Friedman Samuel R, Cooper Hannah L F, Osborne Andrew H
Center for Drug Use and HIV Research, National Development and Research Institutes, New York, NY, USA.
Am J Public Health. 2009 Jun;99(6):1002-8. doi: 10.2105/AJPH.2008.140327. Epub 2009 Apr 16.
HIV continues to be transmitted at unacceptably high rates among African Americans, and most HIV-prevention interventions have focused on behavioral change. To theorize additional approaches to HIV prevention among African Americans, we discuss how sexual networks and drug-injection networks are as important as behavior for HIV transmission. We also describe how higher-order social structures and processes, such as residential racial segregation and racialized policing, may help shape risk networks and behaviors. We then discuss 3 themes in African American culture-survival, propriety, and struggle-that also help shape networks and behaviors. Finally, we conclude with a discussion of how these perspectives might help reduce HIV transmission among African Americans.
在非裔美国人中,艾滋病毒的传播率持续高得令人无法接受,而且大多数艾滋病毒预防干预措施都集中在行为改变上。为了从理论上探讨针对非裔美国人的其他艾滋病毒预防方法,我们讨论了性网络和药物注射网络在艾滋病毒传播中与行为同样重要。我们还描述了诸如居住种族隔离和种族化治安等更高层次的社会结构和过程如何可能有助于塑造风险网络和行为。然后,我们讨论非裔美国文化中的三个主题——生存、得体和抗争——这些主题也有助于塑造网络和行为。最后,我们通过讨论这些观点如何可能有助于减少非裔美国人中的艾滋病毒传播来得出结论。