Bhattacharya Gauri
School of Social Work, University of Illinois at Urbana-Champaign, Urbana 61801, USA.
Health Educ Behav. 2004 Feb;31(1):101-17. doi: 10.1177/1090198103259204.
This article examines sociocultural expectations of sexual behavior and the reasons why not using condoms may be logical to married heterosexual couples in India. Married women who report monogamous sexual relationships with their husbands are a high-risk group for HIV infection in India. Based on the public health model and a population-based perspective on HIV infection prevention, this article illustrates the underlying mechanisms that link the role of women in society, holistic health beliefs, and cultural beliefs about the transmission of HIV with the precursors to nonuse of condoms. The author concludes that promoting condom use requires an emphasis on family health, not only as contraceptives. Challenges for reducing the social stigma and developing a comprehensive policy on HIV prevention and AIDS treatment and care are discussed.
本文探讨了性行为的社会文化期望，以及在印度已婚异性恋夫妇中不使用避孕套可能合乎逻辑的原因。在印度，报告与丈夫保持一夫一妻制性关系的已婚女性是感染艾滋病毒的高危人群。基于公共卫生模式以及预防艾滋病毒感染的人群视角，本文阐述了将女性在社会中的角色、整体健康观念以及关于艾滋病毒传播的文化观念与不使用避孕套的先兆联系起来的潜在机制。作者得出结论，推广避孕套的使用需要强调家庭健康，而不仅仅是将其作为避孕手段。文中还讨论了减少社会污名以及制定全面的艾滋病毒预防和艾滋病治疗与护理政策所面临的挑战。
