Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-24T08:35:54.984Z Has data issue: false hasContentIssue false

Variance in Global Response to HIV/AIDS between the United States and Japan: Perception, Media, and Civil Society*

Published online by Cambridge University Press:  07 November 2017

YOUNG SOO KIM
Affiliation:
Assistant Professor, Department of Political Science, Loyola University New Orleans, New Orleans, LA, USAyskim@loyno.edu
JOONGBUM SHIN
Affiliation:
Senior Research Associate, Center for the Study of Grand Strategy, Chung-Ang University, Seoul, Republic of Koreashinida@cau.ac.kr

Abstract

The US and Japan, despite their shared reputation as leading donors for international development, remarkably varied in their foreign aid policy for HIV/AIDS in the 1980s and 1990s. Unlike the US, who initiated and increased global AIDS funding dramatically, Japan was lukewarm in its contributions. I claim that the distinctive pattern depends on how the pandemic was domestically framed and understood. The policy commitment was more likely when the internationally shared idea (international norms) of threats requiring immediate international cooperation was congruent with the domestic perception of the epidemic. The research undertakes a comparative examination of the determinants of the distinctive domestic perceptions of the two cases, including the number of individuals infected with HIV, the attitude and role of the media, and the civil society organizations dealing with HIV/AIDS. They played significant roles as intervening variables that conditioned domestic diffusion or internalization of the international norms for foreign aid policy development. The US had a favorable domestic condition based upon the relatively large number of those infected with HIV, a media that adopted a constructive approach, and active civil society organizations associated with the disease. In contrast, in Japan the number of HIV cases was lower, the media had a distorted view of the epidemic, and civil society organizations were not strong enough to offer much support until the early 1990s.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

The author(s) disclosed receipt of the following financial support for the research and publication of this article: This article is based upon the work supported by the Marquette Fellowship and James C. Carter, S. J. Faculty Fellowship from Loyola University New Orleans.

References

Altman, Dennis (1986), AIDS in the Mind of America: The Social, Political, and Psychological Impact of a New Epidemic, New York: Anchor.Google Scholar
Arno, Peter S. and Feiden, Karyn L., eds. (1992), Against the Odds: The Story of AIDS Drug Development, Politics, and Profits, New York: Harper-Collins.Google Scholar
Behrman, Greg (2004), The Invisible People: How the US Has Slept Through the Global AIDS Pandemic, the Greatest Humanitarian Catastrophe of Our Time, New York: Free Press.Google Scholar
Boffey, Philip (1985), ‘Reagan Defends Financing for AIDS’, The New York Times, 18 September, www.nytimes.com/1985/09/18/us/reagan-defends-financing-for-aids.html (accessed 31 May 2012).Google Scholar
Brier, Jennifer (2009), Infectious Idea: US Political Response to the AIDS Crisis, Chapel Hill: The University of North Carolina Press.Google Scholar
Brown, Tim, Gayle, Jacob, Morita, Karen, and Brenden, Neil (1997), ‘Japan/United States Collaboration in International HIV Prevention and Care’, Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14 (2): 6880.Google Scholar
Bull, Christ (ed.) (2003), While the World Sleeps, New York: Thunder's Mouth Press.Google Scholar
Carter, George M. (1992), ACT-UP, the AIDS War and Activism, Westfield: Open Magazine Pamphlet Series.Google Scholar
Checkel, Jeffrey T. (1999), ‘Norms, Institutions, and National Identity in Contemporary Europe’, International Studies Quarterly, 43 (1): 83114.Google Scholar
Cohen, Peter F. (1998), Love and Anger: Essays on AIDS, Activism, and Politics, Binghamton: Harrington Park Press.Google Scholar
Corea, Gena (1992), The Invisible Epidemic, New York: HarperCollins.Google Scholar
Cortell, Andrew P. and Cavis, James W. Jr. (2000), ‘Understanding the Domestic Impact of International Norms: A Research Agenda’, International Studies Review, 2 (1): 6587.CrossRefGoogle Scholar
Dearing, James W. (1989), ‘Setting the Polling Agenda for the Issue of AIDS’, The Public Opinion Quarterly, 53 (3): 309–29.CrossRefGoogle ScholarPubMed
Dearing, James W. (1992), ‘Foreign Blood and Domestic Politics: The Issue of AIDS in Japan’, in Elizabeth, Fee and Daniel, M. Fox (eds.), AIDS: Making of a Chronic Disease, Berkeley, CA: University of California Press.Google Scholar
Dearing, James W. and Rogers, Everett M. (1992), ‘AIDS and the Media Agenda’, in Timothy Edgar, , Fitzpartrick, Mary A., and Freimuth, Vicki S. (eds.), AIDS: A Communication Perspective, New Jersey: Lawrence Erlbaum Associates Publishers.Google Scholar
Elford, Jonathan, Bor, Robert, and Summers, Pauline (1991), ‘Research into HIV and AIDS between 1981 and 1990: The Epidemic Curve’, AIDS, 5 (12): 1515–9.Google Scholar
Epstein, Steven (1996), Impure Science: AIDS, Activism, and the Politics and Knowledge, Berkeley, CA: University of California Press.Google Scholar
Farmer, Paul (1996), ‘Social Inequality and Emerging Infectious Diseases’, Emerging Infectious Disease, 2 (4): 259–69.Google Scholar
Faria, Nuno, Rambaut, Andrew, Suchard, Marc, Baele, Guy, Bedford, Trevor, Ward, Meliss, Tatem, Andrew, Sousa, João, Arinaminpathy, Mimalan, Pépin, Jacques, Posada, David, Peeters, Martine, Pybus, Oliver, and Lemey, Philppe (2014), ‘The Early Spread and Epidemic Ignition of HIV-1 in Human Popolations’, Science, 346 (6205): 5661.Google Scholar
Fauci, Anthony S. (1983), ‘The Acquired Immune Deficiency Syndrome: The Ever-Broadening Clinical Spectrum’, Journal of the American Medical Association, 249 (17): 2375–6.Google Scholar
Feldman, Eric (1999), ‘HIV and Blood in Japan: Transformation Private Conflict into Public Scandal’, in Feldman, Eric and Bayer, Ronald (eds.), Blood Feuds: AIDS, Blood, and the Politics of Medical Disaster, New York: Oxford University Press.Google Scholar
Feldman, Eric and Yonemoto, Shohei (1992), ‘Japan: AIDS as a Non-Issue’, in Kirp, David L. and Bayer, Ronald (eds.), AIDS in the Industrialized Democracies, New Brunswick: Rutgers University Press.Google Scholar
Finnemore, Martha and Sikkink, Kathryn (1998), ‘International Norm Dynamics and Political Change’, International Organization, 52 (4): 887917.Google Scholar
Freedman, Estelle B. and D'Emilio, John (1988), Intimate Matters: A History of Sexuality in America, New York: Harper & Row.Google Scholar
Furst, Dan (1991), ‘On Seeing the Memorial Quilt’, Asahi Evening News, 15 May, p. 5.Google Scholar
Gamson, Joshua (1989), ‘Silence, Death, and the Invisible Enemy: AIDS Activism and Social Movement “Newness”’, Social Problem, 36 (4): 351–67.Google Scholar
Gould, Deborah Bejosa (2000), ‘Sex, Death and the Politics of Anger: Emotions and Reason in ACT UP's Fight Against AIDS’, unpublished PhD thesis, University of Chicago.Google Scholar
Gould, Stephen Jay (1987), ‘The Terrifying Normalcy of AIDS’, The New York Times Magazine, 17 April, p. 33, http://www.nytimes.com/books/97/11/09/home/gould-aids.html (accessed 4 April 2010).Google Scholar
Gurowitz, Amy (1999), ‘Mobilizing International Norms: Domestic Actors, Immigrants, and the Japanese State’, World Politics, 51 (3): 413–45.Google Scholar
Hellmann, Donald (1969), Japanese Foreign Policy and Domestic Politics: The Peace Agreement with the Soviet Union, California, CA: University of California Press.Google Scholar
Ikegami, Chizuko (1997), ‘HIV Prevention and Community-Based Organizations in Japan’, Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14 (2): 51–7.Google Scholar
Inoguchi, Takashi (1991), Japan's International Relations, Ann Arbor, MI: University Michigan Press.Google Scholar
Japanese, ODA (1992), ‘1992 Overseas Development Assistance Annual Report’, The Ministry of Foreign AffairsGoogle Scholar
Japanese ODA (1993), ‘1993 Overseas Development Assistance Annual Report’, The Ministry of Foreign AffairsGoogle Scholar
Japanese ODA (1994), ‘1994 Overseas Development Assistance Annual Report’, The Ministry of Foreign AffairsGoogle Scholar
JCIE (2004), ‘Japan's Response to the Spread of HIV/AIDS’, Japanese Center for International Exchange.Google Scholar
Kaiser Family Foundation (1996), ‘Covering the Epidemic: AIDS in the News Media, 1985–1996’, http://www.kff.org/global-health-policy/report/covering-the-epidemic-aids-in-the-news-3/ (accessed 31 May 2012).Google Scholar
Kaiser Family Foundation (2006), ‘2006 Kaiser Family Foundation Survery of Americans on HIVAIDS’, https://kaiserfamilyfoundation.files.wordpress.com/2013/01/chartpack-2006-survey-of-americans-on-hiv-aids.pdf (accessed 31 May 2012).Google Scholar
Kihara, Masahiro, Ichikawa, Seiichi, Kihara, Masako, and Yamasaki, Shudo (1997), ‘Descriptive Epidemiology of HIV/AIDS in Japan 1985–1994’, Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14 (2): 312.CrossRefGoogle ScholarPubMed
Kim, Young Soo (2014), ‘International Norms and Distinctive Policy Choices in Global AIDS Funding: Comparative Case Studies of Norway and Belgium’, Comparative European Politics, 12 (3): 319–42.Google Scholar
Kim, Young Soo (2015a), ‘Norms of global response to AIDS and the World Health Organization’, Journal of International and Area Studies, 22 (1): 1940.Google Scholar
Kim, Young Soo (2015b), ‘Japan Addresses the Global HIV/AIDS Crisis: The Role of Media and Civil Society in Shaping Perceptions and Aid’, Asian Perspective, 39 (3): 483511.CrossRefGoogle Scholar
Kistenberg, Cindy (2003), ‘The Voice of Reason? A Political Construction of AIDS’, in Fuller, Linda (ed.), Media-Mediated AIDS, New Jersey: Hampton Press.Google Scholar
Konick, Steven (2003), ‘Visual AIDS: Looking at Early Network News Coverage of the Epidemic’, in Linda, Fuller. (ed.), Media-Mediated AIDS, New Jersey: Hampton Press.Google Scholar
Mann, Jonathan (1987), ‘The World Health Organization's Global Strategy for the Prevention and Control of AIDS’, The Western Journal of Medicine, 147 (6): 732–4.Google Scholar
Mann, Jonathan and Tarantola, Daniel (eds.) (1996), A Global Report of AIDS in the World II, Oxford: Oxford University Press.Google Scholar
Mann, Jonathan and Kay, Kathleen (1991), ‘Confronting the Pandemic; the World Health Organization's Global Programme on AIDS, 1986–1989’, AIDS, 5 (2): 221–9.Google Scholar
Mann, Jonathan, Tarantola, Daniel, and Netter, Thomas, eds. (1992), A Global Report of AIDS in the World I, Cambridge, MA: Harvard University Press.Google Scholar
McAllister, Matthew and Dan Kitron, Uriel (2003), ‘Differences in Print Media Coverage of AIDS and Lyme Disease’, in Fuller, Linda (ed.), Media-Mediated AIDS, New Jersey: Hampton Press.Google Scholar
Merson, Michael (2006), ‘The HIV-AIDS Pandemic at 25–The Global Response’, New England Journal of Medicine, 354: 2414–17.Google Scholar
Moore, Alexander and LeBron, Ronald (1986), ‘The Case for a Haitian Origin of the AIDS Epidemic’, in Douglas Feldman and Thomas Johnson (eds.), The Social Dimension of AIDS, New York: Praeger.Google Scholar
Padgug, Robert A. (1989), ‘Gay Villain, Gay Hero: Homosexuality and the Social Construction of AIDS’, in Peiss, Kathy and Simmons, Christina (eds.), Passion and Power: Sexuality in History, Philadelphia, PA: Temple University Press.Google Scholar
Page, Benjamin (2006), The Foreign Policy Disconnect: What Americans Want from Our Leaders but Don't Get, Chicago, IL: University of Chicago Press.Google Scholar
Patton, Cindy (1990), Inventing AIDS, New York: Routledge.Google Scholar
Potter, David (1999), ‘NGOs and Japan's Post-Cold War Foreign Policy in Asia’, in Heal, William and Clausen, Edwin (eds.), Weaving a New Tapestry: Asia in the Post-Cold War World, Westpost, CT: Praeger.Google Scholar
Reagan, Ronald (1986a), ‘Message to the Congress Transmitting the Fiscal Year 1987 Budget’, 5 February, http://www.reagan.utexas.edu/archives/speeches/1986/20586b.htm (accessed 24 April 2010).Google Scholar
Reagan, Ronald (1986b), ‘Address Before a Joint Session of Congress on the State of the Union’, 4 February, http://www.reagan.utexas.edu/archives/speeches/1986/20486a.htm (accessed 24 April 2010).Google Scholar
Risse-Kappen, Thomas (1991), ‘Public Opinion, Domestic Structure, and Foreign Policy in Liberal Democracies’, World Politics, 43 (2): 479512.Google Scholar
Rix, Alan (1993), Japan's Reform and Aid Leadership, London and New York: Routledge.Google Scholar
Rogers, Everett, Dearing, James, and Chang, Soonbum (1991), AIDS in the 1980s: The Agenda Setting Process for a Public Issue (Journalism Monograph, No. 126), Columbia: Association for Education in Journalism and Mass Communication.Google Scholar
Satoko, Itoh (2006), ‘Japan’, in Yamamoto, Tadashi and Satoko, Itoh (eds.), Fighting a Rising Tide: The Response to AIDS is East Asia, Tokyo: Japan Center for International Exchange.Google Scholar
Sawazaki, Yasushi (1997), ‘Gay Men and HIV in Japan’, Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14 (2): 4750.Google Scholar
Shilts, Randy (1987), And the Band Played On: Politics, People, and the AIDS Epidemic, New York: St. Martin's Press.Google Scholar
Slutkin, Gary (2000), ‘Global AIDS 1981–1999: The Response’, International Journal of Tuberculosis and Lung Disease, 4 (2): 2433.Google Scholar
Smith, Raymond and Siplon, Patricia (2006), Drug Into Bodies: Global AIDS Treatment Activism, Westport, CT: Praeger.Google Scholar
Sontag, Susan (1989), Illness and Metaphor/AIDS and its Metaphors, New York: Anchor Books.Google Scholar
Stockdill, Brett (2003), Activism against AIDS: At the Intersections of Sexuality, Race, Gender, and Class, Boulder, CO: Rienner.Google Scholar
Stoller, Nancy E. (1998), Lessons from the Damned: Queers, Whores, and Junkies Respond to AIDS, New York: Routledge.Google Scholar
The Cabinet Office of Japan (1987), 1987 Eizu ni Kansuru Yoron Chosa (Opinion Poll of 1987 in regard to AIDS), Tokyo: The Cabinet Office of Japan.Google Scholar
Treat, John Whittier (1999), Great Mirrors Shattered: Homosexuality, Orientalism, and Japan, New York: Oxford University Press.Google Scholar
Umenai, Takusei, Narula, Mohan, Onuki, Daisuke, Yamamoto, Taro, and Igari, Tomoyuki (1997), ‘International HIV and AIDS Prevention: Japan/United States Collaboration’, Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14 (2): 5867.Google Scholar
Van Belle, Douglass, Rioux, Jean-Sébastien, and Potter, Davis (2004), Media, Bureaucracies and Foreign Aid: A Comparative Analysis of the United States, the United Kingdom, Canada, France, and Japan, New York: Palgrave Macmillan.Google Scholar
Webb, Norman (1988), ‘Gallup International Survey on Attitudes Towards AIDS’, in Fleming, Alan, Carballo, Manuel, FitzSimons, David W., Bailey, Michael R., and Mann, Jonathan (eds.), The Global Impact of AIDS, London: John Wiley & Sons.Google Scholar
Will, Kurt Dieter (1991), ‘The Global Politics of AIDS: The World Health Organization and the International Regime for AIDS’, unpublished PhD thesis: University of South Carolina.Google Scholar
Yonemoto, Shohei (1997), ‘AIDS Policy in Japan: Integration within Structured Paternalism’, Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14 (2): 1721 Google Scholar