Barros Sandra Garrido de, Vieira-da-Silva Ligia Maria
Programa Integrado de Pesquisa em Política, Gestão e Avaliação. Instituto de Saúde Coletiva. Universidade Federal da Bahia. Salvador, BA, Brasil.
Programa de Pós-Graduação em Saúde Coletiva. Instituto de Saúde Coletiva. Universidade Federal da Bahia. Salvador, BA, Brasil.
Rev Saude Publica. 2016 Jul 21;50. doi: 10.1590/S1518-8787.2016050005801.
To analyze the genesis of the policy for controlling AIDS in Brazil.
Socio-historical study (1981-1989), based on Bordieu's genetic sociology, by document analysis, bibliographical review, and in-depth interviews. It consisted of a connection between the analysis of the paths of 33 agents involved in the creation of a social space focusing on AIDS-related issues and the historical possibility conditions of the drafting of a specific policy.
AIDS Space is a gathering point for the paths of agents from several social fields (medical, scientific, political, and bureaucratic fields). A specific space for relationships, which enabled the drafting of a policy for controlling the AIDS epidemic, but also a place where the authority to talk about the meaning of the disease, the methods to prevent and treat it was under dispute. The analysis showed how the various structures (democratic administrations in Sao Paulo and at the national level, with public health officers taking important positions) and the lack of a specific therapy contributed to social agents of different ranks and backgrounds to initially set prevention as a priority.
The rise of the sanitary movement, the organization of SUS, and the dominance of the medical field at the AIDS Space contributed to foster treatment as a part of the measures to control the epidemic. These conditions allowed drafting a policy based on the integrality of care, by linking prevention and treatment in the following decade, with important participation from state bureaucracy and researchers.
分析巴西艾滋病防控政策的起源。
基于布迪厄的发生社会学进行社会历史研究（1981 - 1989年），采用文献分析、书目审查和深入访谈的方法。该研究包括分析33名参与创建关注艾滋病相关问题的社会空间的行动者的路径，以及制定特定政策的历史可能性条件之间的联系。
艾滋病空间是来自多个社会领域（医学、科学、政治和官僚领域）的行动者路径的汇聚点。这是一个特定的关系空间，它既促成了艾滋病防控政策的制定，也是一个关于疾病意义、预防和治疗方法的话语权存在争议的地方。分析表明，各种结构（圣保罗和国家层面的民主行政机构，公共卫生官员占据重要职位）以及缺乏特定疗法如何促使不同阶层和背景的社会行动者最初将预防作为优先事项。
卫生运动的兴起、统一卫生系统的组织以及艾滋病空间中医学领域的主导地位，有助于推动将治疗作为疫情防控措施的一部分。这些条件使得在接下来的十年里，在国家官僚机构和研究人员的重要参与下，能够基于全面护理制定一项将预防与治疗联系起来的政策。
