Nepal Binod
National Centre for Social and Economic Modelling, University of Canberra, ACT 2601, Australia.
Health Policy. 2007 Dec;84(2-3):133-41. doi: 10.1016/j.healthpol.2007.04.011. Epub 2007 Jun 4.
AIDS denial has long been viewed as the obstacle to forging effective response in many Asian countries. This article examines the dimensions and roots of this phenomenon. It identifies seven types of views, attitudes, or tendencies that can be described as denial, dissent, disagreements, or doubts. Three major factors underlying the AIDS denial are discussed. These are (1) historical impressions that STDs are Western diseases, (2) desire of some Asian leaders to forge Eastern points of view, and (3) long-held negative image towards the peoples or groups who happened to be at the front-line of the population groups exposed to the epidemic. The third factor is the most important source of denial. AIDS denial is not a new and isolated phenomenon but the one shaped by the global and historical institutions. Asian AIDS denial reflects the authoritarian and moralist grievances arising from the perceived deterioration of traditional moral order.
长期以来，在许多亚洲国家，否认艾滋病问题一直被视为阻碍制定有效应对措施的障碍。本文探讨了这一现象的层面和根源。它确定了七种可被描述为否认、异议、分歧或怀疑的观点、态度或倾向。讨论了导致否认艾滋病的三个主要因素。这些因素是：（1）认为性传播疾病是西方疾病的历史印象；（2）一些亚洲领导人塑造东方观点的愿望；（3）长期以来对恰好处于受疫情影响人群前沿的民族或群体持有的负面形象。第三个因素是否认的最重要根源。否认艾滋病并非一种新的孤立现象，而是由全球和历史制度塑造的现象。亚洲对艾滋病的否认反映了因传统道德秩序被认为恶化而产生的威权主义和道德主义不满情绪。
