Mark Padilla
Dados Biográficos
| ID | 3582374 |
|---|---|
| NOME | Mark Padilla |
| PRENOMES | Mark |
| SOBRENOME | Padilla |
| ASSINATURA | PADILLA M |
| AFILIAÇÕES | Florida International University |
| ORCID | 0000-0002-2532-6280 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 51 |
| TOTAL DE CITAÇÕES | 218 |
| TOTAL COMO AUTOR | 51 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1992 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 9 |
Pleasure and Vulnerability
Sexualized drug use (SDU) is an emerging and understudied phenomenon among trans and/or non-binary populations (TNBP). This study aimed to analyze the prevalence of SDU, gender differences in the use of 14 different substances, motivations for engaging in SDU and factors associated with emotion regulation-related SDU among TNBP who reported this practice. We conducted a cross-sectional online survey with a convenience sample of 1772 participants …
Energy insecurity and health among older adults
This article explores the impact of energy insecurity on chronic disease management among older adults (≥ 50 years) in rural areas of Puerto Rico. It documents their lived experiences during power outages and assesses the role of community-driven solar energy initiatives led by the community-based organization Casa Pueblo in enhancing health resilience in a disaster-prone region. An exploratory-descriptive qualitative approach was employed, incor…
Disaster governance, energy insecurity, and public health in rural Puerto Rico
Puerto Rico, an unincorporated US territory, faces systemic governmental neglect that disproportionately affects public health, particularly in the wake of disasters. Systemic patterns of political corruption, and post-disaster mismanagement, rooted in colonial governance, have shaped PR’s longstanding vulnerability reflecting in frequent power outages and energy delays. This study examines political abandonment feelings in Puerto Rico through th…
Mentoring Early-Career Investigators of HIV/STI Health Disparities Research
BackgroundTo build research capacity for early-career faculty conducting HIV/STI research with minoritized communities and to enhance diversity in the scientific workforce, the University of California, San Francisco (UCSF) Center for AIDS Prevention (CAPS) conducts a training program for visiting professors (VPs), begun in 1996. VPs are in residence at CAPS for three summers, complete a pilot research project, and prepare National Institutes of …
It’s Like Disney … You Have to Find Them a Fantasy
This ethnographic study examined multi-level vulnerabilities and social factors contributing to HIV/AIDS and methamphetamine (meth) use among Latinx Sexual Minority Men (Latinx SMM) working in the tourism sector of South Beach. Guided by Padilla's Ecological multi-level conceptual framework of tourism areas, we aimed to contribute to strategies that address the parallel epidemics of HIV/AIDS and meth use in tourism areas. In this high-priority re…
Beyond financial incentives
Puerto Rico faces a significant health crisis due to the mass migration of physicians to the United States, exacerbating the challenge of achieving the World Health Organisation's recommended physician-to-population ratio. While economic factors such as higher salaries in the US have been identified as primary drivers, the complexity of this migration wave requires a deeper exploration. This study quantitatively examines the role of push factors,…
Powering well-being
Community health promotion and disaster recovery
The project, which has already shown impacts on local policy decisions, demonstrates the possibilities of using PhotoVoice to foster community-driven crisis responses and policy dialogue that can shape health promotion and disaster recovery responses in PR and elsewhere
They think we wear loincloths
Puerto Rico (PR) is facing an unprecedented healthcare crisis due to accelerating migration of physicians to the mainland United States (US), leaving residents with diminishing healthcare and excessively long provider wait times. While scholars and journalists have identified economic factors driving physician migration, our study analyzes the effects of spatial stigma within the broader context of coloniality as unexamined dimensions of physicia…
Silenced stories of illicit drug use in the aftermath of Hurricane Maria in Puerto Rico
This paper examines the experiences of healthcare providers (n = 10), policymakers (n = 5), and drug users (n = 5) in Puerto Rico (PR) after Hurricane Maria hit in September 2017. We draw upon ecosocial theory and theories of coloniality to interpret the findings from semi-structured interviews conducted between 2018–2020. The data from the study reveal the unacknowledged absence of illicit drug use in public policies on emergency management in r…
On staying
Since 2000, an exodus of Puerto Ricans leaving the island has reduced the local population by almost 20 per cent. One of the migratory waves of greatest concern is that of physicians due to its potential impact on Puerto Rico’s (PR) public health. Strategies to curtail their migration have overlooked the island’s unique cultural and geographic strengths that could encourage physicians to stay. This article, influenced by place attachment theory, …
On leaving
Red tape, slow emergency, and chronic disease management in post-María Puerto Rico
This paper draws upon the notion of slow emergency as a framework to interpret ethnographic and qualitative findings on the challenges faced by Puerto Ricans with chronic conditions and health sector representatives throughout the island during and after Hurricane María. We conducted participant observation and qualitative interviews with chronic disease patients (n=20) health care providers and administrators (n=42), and policy makers (n=5) from…
Miami in Transformation during the Covid-19 Pandemic
While the impact of the COVID-19 pandemic has been felt around the world, Miami, Florida is one example of the specific and unique ways in which this pandemic is experienced. Drawing on the concepts of visual culture analysis and disaster literature, this article analyses how the COVID-19 pandemic transformed the everyday lives of people living in this subtropical American city. Specifically, this study draws on data collected from a digital part…
Embodiment, Gender Transitioning, and Necropolitics among Transwomen in Puerto Rico
In this article we present ethnographic research on Puerto Rican transwomen, focusing on how their gender trajectories are marked with various forms of routinized, systemic violence as well as resilient responses. Adapting Achille Mbembe's notion of necropolitics to consider the ways that the transgender body is systematically excluded and "designed to die," the authors aim to critically engage the embodied experience of transwomen and the mechan…
Coping with stress and anxiety
This study explores how the labor practices and experiences post-deportation contribute or exacerbate health vulnerabilities for deported Dominican male. Using an ethnographic approach and drawing from the participant’s narratives, we seek to describe and compare the labor and health vulnerabilities for Dominican deportees in the two Dominican industries where they are most likely to work – call centers and tourism. We argue that these health vul…
Aging and thriving with HIV
The findings suggest that Miami (and areas with a large HIV-positive population) may benefit from community and policy solutions that take a successful aging approach and build upon the resiliency of this population
An institutional ethnography of prevention and treatment services for substance use disorders in the Dominican Republic
The Dominican Republic is thought to have significant epidemics of illicit drug use but lacks surveillance and formal analyses of the policy context of drug prevention and treatment services. We conducted an institutional ethnography of 15 drug service organisations in Santo Domingo and Boca Chica, Dominican Republic, to explore barriers and resources for drug abuse prevention and treatment. Here, we present a typology of drug service organisatio…
An ethnographic study of ‘touristic escapism’ and health vulnerability among Dominican male tourism workers
Health research on tourism has expanded over the past two decades, focusing on understanding how the social, economic, and political configuration of tourism zones might contribute to health vulnerabilities among the diverse populations that interact in these areas. While there are few studies of HIV and drug use interactions in the region, research has indicated that these two outcomes are often interwoven in tourism zones, potentially producing…
Introduction to the special issue
This introduction presents a special issue of Global Public Health with a collection of articles that offer multidisciplinary perspectives on HIV/AIDS in the Caribbean. Since the 1990s, poverty, marginalisation, and social stigma have been strong foci of much social science research on HIV/AIDS in the region. These three interrelated phenomena have been offered as explanatory factors contributing to the high prevalence of cases observed in this r…
The social context of hormone and silicone injection among Puerto Rican transwomen
This paper draws on ethnographic, qualitative and survey data with transwomen in Puerto Rico to examine the social and political-economic context of lay injection with hormone and silicone - common practices within this community. We describe specific practices of hormone and silicone injection, the actors that govern them, the market for the sale and distribution of syringes and the networks of lay specialists who provide services to a populatio…
Adaptation of PhotoVoice methodology to promote policy dialog among street-based drug users in Santo Domingo, Dominican Republic
Background Like other epidemics, the current heroin epidemic in Santo Domingo, Dominican Republic is a largely invisible and devastating social problem linked to numerous structural and social determinants of health.Methods In this article, we connect a community-based participatory research methodology - "PhotoVoice" - with the theoretical orientation of critical medical anthropology to identify local interpretations of complex social and struct…
Tourism Labor, Embodied Suffering, and the Deportation Regime in the Dominican Republic
In this article, we use syndemic theory to examine socio-structural factors that result in heightened vulnerability to HIV infection and drug addiction among Dominican deportees who survive post-deportation through informal tourism labor. Through an ongoing NIDA-funded ethnographic study of the syndemic of HIV and problematic drug use among men involved in tourism labor in the Dominican Republic, we argue that the legal and political-economic con…
Experiences of Violence Among Transgender Women in Puerto Rico
Violence is a public health concern faced on a daily basis by transgender women. Literature has documented how it adversely affects quality of life and health and in some instances leads to homicide. Considering the lack of research documenting the experiences of violence among transgender women, the objective of this article was to explore manifestations of violence among this population in Puerto Rico. The data presented in this article are par…
Trans-Migrations
This research describes the context and health consequences of migration/mobility that accompany the search for gender transitioning procedures among Puerto Rican transgender/transsexual women. We term migration/mobility for gender transitioning trans-migration. We conducted an ethnographic study focusing on trans-migration, including participant observation and semi-structured interviews with 39 transgender/transsexual women in Puerto Rico. Our …
Race, class and the stigma of place
Stigma, social inequality, and HIV risk disclosure among Dominican male sex workers
Western Union Daddies' and Their Quest for Authenticity
This article draws on ethnographic research among two categories of male sex workers in the Dominican Republic in order to describe the relationships between gay male tourists and the Dominican men they hire on their trips to the Caribbean. Drawing on both qualitative interview data and quantitative surveys, the discussion examines the usefulness of theories of 'authenticity,' as they have been applied in the analysis of tourist practices more ge…
Embodiment, Gender Transitioning, and Necropolitics among Transwomen in Puerto Rico
In this article we present ethnographic research on Puerto Rican transwomen, focusing on how their gender trajectories are marked with various forms of routinized, systemic violence as well as resilient responses. Adapting Achille Mbembe's notion of necropolitics to consider the ways that the transgender body is systematically excluded and "designed to die," the authors aim to critically engage the embodied experience of transwomen and the mechan…
Experiences of Violence Among Transgender Women in Puerto Rico
Violence is a public health concern faced on a daily basis by transgender women. Literature has documented how it adversely affects quality of life and health and in some instances leads to homicide. Considering the lack of research documenting the experiences of violence among transgender women, the objective of this article was to explore manifestations of violence among this population in Puerto Rico. The data presented in this article are par…
Interpersonal Relationships and Social Support in Transitioning Narratives of Black Transgender Women in Detroit
Social support has been shown to play a key role in overcoming adversities associated with marginalized identities, yet there is a dearth of information regarding the role of social networks in the gender transition process, particularly in ethnic minority transgender communities. This study uses life history narratives, and a modified grounded theory analysis, to explore the impact of interpersonal relationships on the gender transition process …
Examining the Influence of Family Environments on Youth Violence
HIV/Aids and Tourism in the Caribbean
The Caribbean has the highest HIV rates outside of sub-Saharan Africa. In recent decades, tourism has become the most important Caribbean industry. Studies suggest that tourism areas are epicenters of demographic and social changes linked to HIV risk, such as transactional sex, elevated alcohol and substance use, and internal migration. Despite this, no formative HIV-prevention studies have examined tourism areas as ecologies that heighten HIV vu…
Adaptation of PhotoVoice methodology to promote policy dialog among street-based drug users in Santo Domingo, Dominican Republic
Background Like other epidemics, the current heroin epidemic in Santo Domingo, Dominican Republic is a largely invisible and devastating social problem linked to numerous structural and social determinants of health.Methods In this article, we connect a community-based participatory research methodology - "PhotoVoice" - with the theoretical orientation of critical medical anthropology to identify local interpretations of complex social and struct…
Tourism Labor, Embodied Suffering, and the Deportation Regime in the Dominican Republic
In this article, we use syndemic theory to examine socio-structural factors that result in heightened vulnerability to HIV infection and drug addiction among Dominican deportees who survive post-deportation through informal tourism labor. Through an ongoing NIDA-funded ethnographic study of the syndemic of HIV and problematic drug use among men involved in tourism labor in the Dominican Republic, we argue that the legal and political-economic con…
The Embodiment of Tourism among Bisexually-Behaving Dominican Male Sex Workers
Effects of Minority Stress Processes on the Mental Health of Latino Men Who Have Sex with Men and Women
An Empirical Test of Racial/Ethnic Differences in Perceived Racism and Affiliation with the Gay Community
Studies of sexual stigma management techniques expected to decrease HIV risk among Black men who have sex with men (MSM) have yielded some counterintuitive findings. For example, some research suggests that identification with and participation in the gay community may be related to higher levels of sexual risk behavior among Black MSM. Moreover, some of this research tends to assume that Black and White MSM experience the gay community in identi…
On leaving
A Syndemic Analysis of Alcohol Use and Sexual Risk Behavior Among Tourism Employees in Sosúa, Dominican Republic
The Dominican Republic has high rates of HIV infection and alcohol consumption. Unfortunately, little research has been focused on the broader sources of the synergy between these two health outcomes. We draw on syndemic theory to argue that alcohol consumption and sexual risk behavior are best analyzed within the context of culture and economy in Caribbean tourism spaces, which produce a synergy between apparently independent outcomes. We sample…
Discourses of homosexual invasion in the dominican global imaginary
Community health promotion and disaster recovery
The project, which has already shown impacts on local policy decisions, demonstrates the possibilities of using PhotoVoice to foster community-driven crisis responses and policy dialogue that can shape health promotion and disaster recovery responses in PR and elsewhere
On staying
Since 2000, an exodus of Puerto Ricans leaving the island has reduced the local population by almost 20 per cent. One of the migratory waves of greatest concern is that of physicians due to its potential impact on Puerto Rico’s (PR) public health. Strategies to curtail their migration have overlooked the island’s unique cultural and geographic strengths that could encourage physicians to stay. This article, influenced by place attachment theory, …
Miami in Transformation during the Covid-19 Pandemic
While the impact of the COVID-19 pandemic has been felt around the world, Miami, Florida is one example of the specific and unique ways in which this pandemic is experienced. Drawing on the concepts of visual culture analysis and disaster literature, this article analyses how the COVID-19 pandemic transformed the everyday lives of people living in this subtropical American city. Specifically, this study draws on data collected from a digital part…
Examining the policy climate for HIV prevention in the Caribbean tourism sector
BACKGROUND: The Caribbean has the highest prevalence rates of HIV/AIDS outside sub-Saharan Africa, and a broad literature suggests an ecological association between tourism areas and sexual vulnerability. Tourism employees have been shown to engage in high rates of sexual risk behaviours. Nevertheless, no large-scale or sustained HIV prevention interventions have been conducted within the tourism industry. Policy barriers and resources are under-…
The Gorgonic Archer
Athenian tragedy often ironizes its poetic tradition. The plays peer behind the stable and reassuring facade of the Olympian pantheon and, like Heraclitus' bent-back bow linking life and death, find it joined to powers utterly, destructively alien. ' Euripides' Heracles figuratively dramatizes this revisionary principle in the terms of a thematic interconnection between sight and danger, visibility and vulnerability. Amphitryon's debate with Lycu…
Society for Medical Anthropology
Caribbean Pleasure Industry
HIV testing and disclosure
In South Africa, more than 60% of TB patients have HIV co-infection. Voluntary counseling and testing (VCT) is critical to effective HIV prevention, and TB facilities are optimal venues for delivery of these services. This study employed qualitative research methods to explore the decision-making processes for HIV testing and serostatus disclosure by 21 patients hospitalized with multi/extensively-drug resistant TB (M/XDR-TB) in Durban, KwaZulu N…
Western Union Daddies' and Their Quest for Authenticity
This article draws on ethnographic research among two categories of male sex workers in the Dominican Republic in order to describe the relationships between gay male tourists and the Dominican men they hire on their trips to the Caribbean. Drawing on both qualitative interview data and quantitative surveys, the discussion examines the usefulness of theories of 'authenticity,' as they have been applied in the analysis of tourist practices more ge…
Discourses of homosexual invasion in the dominican global imaginary
The Embodiment of Tourism among Bisexually-Behaving Dominican Male Sex Workers
Stigma, social inequality, and HIV risk disclosure among Dominican male sex workers
Leaving Chicago for Iowa's "Fields of Opportunity"
In recent years, urban development and public housing demolition have posed challenges to the social and geographic rootedness of low-income African Americans in urban areas. In particular, in Chicago, widespread public housing demolition, occurring in the context of rapid gentrification, has contributed to increasing shortages of affordable low-income housing. This study uses in-depth interviews and participant observation to examine the migrati…
Gender, sexuality, health and human rights in Latin America and the Caribbean
In October 2006, after more than a century of guaranteeing the right to therapeutic abortion in the case of obstetric emergencies, the Nicaraguan National Assembly outlawed all forms of abortion. T
Race, class and the stigma of place
HIV/Aids and Tourism in the Caribbean
The Caribbean has the highest HIV rates outside of sub-Saharan Africa. In recent decades, tourism has become the most important Caribbean industry. Studies suggest that tourism areas are epicenters of demographic and social changes linked to HIV risk, such as transactional sex, elevated alcohol and substance use, and internal migration. Despite this, no formative HIV-prevention studies have examined tourism areas as ecologies that heighten HIV vu…
From Sex Workers to Tourism Workers
Stuck in the quagmire of an HIV ghetto’
In this paper, we analyse the life history narratives of 10 poor gay and bisexual Black men over the age of 50 living with HIV/AIDS in New York City, focusing on experiences of stigma. Three overarching themes are identified. First, participants described the ways in which stigma marks them as 'just one more body' within social and medical institutions, emphasising the dehumanisation they experience in these settings. Second, respondents describe…
Examining the Influence of Family Environments on Youth Violence
Beyond ‘state pimpage’
The literature on tourism in the Caribbean and elsewhere suggests that state actors are complicit with multinational tourism interests, acting as handmaidens of capital in developing nations. This has been referred to as ‘state pimpage’, the literal or metaphorical sale of local erotic resources for global exploitation. In the public health literature on HIV/AIDS, analysts have suggested that complicit states neglect HIV prevention services due t…
Examining the policy climate for HIV prevention in the Caribbean tourism sector
BACKGROUND: The Caribbean has the highest prevalence rates of HIV/AIDS outside sub-Saharan Africa, and a broad literature suggests an ecological association between tourism areas and sexual vulnerability. Tourism employees have been shown to engage in high rates of sexual risk behaviours. Nevertheless, no large-scale or sustained HIV prevention interventions have been conducted within the tourism industry. Policy barriers and resources are under-…
A Syndemic Analysis of Alcohol Use and Sexual Risk Behavior Among Tourism Employees in Sosúa, Dominican Republic
The Dominican Republic has high rates of HIV infection and alcohol consumption. Unfortunately, little research has been focused on the broader sources of the synergy between these two health outcomes. We draw on syndemic theory to argue that alcohol consumption and sexual risk behavior are best analyzed within the context of culture and economy in Caribbean tourism spaces, which produce a synergy between apparently independent outcomes. We sample…
HIV Sexual Risk Behavior and Family Dynamics in a Dominican Tourism Town
Spatial stigma and health inequality
A large body of literature has considered the way that places contribute to the health of their residents. The bulk of this research has considered the numerous risks and resources that are contained within the bounded spaces of neighborhoods and communities. Only recently have scholars begun to consider how these material and social conditions interact with the symbolic dimensions of place to further affect health. In this conceptual paper, we d…
Introduction to Special Issue
Interpersonal Relationships and Social Support in Transitioning Narratives of Black Transgender Women in Detroit
Social support has been shown to play a key role in overcoming adversities associated with marginalized identities, yet there is a dearth of information regarding the role of social networks in the gender transition process, particularly in ethnic minority transgender communities. This study uses life history narratives, and a modified grounded theory analysis, to explore the impact of interpersonal relationships on the gender transition process …
An Empirical Test of Racial/Ethnic Differences in Perceived Racism and Affiliation with the Gay Community
Studies of sexual stigma management techniques expected to decrease HIV risk among Black men who have sex with men (MSM) have yielded some counterintuitive findings. For example, some research suggests that identification with and participation in the gay community may be related to higher levels of sexual risk behavior among Black MSM. Moreover, some of this research tends to assume that Black and White MSM experience the gay community in identi…
Effects of Minority Stress Processes on the Mental Health of Latino Men Who Have Sex with Men and Women
Trans-Migrations
This research describes the context and health consequences of migration/mobility that accompany the search for gender transitioning procedures among Puerto Rican transgender/transsexual women. We term migration/mobility for gender transitioning trans-migration. We conducted an ethnographic study focusing on trans-migration, including participant observation and semi-structured interviews with 39 transgender/transsexual women in Puerto Rico. Our …
Sociology (39 obras) · Medicine (33 obras) · Psychology (30 obras) · Political science (27 obras) · Geography (19 obras) · Sex work and related issues (18 obras) · Gender Studies (17 obras) · Psychiatry (15 obras) · Tourism (13 obras) · Economic growth (12 obras)