AIDS, empire, and public health behaviorism
AIDS, empire, and public health behaviorism
复制标题
DOI：
10.2190/ufat-mu9g-9x39-jhg2
复制
发表时间：
2004-01-01
影响因子：
3.4
通讯作者：
Basu, S
中科院分区：
文献类型：
--
作者：
Basu, S
目前在资源贫乏的环境中设计艾滋病毒/艾滋病干预措施的卫生方法大多涉及改变行为的倡议，特别是那些采用以教育为基础和“文化上胜任”的框架来减少与艾滋病毒有关的“危险行为”的倡议。本文回顾了这种预防艾滋病毒传播的方法背后的证据和社会假设，并认为这些方法往往是不充分的或被误导的，特别是在他们的“文化”的概念与社会环境的混淆。通过分析制约各个机构的社会经济环境，并将预防文献中的数据与国际贸易协定和抗逆转录病毒药物分配争议的分析相结合，作者认为，资本的流动和不平等的维持是与行为相关的问题的核心-必须通过新的模式加以解决，以便适当应对全球艾滋病流行病。Hardt和Negri的“帝国”范式--即，审查不仅在国家之间而且在国家内部维持社会不平等的制度--为公共卫生工作者和社会运动设计新的干预措施和目标提供了前景。
Much of the current health approach to designing HIV/AIDS interventions in resource-poor settings involves behavior-change initiatives, particularly those adopting education-based and "culturally competent" frameworks for the reduction of HIV-associated "risk behaviors." This article reviews the evidence and social assumptions behind this approach to preventing HIV transmission, and argues that these approaches are often inadequate or misguided, particularly in their conflation of the concept of "culture" with social circumstances. By analyzing the socioeconomic circumstances that constrain individual agency, and by combining data from prevention literature with analyses of international trade agreements and the controversies over antiretroviral drug distribution, the author argues that the movement of capital and the maintenance of inequality are central to the problems associated with behavior-change initiatives and must be addressed through new paradigms in order to respond appropriately to the global AIDS pandemic. Hardt and Negri's paradigm of "Empire"-that is, examining the system through which social inequalities are maintained not only between countries but also within them-offers prospects for the design of new interventions and targets for public health workers and social movements.