Allen Tim
London School of Economics.
J Biosoc Sci. 2006 Jan;38(1):7-28. doi: 10.1017/S0021932005001008.
Uganda is invoked as a metaphor for a host of arguments and insights about HIV/AIDS. However, much of what has been asserted about the country is not based on the available evidence. This paper reviews findings by epidemiologists and anthropologists, and draws on the author's experiences of researching in the country since the early 1980s. It comments on various myths about HIV/AIDS in Uganda, including myths about the origin and dissemination of the disease, about the links between HIV/AIDS and war, and about declining rates of infection. It shows that much less is known about Uganda than is commonly supposed, and it offers some alternative hypotheses for interpreting HIV prevalence and incidence data. In particular it draws attention to the importance of mechanisms for social compliance. It concludes by raising concerns about the current enthusiasm for provision of anti-retroviral drugs.
乌干达常被用作一个隐喻，用以阐述一系列关于艾滋病毒/艾滋病的观点和见解。然而，许多关于该国的论断并非基于现有证据。本文回顾了流行病学家和人类学家的研究结果，并借鉴了作者自20世纪80年代初以来在该国进行研究的经验。文章对乌干达关于艾滋病毒/艾滋病的各种误解进行了评论，包括关于该疾病的起源和传播、艾滋病毒/艾滋病与战争之间的联系以及感染率下降等方面的误解。文章指出，人们对乌干达的了解远少于普遍认知，并且提出了一些用于解释艾滋病毒流行率和发病率数据的替代假设。特别是，文章提请人们注意社会依从机制的重要性。文章最后对当前提供抗逆转录病毒药物的热情表示担忧。
