Notes on the concepts of 'serodiscordance' and 'risk' in couples with mixed HIV status
Notes on the concepts of 'serodiscordance' and 'risk' in couples with mixed HIV status
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DOI：
10.1080/17441692.2012.729219
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发表时间：
2013-02-01
影响因子：
3.3
通讯作者：
Persson, Asha
中科院分区：
文献类型：
--
作者：
Persson, Asha
血清不一致的主要关系，其中一个伴侣是艾滋病毒阳性，另一个是艾滋病毒阴性，越来越多地被认为是全球艾滋病毒传播的一个关键背景。然而，对血清不一致的动力学的见解仍然相对有限。我认为，要了解是什么使血清不一致的夫妇从事性行为，增加了传播的机会，我们需要研究什么艾滋病毒的风险“实际上意味着在不同的文化和背景。一个社会定位的“艾滋病毒风险的方法超越了其作为一个客观事实的科学概念”，揭示了各种各样的看法和竞争的风险。它还表明，夫妇不一定从差异的角度看待他们的混合艾滋病毒状况，这是一个预先确定血清不一致的共同假设，从而掩盖了其许多复杂的法规。我从社会研究文献的例子来说明如何形成不同的方式由当地的做法，优先事项和意义的血清不一致。我认为，正是在这些生活的背景下，风险的看法和谈判出现，因此，夫妇的性行为需要定位和理解。这些见解是及时的，因为艾滋病毒研究和预防正在努力应对新出现的科学数据，这些数据挑战了对艾滋病毒传播风险的传统理解。
Serodiscordant primary relationships, in which one partner is HIV-positive and the other is HIV-negative, are increasingly recognised as a key context for the transmission of HIV globally. Yet insights into the dynamics of serodiscordance remain relatively limited. I argue that to understand what makes serodiscordant couples engage in sexual practices that increase the chance of transmission, we need to examine what HIV risk' actually means in different cultures and contexts. A socially situated' approach to HIV risk moves beyond its scientific conceptualisation as an objective fact', revealing a diversity of perceptions and competing risks. It also reveals that couples do not necessarily perceive their mixed HIV status in terms of difference', a common assumption that predetermines serodiscordance and thereby obscures its many and complex enactments. I draw on examples from the social research literature to illustrate how serodiscordance is shaped in different ways by local practices, priorities, and meanings. I argue that it is within these lived contexts that perceptions and negotiations of risk' arise and, thus, where couples' sexual practices need to be situated and understood. Such insights are timely as HIV research and prevention grapple with emerging scientific data that challenge traditional understandings about HIV transmission risk.