Gender and AIDS: time to act.
Gender and AIDS: time to act.
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DOI：
10.1097/01.aids.0000327435.28538.18
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发表时间：
2008-08
期刊：
影响因子：
--
通讯作者：
Msimang S
中科院分区：
文献类型：
--
作者：
Greig A;Peacock D;Jewkes R;Msimang S
长期以来，性别问题一直被认为是理解和应对艾滋病毒和艾滋病的关键。性别角色和关系构成了妇女的从属地位并使之合法化，同时又助长了男子对妇女的支配地位并使之合理化的大男子主义模式，加剧了这一流行病的蔓延和影响。在世界许多地方流行的男子气概概念将男子等同于对妇女的支配地位、性征服和冒险，这与避孕套使用减少、性传播感染增加、伙伴增加（包括更随意的伙伴）、性行为更频繁、酗酒和性交易增加有关。它们还导致男子比妇女更晚获得治疗，公共卫生系统的费用更高。处理艾滋病的性别层面问题的必要性已得到明确和反复的阐述。许多干预措施已被证明在应对与性别有关的风险和脆弱性方面是有效的，包括旨在接触男子并使其参与、改善妇女的法律的和经济地位、将预防性别暴力纳入艾滋病毒服务以及增加女孩接受中等和高等教育机会的方案。尽管如此，采取行动的政治意愿一直严重缺乏，在追究政府和多边机构的责任方面做得远远不够。本文认为，我们不能再只是口头上说，迫切需要采取行动，我们所知道的性别和艾滋病。简而言之，现在是采取行动的时候了。
Gender has long been recognized as being key to understanding and addressing HIV and AIDS. Gender roles and relations that structure and legitimate women’s subordination and simultaneously foster models of masculinity that justify and reproduce men’s dominance over women exacerbate the spread and impact of the epidemic. Notions of masculinity prevalent in many parts of the world that equate being a man with dominance over women, sexual conquest and risk-taking are associated with less condom use, more sexually transmitted infections, more partners, including more casual partners, more frequent sex, more abuse of alcohol and more transactional sex. They also contribute to men accessing treatment later than women and at greater cost to public health systems. The imperative of addressing the gender dimensions of AIDS has been clearly and repeatedly articulated. Many interventions have been shown to be effective in addressing gender-related risks and vulnerabilities including programmes designed to reach and engage men, improve women’s legal and economic position, integrate gender-based violence prevention into HIV services, and increase girls’ access to secondary and tertiary education. Despite this, the political will to act has been sorely lacking and not nearly enough has been done to hold governments and multilateral institutions to account. This paper argues that we can no longer simply pay lip service to the urgent need to act on what we know about gender and AIDS. Simply put, it is time to act.
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影响因子：
4.4
作者：
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通讯作者：
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影响因子：
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DOI：
10.1016/s0899-3289(01)00068-2
发表时间：
2001-01-01
期刊：
JOURNAL OF SUBSTANCE ABUSE
影响因子：
--
作者：
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