a Centre for Social Research in Health , The University of New South Wales , Sydney , NSW , Australia.
Glob Public Health. 2014;9(3):257-70. doi: 10.1080/17441692.2014.889736. Epub 2014 Mar 4.
Mobile Men with Money is one of the latest risk categories to enter into HIV prevention discourse. Used in countries in Asia, the Pacific and Africa, it refers to diverse groups of men (e.g. businessmen, miners and itinerant wage labourers) who, in contexts of high population movement and economic disparity, find themselves at heightened risk of HIV as members of a 'most-at-risk population', or render others vulnerable to infection. How adequate is such a description? Does it make sense to develop HIV prevention programmes from such understandings? The history of the epidemic points to major weaknesses in the use of terminologies such as 'sex worker' and 'men who have sex with men' when characterising often diverse populations. Each of these terms carries negative connotations, portraying the individuals concerned as being apart from the 'general population', and posing a threat to it. This paper examines the diversity of men classified as mobile men with money, pointing to significant variations in mobility, wealth and sexual networking conducive to HIV transmission. It highlights the patriarchal, heteronormative and gendered assumptions frequently underpinning use of the category and suggests more useful ways of understanding men, masculinity, population movement, relative wealth in relation to HIV vulnerability and risk.
有钱的流动男性是进入 HIV 预防话语的最新风险群体之一。在亚洲、太平洋和非洲的国家中使用，它指的是多样化的男性群体（例如商人、矿工和流动农民工），他们在人口流动和经济差距大的情况下，由于是“高危人群”的一员，或者使其他人容易受到感染，从而处于 HIV 感染的高风险之中。这种描述是否足够充分？从这种理解出发制定 HIV 预防方案是否有意义？该流行病的历史表明，在描述通常多样化的人群时，使用“性工作者”和“男男性接触者”等术语存在重大缺陷。这些术语中的每一个都带有负面含义，将相关个人描绘成与“普通大众”不同，并对其构成威胁。本文考察了被归类为有钱的流动男性的男性的多样性，指出了有利于 HIV 传播的流动性、财富和性网络方面的显著差异。它强调了经常支持使用该类别的父权制、异性恋规范和性别假设，并提出了更有用的理解男性、男性气质、人口流动、相对财富与 HIV 脆弱性和风险之间关系的方式。
