Reed Sarah J, Miller Robin Lin
Department of Psychology, Michigan State University, East Lansing, MI 48824, USA.
AIDS Educ Prev. 2013 Jun;25(3):255-67. doi: 10.1521/aeap.2013.25.3.255.
The development of community capacity is integral to reducing the burden of HIV in high-risk populations (Kippax, 2012). This study examines how coalitions addressing structural level determinants of HIV among youth are generating community capacity and creating AIDS-competent communities. AIDS-competent communities are defined as communities that can facilitate sexual behavior change, reduce HIV/AIDS–related stigma, support people living with HIV/AIDS, and cooperate in HIV–related prevention practices. This study shows how the coalitions are fostering the resources indicative of AIDS-competent communities: knowledge and skills, enhanced dialogue among relevant sectors of the community, local ownership of a problem, confidence in local strengths, solidarity or bonding social capital, and bridging partnerships. These data show that the coalitions catalyzed several outcomes aside from the completion of their structural changes. Coalition members are developing the skills, resources, and relationships that can ostensibly build a heightened community response to HIV prevention.
社区能力的发展对于减轻高危人群中的艾滋病毒负担至关重要（基帕克斯，2012年）。本研究探讨了应对青年中艾滋病毒结构层面决定因素的联盟如何培养社区能力并创建具备艾滋病防治能力的社区。具备艾滋病防治能力的社区被定义为能够促进性行为改变、减少与艾滋病毒/艾滋病相关的耻辱感、支持艾滋病毒/艾滋病感染者并在与艾滋病毒相关的预防实践中开展合作的社区。本研究展示了这些联盟如何培育具备艾滋病防治能力社区所具备的资源：知识和技能、社区相关部门之间加强对话、对问题的地方自主权、对地方优势的信心、团结或紧密的社会资本以及建立伙伴关系。这些数据表明，除了完成其结构变革之外，这些联盟还催化了若干成果。联盟成员正在培养技能、资源和关系，这些技能、资源和关系表面上可以增强社区对艾滋病毒预防的反应。
