Heckert Carina
a Department of Sociology and Anthropology , University of Texas at El Paso , El Paso , Texas , USA.
Med Anthropol. 2017 Feb-Mar;36(2):157-169. doi: 10.1080/01459740.2016.1142989. Epub 2016 Jan 26.
Drawing from an ethnography of HIV care in Santa Cruz, Bolivia, in this article I explore how the social imaginary surrounding gender relations shapes men's experiences of seeking care for and living with HIV. Popular understandings of gender relations, which draw heavily on the machismo concept, intersect with a global health master narrative that frames women as victims in the AIDS epidemic in a way that generates a strong sentiment of blaming machismo within local HIV/AIDS-related services. Statements such as, "it's because of machismo" are used to explain away epidemiological trends. Participant observation in the context of HIV care, coupled with illness narrative interviews, illuminate how blaming machismo shapes men's experiences of care and the ways that they feel excluded from various forms of support. Thus, the illness experiences of men with HIV problematize the machismo concept and how it is drawn upon in the context of care.
基于对玻利维亚圣克鲁斯市艾滋病护理的人种志研究，在本文中，我探讨了围绕性别关系的社会想象如何塑造男性寻求艾滋病护理及与艾滋病共存的经历。对性别关系的普遍理解很大程度上借鉴了大男子主义概念，它与一种全球健康主流叙事相交织，这种叙事将女性描绘成艾滋病流行中的受害者，进而在当地与艾滋病相关的服务中引发了强烈的指责大男子主义的情绪。诸如“这是因为大男子主义”这样的表述被用来解释流行病学趋势。在艾滋病护理背景下的参与观察，结合患病经历访谈，揭示了指责大男子主义如何塑造男性的护理经历以及他们感到被各种形式的支持排除在外的方式。因此，感染艾滋病男性的患病经历对大男子主义概念以及它在护理背景下的应用提出了质疑。
