The social construction of AIDS during a time of evolving access to antiretroviral therapy in rural Malawi.
The social construction of AIDS during a time of evolving access to antiretroviral therapy in rural Malawi.
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DOI：
10.1080/13691058.2013.791057
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Dovel K
中科院分区：
文献类型：
--
作者：
Conroy A;Yeatman S;Dovel K
这篇论文借鉴了过去十年在马拉维农村收集的一组会话期刊，以了解当关于抗逆转录病毒治疗（ART）的讨论通过社会网络过滤时，人们是如何构建对艾滋病的认识的。三个不同的治疗时代构成了我们的分析：早期ART时代（2001-2003），ART扩展时代（2004-2006）和晚期ART时代（2007-2009）。我们发现，早期抗逆转录病毒治疗时代的特点是普遍的宿命论，因为人们回忆起患有这种被认为是无法治愈和致命的疾病的濒临死亡的家人和朋友的经历。在ART推广时期，艾滋病宿命论逐渐被一种不确定感所取代，因为马拉维农村人面临着两种相反的现实：死于艾滋病和ART后的延长寿命。在抗逆转录病毒治疗的后期，这些期刊记录了随着马拉维农村居民逐渐相信抗逆转录病毒治疗的效果，人们对艾滋病越来越乐观。最后，我们举了一个例子，说明抗逆转录病毒治疗如何给马拉维农村人在社会诊断疾病和确定谁是安全的性伴侣方面造成困难。
This paper draws upon a set of conversational journals collected over the past decade in rural Malawi, to understand how perceptions of AIDS are constructed as talk of antiretroviral therapy (ART) filters through social networks. Three distinct treatment eras frame our analysis: the early ART era (2001–2003), the ART expansion era (2004–2006) and the later ART era (2007–2009). We find that the early ART era was characterised by widespread fatalism as people recalled experiences with dying family and friends from what was perceived as an incurable and deadly disease. During the ART expansion era, AIDS fatalism was gradually replaced with a sense of uncertainty as rural Malawians became faced with two opposing realities: death from AIDS and prolonged life after ART. In the later ART era, the journals chart the rise of more optimistic beliefs about AIDS as rural Malawians slowly became convinced of ART’s therapeutic payoffs. We conclude with an example of how ART created difficulties for rural Malawians to socially diagnose the disease and determine who was a safe sexual partner.
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