International Center for Research on Women, Washington, DC, USA.
Glob Public Health. 2011;6 Suppl 3:S370-82. doi: 10.1080/17441692.2011.617381. Epub 2011 Oct 20.
The global response to AIDS has triggered unprecedented attention to gender inequality and the role it plays in shaping the vulnerability of women. Tragically, however, this attention has not yet led to wide-scale transformations in gender roles, or reductions in gender-related risk. This paper reviews both knowledge and action on the impact of gender inequality on women in the context of HIV prevention, and argues that, while much is known, and while effective strategies do exist, impact on a population level will not be achieved unless gender considerations are integrated into an evidence-informed comprehensive national strategy. Such a strategy must be implemented by national governments within an enabling policy and legal environment for change; be driven and owned as much as possible, by communities who are empowered with skills and resources to put their own ideas and capabilities into action; and include people living with HIV as equal partners.
全球对艾滋病的反应引发了对性别不平等及其在塑造女性易感性方面所起作用的前所未有的关注。然而，不幸的是，这种关注尚未导致性别角色的广泛转变，也没有减少与性别有关的风险。本文综述了在艾滋病毒预防方面，性别不平等对妇女的影响方面的知识和行动，并认为，尽管已经了解了很多情况，并且已经存在有效的战略，但除非将性别考虑因素纳入循证的综合国家战略，否则在人口层面上不会产生影响。这种战略必须在国家政府在促进变革的政策和法律环境中实施；尽可能由社区推动和拥有，社区应具备技能和资源，将自己的想法和能力付诸行动；并将艾滋病毒感染者视为平等的合作伙伴。
