Boyce P, Huang Soo Lee M, Jenkins C, Mohamed S, Overs C, Paiva V, Reid E, Tan M, Aggleton P
Thomas Coram Research Unit, Institute of Education, University of London, London, UK.
Glob Public Health. 2007;2(1):1-34. doi: 10.1080/17441690600899362.
After more than twenty years of programming and activism aimed at stemming the sexual transmission of HIV (and addressing the needs of those most vulnerable to infection) the HIV/AIDS epidemic continues to grow worldwide. Taking up this concern, this paper argues that one of the reasons why HIV prevention has had limited success is because of inadequate conceptualization of human sexuality in such work. Giving sexuality a more prominent position in responses to the epidemic raises a range of issues, including theorization of gender, understanding of sexual subjectivity, the significance of pleasure (or lack of pleasure) in sexual decision-making, and conceptualization of sexual behaviour and culture. Taking these themes forward entails asking significant questions about the underlying paradigmatic and methodological commitments of mainstream HIV/AIDS research, especially the tendency to reproduce accounts of human sexuality as if it were a measurable form of conduct only. Advocating new approaches that take the meaning and symbolic value of sexualities into account complicates established orthodoxies in the field whilst offering potential for more effective HIV prevention strategies.
在经过二十多年旨在阻止艾滋病毒性传播（并满足那些最易感染人群的需求）的规划和行动之后，艾滋病毒/艾滋病疫情在全球范围内仍在继续蔓延。针对这一问题，本文认为，艾滋病毒预防工作成效有限的原因之一在于，此类工作对人类性行为的概念化认识不足。在应对这一疫情的过程中，赋予性行为更突出的地位引发了一系列问题，包括性别理论化、对性主体性的理解、愉悦（或缺乏愉悦）在性决策中的重要性，以及性行为和文化的概念化。推进这些主题需要对主流艾滋病毒/艾滋病研究的潜在范式和方法论承诺提出重大问题，尤其是那种将人类性行为描述为仿佛只是一种可衡量行为形式的倾向。倡导考虑性取向的意义和象征价值的新方法，会使该领域既定的正统观念变得复杂，同时为更有效的艾滋病毒预防策略提供了潜力。
