HIV-related politics in long-term perspective
HIV-related politics in long-term perspective
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DOI：
10.1080/09540129850124208
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发表时间：
1998-06-01
影响因子：
1.7
通讯作者：
Friedman, SR
中科院分区：
文献类型：
--
作者：
Friedman, SR
一些长期的、大规模的社会经济变化可能会影响艾滋病毒和丙型肝炎等其他新出现的病毒的政治。有必要问一下，为什么1990年代初潜在的“和平红利”未能为发达国家或发展中国家提供与艾滋病毒有关的社会和医疗服务提供足够的资源。这种失败可以通过观察长期的全球经济趋势以及它们给政府和企业带来的压力来理解。它们造成了一个时期，在这个时期，政治和经济结构的基本问题受到威胁，而反应往往是一种分而治之的政治，以促进稳定。在这种“替罪羊政治”制度化的程度以及哪些群体成为替罪羊方面，国家政治存在差异。毒品注射者、同性恋和双性恋男性以及性交易者等群体特别容易成为替罪羊和艾滋病毒的目标。在此框架下，从事艾滋病毒相关问题的公共卫生专业人员和活动人士应如何应对？在什么情况下，我们应该“向上”努力？在什么情况下，以及如何，我们应该朝向“大众”力量？与此相关的是，我们需要考虑一个我们经常忽视的问题：我们能为潜在盟友提供什么？也就是说，就他们的目标、理念和需求而言，他们为什么要与我们合作？
Some long-term, large-scale socio-economic changes may affect the politics of HIV and other emerging viruses such as hepatitis C. It is useful to ask why the potential 'peace dividend' of the early 1990s failed to provide adequate resources for HIV-related social and medical service delivery in developed or developing nations. This failure can be understood by looking at long-term global economic trends and the pressures they put on governments and corporations. They have produced a period in which fundamental issues of political and economic structure are at stake and, often, the response is a divide-and-rule politics to promote stability. National politics differ in terms of the extent to which such a 'politics of scapegoating' is institutionalized and in terms of which groups are scapegoated. Groups such as drug injectors, gay and bisexual men and sex traders are particularly likely to be targeted both by the scapegoaters and by HIV. Given this framework how should public health professionals and activists engaged in HIV-related issues respond? Under what circumstances should we orient efforts 'upwards' cowards col;borate, political or bureaucratic leaders Under what circumstances, and how, should we orient towards 'popular' forces? Relatedly, we need to consider an issue we often ignore: What do we have to offer potential allies? That is, in terms of their goals, philosophies and needs, why should they any with us?.