Putting sexuality (back) into HIV/AIDS: issues, theory and practice.

Putting sexuality (back) into HIV/AIDS: issues, theory and practice.
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DOI:
10.1080/17441690600899362
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发表时间:
2007-01-01
影响因子:
3.3
通讯作者:
Aggleton, P
Aggleton, P
中科院分区:
医学3区
文献类型:
--
作者:
Boyce, P;Huang Soo Lee, M;Aggleton, P

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经过二十多年旨在阻止艾滋病毒性传播(并满足最易感染人群的需求)的规划和行动之后,艾滋病毒/艾滋病的流行在世界范围内继续蔓延。针对这一问题,本文认为,艾滋病毒预防取得有限成功的原因之一是此类工作中对人类性行为的概念化不充分。在应对这一流行病的过程中,将性置于更加突出的位置引发了一系列问题,包括性别理论化、对性主体性的理解、性决策中快乐(或缺乏快乐)的重要性以及性行为和文化的概念化。推进这些主题需要对主流艾滋病毒/艾滋病研究的基本范式和方法论承诺提出重大问题,特别是再现人类性行为的倾向,就好像它只是一种可测量的行为形式。提倡将性的意义和象征价值考虑在内的新方法使该领域既定的正统观念变得复杂,同时为更有效的艾滋病毒预防策略提供了潜力。
After more than twenty years of programming and activism aimed at stemming the sexual transmission of HIV (and addressing the needs of those most vulnerable to infection) the HIV/AIDS epidemic continues to grow worldwide. Taking up this concern, this paper argues that one of the reasons why HIV prevention has had limited success is because of inadequate conceptualization of human sexuality in such work. Giving sexuality a more prominent position in responses to the epidemic raises a range of issues, including theorization of gender, understanding of sexual subjectivity, the significance of pleasure (or lack of pleasure) in sexual decision-making, and conceptualization of sexual behaviour and culture. Taking these themes forward entails asking significant questions about the underlying paradigmatic and methodological commitments of mainstream HIV/AIDS research, especially the tendency to reproduce accounts of human sexuality as if it were a measurable form of conduct only. Advocating new approaches that take the meaning and symbolic value of sexualities into account complicates established orthodoxies in the field whilst offering potential for more effective HIV prevention strategies.