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艾滋病毒风险、系统性不平等与原住民青年:扩大艾滋病毒预防项目的范围

HIV risk, systemic inequities, and Aboriginal youth: widening the circle for HIV prevention programming.

作者信息

Larkin June, Flicker Sarah, Koleszar-Green Ruth, Mintz Susan, Dagnino Michelle, Mitchell Claudia

机构信息

The Gendering Adolescent AIDS Prevention (GAAP) Project, Women and Gender Studies Institute, University of Toronto, Toronto, ON.

出版信息

Can J Public Health. 2007 May-Jun;98(3):179-82. doi: 10.1007/BF03403708.

Abstract

BACKGROUND

In Canada, Aboriginal people are overrepresented in the HIV epidemic and infected at a younger age than non-Aboriginal people. This paper discusses some of the ways Aboriginal youth in Toronto understand HIV/AIDS risk and the relevance of their comments for HIV prevention education. This research is part of a larger study conducted with Ontario youth through the Gendering Adolescent AIDS Prevention (GAAP) project.

METHODS

We conducted 11 GAAP focus groups with Ontario youth. This paper focuses primarily on the four groups of Aboriginal youth. A modified grounded theory approach guided analyses. Data were coded using Nud*ist qualitative data management software.

FINDINGS

Aboriginal youth were more aware of HIV/AIDS and the structural inequities that contribute to risk than their non-Aboriginal counterparts. In addition, they were the only group to talk about colonialism in the context of HIV in their community. Aboriginal youth were, however, more likely to hold a fatalistic view of their future and to blame their own community for high infection rates.

INTERPRETATION

We argue for incorporating structural factors of risk, including the legacy of colonialism, in HIV prevention programs for all youth. This may help to eradicate the stigma and self-blame that negatively impact on Aboriginal youth while allowing other youth populations to distance themselves from the disease.

摘要

背景

在加拿大,原住民在艾滋病流行中所占比例过高,且感染年龄比非原住民更小。本文讨论了多伦多的原住民青年理解艾滋病病毒/艾滋病风险的一些方式,以及他们的看法对艾滋病预防教育的相关性。这项研究是通过青少年艾滋病预防性别化(GAAP)项目与安大略省青年开展的一项更大规模研究的一部分。

方法

我们与安大略省青年进行了11次GAAP焦点小组讨论。本文主要关注四组原住民青年。采用改进的扎根理论方法进行分析。使用Nud*ist定性数据管理软件对数据进行编码。

结果

与非原住民青年相比,原住民青年更了解艾滋病病毒/艾滋病以及导致风险的结构性不平等。此外,他们是唯一在其社区的艾滋病背景下谈论殖民主义的群体。然而,原住民青年更有可能对自己的未来持宿命论观点,并将高感染率归咎于他们自己的社区。

解读

我们主张在针对所有青年的艾滋病预防项目中纳入风险的结构性因素,包括殖民主义的遗留影响。这可能有助于消除对原住民青年产生负面影响的耻辱感和自责感,同时让其他青年群体与这种疾病保持距离。

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本文引用的文献

1
Falling through the cracks of the big cities: who is meeting the needs of HIV-positive youth?
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