Rethinking gender, heterosexual men, and women's vulnerability to HIV/AIDS.
Rethinking gender, heterosexual men, and women's vulnerability to HIV/AIDS.
复制标题
DOI：
10.2105/ajph.2009.159723
复制
发表时间：
2010-03
影响因子：
12.7
通讯作者：
Dworkin SL
中科院分区：
文献类型：
--
作者：
Higgins JA;Hoffman S;Dworkin SL
大多数艾滋病毒预防文献都将女性由于生物易感性和男性的性权力和特权而描述为特别“容易”感染艾滋病毒。相反，异性恋男性被认为是艾滋病毒的主动传播者，但不是艾滋病毒的主动预防者。尽管妇女脆弱性范式是对早期关于妇女在这一流行病中的观点的彻底修正，但日益严峻的挑战削弱了其当前的实用性。本文回顾了该范式的病因和成功及其逐渐产生的局限性。最后，我们再次呼吁扩大模型，承认生物学、性别不平等和性别权力关系，但也直接检查异性恋女性和男性的社会结构、性别和艾滋病毒风险。
Most HIV prevention literature portrays women as especially “vulnerable” to HIV infection by way of biological susceptibility and men’s sexual power and privilege. Conversely, heterosexual men are perceived as active transmitters of HIV but not active agents in prevention. Although the women’s vulnerability paradigm was a radical revision of earlier views of women in the epidemic, mounting challenges undermine its current usefulness. This paper reviews the etiology and successes of the paradigm as well as its accruing limitations. We conclude by re-issuing a call for an expanded model that acknowledges biology, gender inequality, and gendered power relations, but also directly examines social structure, gender and HIV risk for heterosexual women and men.