Dugassa Begna F
Community Nutrition, Toronto Public Health, 524 Oakwood Avenue, Toronto, Ontario, Canada.
Health Care Women Int. 2009 Aug;30(8):690-706. doi: 10.1080/07399330903018377.
Twenty-five years have passed since HIV/AIDS was recognized as a major public health problem. Although billions of dollars are spent in research and development, we still have no medical cure or vaccination. In the early days of the epidemic, public health slogans suggested that HIV/AIDS does not discriminate. Now it is becoming clear that HIV/AIDS spreads most rapidly among poor, marginalized, women, colonized, and disempowered groups of people more than others. The HIV/AIDS epidemic is exacerbated by the social, economic, political, and cultural conditions of societies such as gender, racial, class, and other forms of inequalities. Sub-Saharan African countries are severely hit by HIV/AIDS. For these countries the pandemic of HIV/AIDS demands the need to travel extra miles. My objective in this article is to promote the need to go beyond the biomedical model of "technical fixes" and the traditional public health education tools, and come up with innovative ideas and strategic thinking to contain the epidemic. In this article, I argue that containing the HIV/AIDS epidemic and improving family and community health requires giving appropriate attention to the social illnesses that are responsible for exacerbating biological disorders.
自艾滋病被确认为一个主要的公共卫生问题以来，已经过去了25年。尽管在研发方面投入了数十亿美元，但我们仍然没有治愈方法或疫苗。在疫情初期，公共卫生口号表明艾滋病不会歧视。现在越来越明显的是，艾滋病在贫困、边缘化群体、女性、被殖民群体以及弱势群体中比其他群体传播得更快。艾滋病疫情因社会的社会、经济、政治和文化状况，如性别、种族、阶级和其他形式的不平等而加剧。撒哈拉以南非洲国家受到艾滋病的严重打击。对于这些国家来说，艾滋病疫情需要付出更多努力。我在本文中的目标是倡导超越“技术修复”的生物医学模式和传统的公共卫生教育工具，提出创新的想法和战略思维来控制疫情。在本文中，我认为控制艾滋病疫情以及改善家庭和社区健康需要适当关注那些加剧生理疾病的社会疾病。
