Hunter Mark
Department of Social Sciences/Geography, University of Toronto at Scarborough, 1265 Military Trail, Toronto, Ont., Canada M1C 1A4.
Soc Sci Med. 2007 Feb;64(3):689-700. doi: 10.1016/j.socscimed.2006.09.015. Epub 2006 Nov 9.
Between 1990 and 2005, HIV prevalence rates in South Africa jumped from less than 1% to around 29%. Important scholarship has demonstrated how racialized structures entrenched by colonialism and apartheid set the scene for the rapid unfolding of the AIDS pandemic, like other causes of ill-health before it. Of particular relevance is the legacy of circular male-migration, an institution that for much of the 20th century helped to propel the transmission of sexually transmitted infections among black South Africans denied permanent urban residence. But while the deep-rooted antecedents of AIDS have been noted, less attention has been given to more recent changes in the political economy of sex, including those resulting from the post-apartheid government's adoption of broadly neo-liberal policies. As an unintentional consequence, male migration and apartheid can be seen as almost inevitably resulting in AIDS, a view that can disconnect the pandemic from contemporary social and economic debates. Combining ethnographic, historical, and demographic approaches, and focusing on sexuality in the late apartheid and early post-apartheid periods, this article outlines three interlinked dynamics critical to understanding the scale of the AIDS pandemic: (1) rising unemployment and social inequalities that leave some groups, especially poor women, extremely vulnerable; (2) greatly reduced marital rates and the subsequent increase of one person households; and (3) rising levels of women's migration, especially through circular movements between rural areas and informal settlements/urban areas. As a window into these changes, the article gives primary attention to the country's burgeoning informal settlements--spaces in which HIV rates are reported to be twice the national average--and to connections between poverty and money/sex exchanges.
1990年至2005年间,南非的艾滋病毒感染率从不到1%跃升至约29%。重要的学术研究表明,殖民主义和种族隔离所确立的种族化结构,为艾滋病大流行的迅速蔓延奠定了基础,就像在此之前的其他健康问题一样。特别相关的是循环男性移民的遗留问题,这一制度在20世纪的大部分时间里,助推了性传播感染在被剥夺永久城市居住权的南非黑人中的传播。然而,尽管人们已经注意到艾滋病的根深蒂固的前身,但对于性政治经济中最近的变化,包括后种族隔离政府采取的大致新自由主义政策所导致的变化,关注较少。作为一个意外的结果,男性移民和种族隔离几乎不可避免地被视为导致艾滋病的原因,这种观点可能会使这一流行病与当代社会和经济辩论脱节。本文结合人种志、历史和人口统计学方法,聚焦于种族隔离后期和后种族隔离初期的性行为,概述了对于理解艾滋病大流行规模至关重要的三个相互关联的动态因素:(1)失业率上升和社会不平等加剧,使一些群体,尤其是贫困妇女,极其脆弱;(2)结婚率大幅下降,随后单人家庭增加;(3)女性移民水平上升,尤其是通过农村地区与非正式定居点/城市地区之间的循环流动。作为了解这些变化的一个窗口,本文主要关注该国迅速发展的非正式定居点——据报道,这些地区的艾滋病毒感染率是全国平均水平的两倍——以及贫困与金钱/性交易之间的联系。