Sankar Andrea, Luborsky Mark, Rwabuhemba Tim, Songwathana Praneed
Wayne Stale University.
United Nations International Children's Education Fund.
Res Aging. 1998 Nov;20(6):885-911. doi: 10.1177/0164027598206013.
The effects of HIV/AIDS on different societies spanning the globe are only beginning to be described. This article describes HIV/AIDS's emerging impact and consequences for families and societies around the globe, with a primary focus on middle-aged and older members. It first provides the current data on the evolving international profile of the HIV/AIDS epidemic. Then, using primary sources and published data, it explores three contrasting nation/state settings (Uganda, Thailand, and India) to describe the cultural, social structural, and family consequences of HIV/AIDS. Findings include identification of emerging and potential strains on core cultural practices related to social integration at the community and family levels, as well as shifts in normative role relationships between multiple generations. Direct and indirect challenges to core moral and ethical issues beyond those simply related to infectious disease prevention and treatment are also identified. Finally, this article draws on these explorations to formulate several key priorities for future research and practice related to HIV/AIDS among older adults.
人类免疫缺陷病毒/获得性免疫综合征（HIV/AIDS）对全球不同社会的影响才刚刚开始被描述。本文描述了HIV/AIDS对全球家庭和社会正在产生的影响及后果，主要关注中年及老年成员。文章首先提供了关于HIV/AIDS疫情不断演变的国际概况的当前数据。然后，利用一手资料和已发表的数据，探讨了三个形成对比的国家/地区背景（乌干达、泰国和印度），以描述HIV/AIDS的文化、社会结构和家庭后果。研究结果包括确定在社区和家庭层面与社会融合相关的核心文化习俗中出现的和潜在的压力，以及多代人之间规范性角色关系的转变。还确定了对核心道德和伦理问题的直接和间接挑战，这些挑战不仅仅与传染病的预防和治疗有关。最后，本文借鉴这些探索，为未来关于老年人HIV/AIDS的研究和实践制定了几个关键优先事项。
