From minuscule biomedical models to sexuality's depths

From minuscule biomedical models to sexuality's depths
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从微小的生物医学模型到性的深度

DOI:
10.1016/s0140-6736(06)69754-7
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发表时间:
2006
期刊:
The Lancet
影响因子:
--
通讯作者:
S. Nyanzi
S. Nyanzi
中科院分区:
--
文献类型:
--
作者:
S. Nyanzi

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近30年的艾滋病毒/艾滋病预防干预措施收效甚微,少数几个成功案例在最佳做法档案中被普遍视为潜在的蓝图。无保护措施的性行为仍然是艾滋病毒最常见的传播方式。意外怀孕或少女怀孕、包括艾滋病毒/艾滋病在内的性传播感染以及性虐待、暴力和歧视仍然是重大的公共卫生挑战,尽管采取了有针对性的补救战略。在现有的性健康计划、政策和激进主义中缺失了什么?为什么他们不像承诺的那样有效?这些干预措施出了什么问题?一种可能性是基础的:干预的前提是将性作为一个概念进行有限的工作缺陷
Nearly three decades of prevention interventions against HIV/AIDS have yielded little eff ect, with the few success stories heralded universally as potential blueprints in best-practice dossiers. Unprotected sex is still the most common mode of HIV transmission. Unintended or teenage pregnancies, sexually transmitted infections including HIV/AIDS, and sexual abuse, violence, and discrimination remain major public-health challenges, despite targeted strategies of redress. What is missing in available sexual-health programmes, policies, and activism? Why are they not as eff ective as they promise? What is wrong with these interventions? One possibility is foundational: interventions are premised on limited working defi nitions of sexuality as a concept