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[艾滋病救助——一项公共卫生运动的评估]

[AIDS help--evaluation of a public health movement].

作者信息

Schafer I

出版信息

Offentl Gesundheitswes. 1989 Aug-Sep;51(8-9):567-70.

PMID:2531354
Abstract

The "AIDS-Hilfe" movement-more than 80 local groups are presently united in the Federal German organization of the "Deutsche AIDS-Hilfe e. V." -looks back at a more than five years of experience in the fields of prevention for different target groups, counselling, care, PR-work and representation of interests. Central point of the concept of prevention of "AIDS-Hilfe" is the unprejudiced acceptance of people with HIV/AIDS and people at risk: homosexuals, i. v. drug users, prison inmates, haemophiliacs, and people who are not monogamous. A promising AIDS prevention is confronted by various difficulties: there are waves of hysteria, there is a lack of grants from Federal funds, there is moralizing instead of taking effective measures in health policy, there is a tendency to bureaucratize, there is a restrictive legal approach to the problems of AIDS, etc. In contrast to the good results prevention has already achieved in the group of homosexual men, is a farreaching ignorance and inhumanity on the part of political and administrative authorities in matters of drug use and imprisonment. The paradigm of abstinence is responsible for i. v. drug users to contract AIDS, because low-threshold measures, such as needle-exchange programmes and drug-substitution programmes, are refused. To remind the public this fact constantly and to fight for it will be a major concern of the "AIDS-Hilfe" movement. It must always be borne in mind that "principles" are secondary and that human beings must come first.

摘要

“艾滋病援助”运动——目前有80多个地方团体联合在德国联邦“德国艾滋病援助协会”组织中——在针对不同目标群体的预防、咨询、护理、公关工作和利益代表等领域拥有超过五年的经验。“艾滋病援助”预防理念的核心要点是毫无偏见地接纳艾滋病毒/艾滋病感染者以及高危人群:同性恋者、静脉注射吸毒者、囚犯、血友病患者以及非一夫一妻制者。一项前景良好的艾滋病预防工作面临着各种困难:存在歇斯底里的浪潮,缺乏联邦资金拨款,在卫生政策中采取的是道德说教而非有效措施,存在官僚化倾向,对艾滋病问题采取限制性法律手段等等。与在同性恋男性群体中预防工作已经取得的良好成果形成对比的是,政治和行政当局在吸毒和监禁问题上存在着严重的忽视和不人道行为。禁欲模式导致静脉注射吸毒者感染艾滋病,因为诸如针头交换计划和药物替代计划等低门槛措施遭到拒绝。不断提醒公众这一事实并为之抗争将是“艾滋病援助”运动的一项主要关切。必须始终牢记,“原则”是次要的,人必须放在首位。

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