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HIV/AIDS and the English Countryside

Published online by Cambridge University Press:  02 June 2026

George J. Severs*
Affiliation:
Gender Centre, Graduate Institute of International and Development Studies, Geneva, Switzerland
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Abstract

The HIV/AIDS epidemic in Britain was an overwhelmingly urban phenomenon. Towns and cities were home to the majority of people living with HIV and boasted most of the hospitals which diagnosed and treated them. The epidemic was not simply understood as urban because of demographic epidemiological factors; it was also seen as antithetical to rural life. This article explores the ways in which HIV/AIDS was positioned as urban through a particular cultural construction of rurality in late twentieth-century England. This cultural imaginary rested on a nostalgic construction of the English countryside in which conventional heteronormativity buttressed social, moral, and sanitary stability. The English countryside was frequently thought to be in need of protection from HIV/AIDS, whether in the form of metropolitan producers shoe-horning the virus into cherished rural soap operas, or more directly from the urban import of HIV and the gay men understood to be its most likely carriers. This article examines the cultural mentality in which rurality was mobilized as distinct from HIV/AIDS, pointing to the wider anxieties about changing rural life for which the epidemic often acted as a proxy.

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Article
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - SA
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http://creativecommons.org/licenses/by-nc-sa/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.
Copyright
© The Author(s), 2026. Published by Cambridge University Press.