The Fenway Institute, Fenway Health, Boston, MA 02215, USA.
J Acquir Immune Defic Syndr. 2012 Aug 1;60 Suppl 2(0 2):S31-4. doi: 10.1097/QAI.0b013e31825c16d9.
The AIDS epidemic has been fueled by global inequities. Ranging from sexual inequality and underdevelopment to homophobia impeding health care access for men who have sex with men, imbalanced resource allocations, and social biases have potentiated the spread of the epidemic. However, recognition of culturally specific aspects of each microepidemic has yielded development of community-based organizations, which have resulted in locally effective responses to AIDS. This effective approach to HIV prevention, care, and treatment is illustrated through examples of community-based responses in Haiti, the United States, Africa, and other impoverished settings.
艾滋病疫情的蔓延受到全球不平等现象的推动。从性别的不平等和欠发达，到恐同阻碍男男性行为者获得医疗保健，资源分配不平衡和社会偏见加剧了疫情的传播。然而，对每种微观疫情的文化特异性方面的认识，促成了以社区为基础的组织的发展，从而对艾滋病做出了有效的地方应对。通过海地、美国、非洲和其他贫困地区以社区为基础的应对措施的例子，说明了这种有效的艾滋病毒预防、护理和治疗方法。
