'Take your mat and go'! Rural Malawian women's strategies in the HIV/AIDS era

'Take your mat and go'! Rural Malawian women's strategies in the HIV/AIDS era
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DOI:
10.1080/13691050500151255
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发表时间:
2005-09-01
影响因子:
2.2
通讯作者:
Schatz, E
Schatz, E
中科院分区:
医学3区
文献类型:
--
作者:
Schatz, E

文献摘要

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在许多艾滋病毒/艾滋病预防文献中,妇女被描绘成被动和装备不足的人,在没有外部支持以提高她们的地位、自主权和谈判技能的情况下应对这一流行病。本文使用对马拉维农村已婚夫妇进行的深入访谈的数据,对这一描述进行了批判性的评估。它侧重于已婚妇女在多大程度上认识到她们有能力保护自己不受感染,以及她们采取的预防战略。采访数据表明,女性已经确定了一系列适合具体情况的方法来抵抗艾滋病毒的暴露。这些战略包括与丈夫坐在一起讨论艾滋病毒/艾滋病的危险;利用社交网络寻求建议和作为倡导者,公开与丈夫的女朋友对峙,以及让没有采取更安全做法的男性离婚。这些当地制定的战略不太可能得到始终如一的遵循,它们可能不是防止丈夫出轨或保护妇女感染艾滋病毒/艾滋病的最有效战略。然而,她们的存在表明,马拉维农村妇女认为她们有某种机构来保护自己;事实上,她们正在使用当地适当的战略来这样做。
In much of HIV/AIDS prevention literature, women are depicted as passive and ill-equipped to confront the epidemic without external support to enhance their status, autonomy, and negotiation skills. This paper critically evaluates this depiction, using data from in-depth interviews conducted with married couples in rural Malawi. It focuses on the extent to which married women perceive that they have the ability to protect themselves from infection and on the prevention strategies that they employ. Interview data suggest that women have identified a range of contextually appropriate ways to resist exposure to HIV. These strategies include sitting and discussing the dangers of HIV/AIDS with their husbands; utilizing social networks for advice and as advocates,- publicly confronting husbands' girlfriends,- and divorcing men who do not adopt safer practices. These locally-formulated strategies are not likely to be followed consistently, and they may not be the most effective strategies in preventing husbands from straying or protecting women from contracting HIV/AIDS. Their existence, however, demonstrates that rural Malawian women believe that they have some agency to protect themselves; and, they are in fact using locally appropriate strategies to do so.