Folk Constructions of Syphilis in an African-American Community in Houston, Texas

Abstract

This paper analyses folk constructions of syphilis in a predominately African-American community in Houston, Texas. In-depth interviews with 17 African-Americans were conducted to describe the folk models of syphilis present. Interviews centred on prevalence transmission, risk, personal protection and detection, relationships and expectations for the future. Physical appearance, the earwax test, the match test and the smell test were used to 'detect' syphilis infection. Respondents conflated the symptoms of several STDs including syphilis, gonorrhoea, herpes and chlamydia into a single class. The study findings indicate miscommunication regarding STD information and use of different models (folk vs. medical) to explain risk of infection and prevention. The use of folk constructions in syphilis interventions would provide a better understanding of the community's knowledge and perceptions of STDs and a better focus for future education and prevention programmes.