Drawing from an ethnography
of HIV care in Santa Cruz, Bolivia, in this article I explore how the social
imaginary surrounding gender relations shapes men's experiences of seeking care
for and living with HIV.
Popular understandings of gender relations, which draw
heavily on the machismo concept, intersect with a global health master
narrative that frames women as victims in the AIDS epidemic in a way that
generates a strong sentiment of blaming machismo within local HIV/AIDS-related
services. Statements such as, "it's because of machismo" are used to
explain away epidemiological trends. Participant observation in the context of
HIV care, coupled with illness narrative interviews, illuminate how blaming
machismo shapes men's experiences of care and the ways that they feel excluded
from various forms of support.
Thus, the illness experiences of men with HIV
problematize the machismo concept and how it is drawn upon in the context of
care.
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- 1 University of Texas at El Paso.
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