SOCIOCULTURAL CONTEXTS AND COMMUNICATION ABOUT SEX IN CHINA: INFORMING HIV/STD PREVENTION PROGRAMS
SOCIOCULTURAL CONTEXTS AND COMMUNICATION ABOUT SEX IN CHINA: INFORMING HIV/STD PREVENTION PROGRAMS
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DOI：
10.1521/aeap.2009.21.5.415
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发表时间：
2009-10-01
影响因子：
1.8
通讯作者：
Guan, Jihui
中科院分区：
文献类型：
--
作者：
Leiber, Eli;Chin, Dorothy;Guan, Jihui
艾滋病毒在亚洲可能尤其被污名化，因为它与“禁忌”话题有关，包括性、毒品、同性恋和死亡（Aoki, Ngin, Mo, & Ja, 1989）。这些文化图式揭示了性交流的显著界限和道德含义（中国，1999，社会科学与医学，49,241-251）。然而，艾滋病毒/性病预防工作经常在公共领域进行。教育策略通常包括与健康“专家”就避孕套的使用、安全性行为和伴侣沟通进行对话。干预工作的公共背景与性对话的私人和规范性质之间的差距尤其具有挑战性。对中国东部32名市场工作者的访谈主要集中在性行为、意义和沟通方面的知识、信仰和价值观。性谈话禁忌、信息寻求、脆弱性、伴侣沟通和文化变化成为理解干预信息流的核心，并描述了每个主题的相对影响。研究结果揭示了中文语境下性传播图式对性健康信息传播效果影响的本质。
HIV may be particularly stigmatizing in Asia because of its association with "taboo" topics, including sex, drugs, homosexuality, and death (Aoki, Ngin, Mo, & Ja, 1989). These cultural schemata expose salient boundaries and moral implications for sexual communication (Chin, 1999, Social Science and Medicine, 49, 241-251). Yet HIV/STD prevention efforts are frequently conducted in the public realm. Education strategies often involve conversations with health "experts" about condom use, safe sex, and partner communication. The gap between the public context of intervention efforts and the private and norm-bound nature of sex conversation is particularly challenging. Interviews with 32 market workers in eastern China focused on knowledge, beliefs, and values surrounding sexual practices, meanings, and communication. Sex-talk taboos, information seeking, vulnerability, partner communication, and cultural change emerged as central to understanding intervention information flow and each theme's relative influence is described. Findings illustrate the nature of how sexual communication schemata in Chinese contexts impact the effectiveness of sexual health message communication.