Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
Glob Public Health. 2013;8 Suppl 1(0 1):S7-29. doi: 10.1080/17441692.2013.811532. Epub 2013 Aug 1.
Social science research can enhance the response to Vietnam's growing HIV epidemic by capturing the country's rapidly changing social and political context. The present paper reviews the published, peer-reviewed and English-language social science literature on HIV in Vietnam in order to identify critical theoretical and substantive gaps, while laying the groundwork for future research. We found four broad foci for work on the social context of HIV and AIDS in Vietnam: the cultural meanings and social relationships that shape Vietnam's HIV epidemic; stigma and discrimination; social inequality and structural violence as contributors to HIV risk; and, finally, how broader global and social systems shape Vietnam's HIV epidemic. We signal the particular need for additional research on the effects of the media on attitudes towards HIV and AIDS, on social movements, and on health systems, as well as on a number of other key areas. Work along these lines, in addition to more effective communication of policy-relevant findings to those responsible for the development and implementation of policies and programmes, will strengthen Vietnam's response to HIV and AIDS.
社会科学研究可以通过捕捉越南快速变化的社会和政治背景,增强对该国日益严重的艾滋病毒流行的应对能力。本文综述了已发表的、经过同行评审的和英文的关于越南艾滋病毒的社会科学文献,以确定关键的理论和实质性差距,同时为未来的研究奠定基础。我们发现,有关越南艾滋病毒/艾滋病社会背景的工作有四个广泛的重点:影响越南艾滋病毒流行的文化意义和社会关系;污名和歧视;社会不平等和结构性暴力是艾滋病毒风险的促成因素;以及最后,更广泛的全球和社会系统如何塑造越南的艾滋病毒流行。我们表示特别需要进一步研究媒体对艾滋病毒和艾滋病态度的影响、社会运动以及卫生系统的影响,以及其他一些关键领域。沿着这些方向开展工作,以及更有效地将与政策相关的研究结果传达给负责制定和实施政策和方案的人员,将加强越南对艾滋病毒和艾滋病的应对能力。