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Angela Y. Davis and Communication Studies  

Catherine R. Squires

Angela Yvonne Davis is an American-born, internationally acclaimed intellectual, activist, and icon. Davis’s groundbreaking work and generative theorizing synthesizes Marxist, feminist, critical race, and cultural studies to illuminate workings of power. Her many books, articles, and essays pose crucial questions that have inspired the work of generations of scholars, cultural workers, and activists. Spanning from the late 1960s to the early 21st century, her writings and speeches have provided rich understandings of history, justice, representation, identity, and resistance.

Article

The ACT2 Program and Eliminating Racial and Ethnic Disparities in HIV and AIDS Clinical Trials: A Case Study in Health and Risk Messaging  

Marya Gwadz and Amanda S. Ritchie

It is well documented that African American/Black and Hispanic individuals are underrepresented in biomedical research in the United States (U.S.), and leaders in the field have called for the proportional representation of varied populations in biomedical studies as a matter of social justice, economics, and science. Yet achieving appropriate representation is particularly challenging for health conditions that are highly stigmatized such as HIV/AIDS. African American/Black, and Hispanic individuals, referred to here as “people of color,” are greatly overrepresented among the 1.2 million persons living with HIV/AIDS in the United States. Despite this, people of color are substantially underrepresented in AIDS clinical trials. AIDS clinical trials are research studies to evaluate the safety and effectiveness of promising new treatments for HIV and AIDS and for the complications of HIV/AIDS, among human volunteers. As such, AIDS clinical trials are critical to the development of new medications and treatment regimens. The underrepresentation of people of color in AIDS clinical trials has been criticized on a number of levels. Of primary concern, underrepresentation may limit the generalizability of research findings to the populations most affected by HIV/AIDS. This has led to serious concerns about the precision of estimates of clinical efficacy and adverse effects of many treatments for HIV/AIDS among these populations. The reasons for the underrepresentation of people of color are complex and multifaceted. First, people of color experience serious emotional and attitudinal barriers to AIDS clinical trials such as fear and distrust of medical research. These experiences of fear and distrust are grounded largely in the well-known history of abuse of individuals of color by medical research institutions, and are complicated by current experiences of exclusion and discrimination in health care settings and the larger society, often referred to as structural racism or structural violence. In addition, people of color experience barriers to AIDS clinical trials at the level of social networks, such as social norms that do not support engagement in medical research and preferences for alternative therapies. People of color living with HIV/AIDS experience a number of structural barriers to clinical trials, such as difficulty accessing and navigating the trials system, which is often unfamiliar and daunting. Further, most health care providers are not well positioned to help people of color overcome these serious barriers to AIDS clinical trials in the context of a short medical appointment, and therefore are less likely to refer them to trials compared to their White peers. Last, some studies suggest that the trials’ inclusion and exclusion criteria exclude a greater proportion of people of color than White participants. Social/behavioral interventions that directly address the historical and contextual factors underlying the underrepresentation of people of color in AIDS clinical trials, build motivation and capability to access trials, and offer repeated access to screening for trials, hold promise for eliminating this racial/ethnic disparity. Further, modifications to study inclusion criteria will be needed to increase the proportion of people of color who enroll in AIDS clinical trials.

Article

Race, Ethnicity, and Cultural Industries  

John Sinclair

The term cultural industries was first coined in the 1980s as a comprehensive means to understand production, distribution, and consumption in the traditional information and entertainment industries—press, radio, and television—and others such as film and recorded music. Closely related industries, such as advertising, marketing, and public relations, were also included. With the subsequent popular embrace and commercialization of the internet, especially the social media platforms, the concept was necessarily expanded to incorporate such “new” media of the digital age. The relevance of these cultural industries for racial and ethnic groups living within the nations of the developed world is significant in at least two contexts: national and transnational. Within the frame of the nation, the issues concern the status of these groups as minorities; and in a global perspective, the groups come to be seen as members of transnational communities, with ties both to a putative nation of origin and to their counterparts in other nations. Most theoretical and research attention has focused on media representations—that is, on how racial and ethnic minorities are portrayed in the content of the cultural industries’ outputs, seen both in a national context, such as the perpetuation of stereotypes in news and television series, and globally, as in film. Yet such a focus on representations tends to position minorities as passive victims of the media. Less common is research in which minorities are viewed as active agents producing their own information and entertainment, as they do, with local, national, and even transnational distribution. Minorities’ own media can range from local community radio to globally available television channels and internet platforms serving vast diasporas, the largest of these being those of non-resident Indians (NRIs) and the Chinese-speaking world (the “Sinosphere”). Each of these provides a case in which the industrial structure of the huge home media market provides the basis for far-flung consumption in all those countries in which members of the respective ethnicities have settled. In situations in which they attain a certain critical mass, such racial and ethnic minorities form a market for the cultural industries and consumer goods industries more broadly. Also to be taken into account is the phenomenon of racial and ethnic minorities having an impact on the cultural industries of the dominant cultures of the nations in which they dwell. The most striking case in that regard is how African American popular music made the profound cross-over from segregated radio stations and live venues to infuse the commercial mainstream of music recording and performance in the United States and, ultimately, the world. Although such creativity is valued, there remains a diversity issue about the actual participation of racial and other minorities in executive, management, and production roles in the major cultural industries.