Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W 168th St, 5th Floor, New York, NY 10032, USA.
Am J Public Health. 2011 Jun;101(6):972-8. doi: 10.2105/AJPH.2010.300081. Epub 2011 Apr 14.
Religious institutions, which contribute to understanding of and mobilization in response to illness, play a major role in structuring social, political, and cultural responses to HIV and AIDS. We used institutional ethnography to explore how religious traditions--Catholic, Evangelical, and Afro-Brazilian--in Brazil have influenced HIV prevention, treatment, and care at the local and national levels over time. We present a typology of Brazil's division of labor and uncover overlapping foci grounded in religious ideology and tradition: care of people living with HIV among Catholics and Afro-Brazilians, abstinence education among Catholics and Evangelicals, prevention within marginalized communities among Evangelicals and Afro-Brazilians, and access to treatment among all traditions. We conclude that institutional ethnography, which allows for multilevel and interlevel analysis, is a useful methodology.
宗教机构在理解和动员应对疾病方面发挥着重要作用，对艾滋病病毒和艾滋病的社会、政治和文化反应的构建起到了重要作用。我们采用机构民族志的方法，探讨了巴西的天主教、福音派和非裔巴西人等宗教传统如何随着时间的推移影响了艾滋病病毒的预防、治疗和护理工作，在地方和国家层面上。我们提出了巴西劳动分工的类型学，并揭示了基于宗教意识形态和传统的重叠焦点：天主教徒和非裔巴西人对艾滋病毒感染者的关怀，天主教徒和福音派的禁欲教育，福音派和非裔巴西人在边缘化社区内的预防工作，以及所有传统对治疗的关注。我们得出结论，机构民族志允许多层次和跨层次分析，是一种有用的方法。
