Reidpath D D, Chan K Y
School of Health Sciences and Social Care, Brunel University, Uxbridge, Middlesex, UK.
AIDS Care. 2005 Jul;17 Suppl 2:S195-204. doi: 10.1080/09540120500120278.
The findings of the six independent studies on institutional forms of HIV discrimination in the Asia Pacific presented in this Special Issue of AIDS Care are integrated. At first glance, the general pattern of the results across the study sites suggests that discrimination is most pertinent in the domain of 'practice' rather than in the domains of law or institutional policy. On closer analysis, however, utilising the qualitative data, this conclusion does not take sufficient account of the cultural context within which the interpersonal interaction (practice) between the health carers and people living with HIV/AIDS occurs. Limitations on the use of anti-discrimination legislations and protective written policies for reducing discrimination in these contexts are discussed. The need for alternative approaches to thinking about discrimination intervention is raised and this is done through a consideration of the strategy of universal precautions.
本期《艾滋病护理》特刊汇总了六项关于亚太地区艾滋病歧视制度形式的独立研究结果。乍一看,各研究地点的总体结果模式表明,歧视在“实践”领域最为相关,而非法律或机构政策领域。然而,通过对定性数据的进一步分析,这一结论并未充分考虑医护人员与艾滋病毒/艾滋病感染者之间人际互动(实践)所发生的文化背景。文中讨论了在这些情况下使用反歧视立法和保护性书面政策以减少歧视的局限性。通过对普遍预防措施策略的思考,提出了采用替代方法来思考歧视干预问题的必要性。