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英国非洲移民社区中关于艾滋病毒与性行为的未来研究议程。

An agenda for future research on HIV and sexual behaviour among African migrant communities in the UK.

作者信息

Kesby M, Fenton K, Boyle P, Power R

机构信息

School of Geography and Geosciences, University of St Andrews, Fife, KY16 9AL Scotland, UK.

出版信息

Soc Sci Med. 2003 Nov;57(9):1573-92. doi: 10.1016/s0277-9536(02)00551-8.

Abstract

The epidemiology of the recent rise in HIV cases in Britain highlights the need for more research among the heterosexual African migrant population. New research should not, however, only extend the limited number of studies that describe observable patterns in sexual health but should also seek to determine their underlying social causation. To achieve this, both methodological and ontological shifts are necessary in the existing research paradigm; we advocate that a broad range of qualitative techniques be deployed both to uncover the empirical details of specifically African sexual behaviours and to highlight and explore the 'relational' nature of sexual decision-making. Rather than fixing on individuals, analysis must situate them within the broader discursive and material frames that structure the boundaries of decision-making. In addition, researchers need to utilise the parallel literature on the social embeddedness of HIV in Africa to inform analysis of the British context. It would then be possible to address the crucial question of whether the social conditions known to cause high-risk behaviours and facilitate transmission in Africa persist, or are transformed, after migration to the UK. A key, and neglected, dimension of this is the role of spatial context in relational sexual decision-making and the constitution of social relationships in particular arenas. This needs further thought, particularly in relation to domestic space and gender identities. We believe that the research agenda proposed herein has much to contribute to interventions and service provision. Nevertheless, we are mindful of the need for self-reflexivity about our role in the production of powerful knowledges about sex. Our final proposal is that researchers seek ways to work with, not on, African communities in order to facilitate their own informed management of sexual health.

摘要

英国近期艾滋病毒病例上升的流行病学情况凸显了在异性恋非洲移民群体中开展更多研究的必要性。然而,新的研究不应仅仅扩展那些描述性健康方面可观察模式的有限研究数量,还应设法确定其潜在的社会成因。要做到这一点,现有研究范式在方法和本体论上都需要转变;我们主张运用广泛的定性技术,既要揭示非洲特定性行为的实证细节,又要突出并探究性决策的“关系性”本质。分析不应局限于个体,而必须将他们置于构成决策边界的更广泛话语和物质框架之中。此外,研究人员需要利用关于艾滋病毒在非洲社会嵌入性的相关文献,为对英国情况的分析提供参考。这样就有可能解决一个关键问题,即已知在非洲导致高风险行为并助长传播的社会条件在移民到英国后是否依然存在,还是发生了变化。其中一个关键且被忽视的层面是空间背景在关系性性决策以及特定场所社会关系构成中的作用。这需要进一步思考,尤其是涉及家庭空间和性别认同方面。我们认为本文提出的研究议程对干预措施和服务提供有很大贡献。然而,我们也意识到需要对我们在生成关于性的强大知识过程中所扮演的角色进行自我反思。我们的最后建议是,研究人员要寻求与非洲社区合作的方式,而不是对其进行研究,以便促进他们对性健康的自主明智管理。

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