Inhaltsangabe
Under the Skin, Above the Pavement is a groundbreaking exploration of how the environments that shape men, particularly Black, brown, and marginalized men in urban settings become embodied across systems of biology, behavior and identity. This book uses an intersectional framework to examine how masculinity, race, class, sexuality, and place converge to shape health outcomes, revealing the deep connections between systemic inequality and the biology of survival. Drawing from public health research, lived experiences, cultural analysis, and interdisciplinary studies, this book explores how chronic stress, environmental degradation, housing instability, food insecurity, and hyper-surveillance impact men biologically. These experiences translate into tangible physiological outcomes, from heightened inflammation and disrupted hormone regulation to changes in gene expression and suppressed immunity. Masculinity is framed not as a singular identity but as a complex risk factor that interacts with these systems and compounds their effects on health.
This book also delves into how men inherit not just genetic material, but cultural legacies of caregiving, trauma, and resilience. By exploring male caregiving, fatherhood, and intergenerational impacts, it shows how these roles are shaped by both biological and social pressures. Each chapter delves into a distinct facet of embodied risk: the physiological toll of chronic stress and racism on the endocrine system, the environmental factors like heat and housing that disrupt hormonal balance, the intergenerational effects of trauma through epigenetic changes, and the biological costs of fatherhood, caregiving, and queer invisibility. At its core, Under the Skin, Above the Pavement asks: what happens to the body when masculinity becomes both an armor and a target?
This book is written for young men navigating survival, identity, and silence, as well as scholars, public health practitioners, and educators who seek to understand how systems of inequality are embodied. Blending narrative storytelling, cultural analysis, and scientific inquiry, it speaks to both those who live at the intersections and those who study these complex dynamics. There are many books about men, health, masculinity, and race. But this one brings them together with urgency and depth, providing a holistic view of how identity, environment, and biology intersect to shape the risks men face every day.
Über die Autorin bzw. den Autor
Carlin Dexter Nelson, PhD, MPH, CPH, CHES(R), is an epidemiologist, public health educator and scholar committed to examining how systems of inequality shape health across urban communities. He is Certified in Public Health (CPH) and is a Certified Health Education Specialist (CHES), combining rigorous epidemiological methods with culturally grounded health promotion. He holds an Associate of Science (AAS) from Trident Technical College (TTC), a Bachelor of Arts (BA) in Public Health with a minor in Sociology from the College of Charleston (CofC), a Master of Public Health (MPH) in Epidemiology from the Medical University of South Carolina (MUSC), where he was an Interprofessional Education Fellow, and a Doctorate of Philosophy (PhD) in Public Health-Epidemiology from Walden University. Currently, Dr. Nelson teaches in the Department of Health Sciences at Coppin State University in Baltimore, Maryland, where he leads courses in epidemiology, health statistics and research, health promotion, drug education, and urban health. His previous professional experience includes roles at the Drug Enforcement Administration (DEA), Truth Initiative, Johns Hopkins University, the Medical University of South Carolina (MUSC), College of Charleston, as well as a translational research fellow at Nemours Children's Hospital. His research has been published in the American Journal of Preventive Medicine, the Journal of Racial and Ethnic Health Disparities, the International Journal of Human Rights in Healthcare, the Association of Black Nursing Faculty Foundation Journal (ABNFFJ), and the Social Science Research Network (SSRN). Across these outlets, his work examines social determinants of health (SDOH), racial and gender disparities, and community-driven public health strategies. A native of Charleston, South Carolina, Dr. Nelson grew up in Title I schools and a subsidized, single-parent household with experiences that fuel his passion for community-rooted scholarship. A proud TRiO Upward Bound alum who later returned as a mentor and administrator, has spent over five years mentoring first-generation and underserved students through TRiO and the NIH STEP-UP program. Dr. Nelson is driven by the belief that our present circumstances do not define our future. Through teaching, research, and writing, he continues to show up for the next generation of public health leaders, reminding them that someone, somewhere, at some point in time is counting on them to rise.
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