show that in most societies men marry and cohabitate with women younger than them and that in a rather small percentage women are older than men. The discussion on the reasons for which men prefer younger women or women prefer older men when marrying and cohabitating go from psychological to economic grounds. This study aims to contribute to the discussion on the reasons for which this pattern persists by study examining the narratives of 81 Mexican heterosexual men and women from three generations. This is done from a qualitative and sociological standpoint that approaches the age differences from the subjectivity and intimacy of the interviewees aiming to understand (i) the meanings of the age-gap and age discrepancy, (ii) the role of schooling and social class in the significance of the age-gap and age-discrepancy relationships, and (iii) the gender inequality in age-gap relationships. The data show that amid a vigorous and strong trend of unions between older men and younger women where great gender inequalities may persist, there are signs of cultural change that show the discomfort and stigma of such differences. This, rather than being a contradiction, reveals how schooling and social origin affect the resignification of the difference, and moreover, suggests that the power relations in the couple are more equitable.

The race concordance hypothesis suggests that matching patients and health providers on the basis of race improves communication and patients’ perceptions of health care, and by extension, encourages patients to seek and utilize health care, which may reduce health disparities. However, relatively few studies have examined the impact of race concordance on the utilization of health services. This chapter is grounded on Andersen’s Emerging Model of Health Services Utilization (Phase 4) and extends that model to include race concordance.

The data were collected from a stratified random sample of adult beneficiaries enrolled in North Carolina Medicaid’s primary care case management delivery system in 2006–2007. Propensity score matching techniques were used to sort respondents on their propensity for race concordance and indices were constructed to generate key control variables. Poisson regression was used to examine the impact of race concordance on the utilization of primary care and emergency room care, under the assumption that race concordance would increase the use of primary care and decrease the use of emergency care for minority patients.

While blacks (compared to whites) used less primary care and had more emergency care visits, race concordance was not a statistically significant predictor of either primary care or emergency room use. However, patients’ satisfaction with their primary care providers was associated with significantly fewer primary care and emergency care visits while trust in one’s provider was associated with more primary care visits.

The study findings suggest that the central premises of the race concordance hypothesis require further study to confirm the assumption that better patient – primary care provider relationships result in less utilization of more costly and resource-intensive forms of health care.

The study makes a valuable contribution by expanding the relatively small body of literature dedicated to exploring the impact of race concordance on health services utilization. Additionally, by virtue of researching the experience of Medicaid enrollees, the study controls for health insurance status.

This paper addresses how local retailers remain resilient in negotiating the lead up to and immediate aftermath of two major disasters (Typhoons Nesat and Nalgae) within a developing urban context (Dagupan City, Pangasinan). It highlights the specific mechanisms by which urban traders engage the Philippines’ more pervasive and highly resilient “culture of disaster” vis-à-vis conditions of chronic natural hazard.

This study relies predominately on the traditional anthropological techniques of participant observation and informal/semi-structured interviews to gather relevant project data. Supplementing these two core methods are findings derived from secondary sources like local and provincial newspapers, government records, public and university libraries, and census findings.

Findings suggest that a continual cycle of disaster impact and response does not overtly affect small retailers’ entrepreneurial initiative. It becomes clear that a persistent threat of natural hazards fosters a rather fatalistic sense of self-reliance.

Study was designed and funded as a quick-response study; therefore, the research timeframe was rather compressed and the informant pool somewhat limited.

The Philippines is widely recognized as a “culture of disaster” given its volatile position along the Pacific’s “Ring of Fire” and “Typhoon Alley.” This distinction assumes added dimension as the effects of global climate change become increasingly pervasive at the local level.

This paper adds ethnographic detail to a growing body of data on small business resilience within disaster prone areas of the Global South amid intensifying global climate change.

This study contends that the various forms of archaic trade that anthropologists have reconstructed on the Northwest Coast of America are explanatory of plot-construction and characterization in Conrad's South-American novel. My thesis is that Nostromo is a figure defined by the practice of potlatch, and that his key presence in the plot entails the representation of a culturally dislocating transition from archaic transactions to modern commerce. The theoretical framework of this chapter hinges on the insights of Marcel Mauss, Claude Lévi-Strauss, Karl Polanyi, and Georges Bataille.