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“他们不知道如何保护自己”:南非的残疾与艾滋病风险相关探讨。

'They don't know how to defend themselves': talk about disability and HIV risk in South Africa.

机构信息

Department of Psychology,Anglia Ruskin University, Cambridge, CB11PT, UK.

出版信息

Disabil Rehabil. 2010;32(10):855-63. doi: 10.3109/09638280903314077.

DOI:10.3109/09638280903314077
PMID:19852717
Abstract

PURPOSE

Disabled people in South Africa have been included, for the first time, in policy documents on HIV prevention. However, little is known about how persons with disabilities in South Africa may be at risk, or not. For policy to be implemented in effective practice, we need to know what the risk issues are for disabled people in South Africa.

METHODS

This study draws on qualitative findings from a survey and interview study exploring organisational responses to the HIV epidemic for disabled people. Qualitative data were analysed using thematic and discourse analysis.

RESULTS

An analysis of comments made about risk factors for HIV, identified sexual abuse as a key risk. Furthermore, findings suggest that disability stigma may be a key factor on increasing disabled people's vulnerability in engaging in unsafe sex.

CONCLUSION

The findings provide much needed exploratory findings, in an area in which little is known; useful for considering issues for HIV prevention. However, caution needs to be taken that these findings are not the perspectives of disabled people themselves, and may reproduce accepted discursive truths.

摘要

目的

南非的残疾人首次被纳入艾滋病预防政策文件。然而,对于南非残疾人可能面临何种风险或不存在何种风险,我们知之甚少。为了使政策能够有效付诸实践,我们需要了解南非残疾人面临的风险问题是什么。

方法

本研究借鉴了一项调查和访谈研究的定性发现,该研究探讨了残疾人组织对艾滋病流行的应对措施。采用主题和话语分析对定性数据进行分析。

结果

对艾滋病毒风险因素的分析发现,性虐待是一个关键风险。此外,研究结果表明,残疾污名可能是增加残疾人在不安全性行为中易受伤害的一个关键因素。

结论

这些发现提供了在一个知之甚少的领域中急需的探索性发现,对于考虑艾滋病预防问题很有用。但是,需要谨慎,这些发现不是残疾人自己的观点,可能复制了公认的话语真理。

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