The intersection of gender and ethnicity in HIV risk, interventions, and prevention: new frontiers for psychology.

The intersection of gender and ethnicity in HIV risk, interventions, and prevention: new frontiers for psychology.
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性别和种族在艾滋病毒风险、干预和预防中的交叉点:心理学的新领域。

DOI:
10.1037/a0032744
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发表时间:
2013
期刊:
The American psychologist
影响因子:
--
通讯作者:
Charles E Graham
Charles E Graham
中科院分区:
--
文献类型:
--
作者:
G. Wyatt;Cynthia A Gómez;Alison B. Hamilton;Dellanira Valencia;L. Gant;Charles E Graham

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本文阐述了性别和种族作为相互作用的艾滋病风险和感染的社会决定因素的背景理解,特别关注非洲裔美国人和西班牙裔/拉丁裔美国人——目前在美国艾滋病毒/艾滋病感染风险最高的两个种族群体。首先,定义了性和社会性别。其次,提出了性别、种族和艾滋病毒风险和复原力的概念模型。第三,提供了性别和种族差异的历史背景,并关注了性别、种族和艾滋病毒之间的交叉点概念发生重要转变的历史关键时刻。最后,提出了心理学的新领域,并建议心理学作为一门学科如何更好地将性别和种族考虑在内,这不仅是艾滋病毒的风险因素,也是种族家庭和社区恢复力的潜在途径。在整篇文章中,我们提出了一个综合交叉方法的概念,该方法为理解和建立创造和维持整体社区健康的条件提供了一个关键框架,方法是将性别化的生活经历和期望定位在从生物自我到定义和约束个人决策、行为、行动、资源和后果的更广泛的社会结构的分层概念模型中。对于少数民族个人和人口来说,健康差距、压力和抑郁、药物滥用、暴力和创伤,特别是在艾滋病毒风险、感染和治疗方面,都是令人相当关切的问题。这一概念模型为艾滋病政策、研究、干预和培训方面的心理学提出了新的前沿。
This article articulates a contextualized understanding of gender and ethnicity as interacting social determinants of HIV risk and acquisition, with special focus on African Americans and Hispanics/Latinos--2 ethnic groups currently at most risk for HIV/AIDS acquisition in the United States. First, sex and gender are defined. Second, a conceptual model of gender, ethnicity, and HIV risk and resilience is presented. Third, a historical backdrop of gender and ethnic disparities is provided, with attention to key moments in history when notions of the intersections between gender, ethnicity, and HIV have taken important shifts. Finally, new frontiers in psychology are presented, with recommendations as to how psychology as a discipline can better incorporate considerations of gender and ethnicity as not only HIV risk factors but also as potential avenues of resilience in ethnic families and communities. Throughout the article, we promulgate the notion of a syndemic intersectional approach, which provides a critical framework for understanding and building the conditions that create and sustain overall community health by locating gendered lived experiences and expectations within the layered conceptual model ranging from the biological self to broader societal structures that define and constrain personal decisions, behaviors, actions, resources, and consequences. For ethnic individuals and populations, health disparities, stress and depression, substance abuse, and violence and trauma are of considerable concern, especially with regard to HIV risk, infection, and treatment. The conceptual model poses new frontiers for psychology in HIV policy, research, interventions, and training.
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