Department of Sociology, The University of Hong Kong, Pokfulam, Hong Kong.
Department of Sociology, Centre for Criminology, The University of Hong Kong, Pokfulam, Hong Kong.
J Psychoactive Drugs. 2020 Jan-Mar;52(1):77-85. doi: 10.1080/02791072.2019.1568648. Epub 2019 Jan 31.
Globally, there has been increasing public health and scholarly interest in chemsex, where the consumption of drugs is related to enhancing sexual pleasure, often in a group context, particularly among gay men or men who have sex with other men (MSM). Since the early 2000s, Hong Kong has witnessed the growth of a chemsex scene. In recent years, HIV/AIDs surveillance reports indicate that chemsex goers have contributed to the rise of HIV infections among MSM, and with increasing pressure from frontline workers, the government has recently acknowledged that this is an emerging issue. Drawing on neoliberalism as a policy framework, ideology, and mode of government, this article traces the adoption of neoliberal discourses of harm reduction in HIV/AIDS and drug policies in Hong Kong. We argue that this emergent issue is the result of two divergent policy orientations, thereby leading to a critical health service gap. This article examines the intersection between HIV/AIDS and drug policies in a particular cultural context to underscore health policy gaps and extend our understanding of the construction of neoliberal subjects in health policies beyond the West.
在全球范围内，人们对与性行为相关的毒品使用（化学性交）的公共卫生和学术兴趣日益浓厚，这种行为通常发生在同性恋者或与其他男性发生性关系的男性（MSM）群体中，目的是增强性快感。自 21 世纪初以来，香港见证了化学性交场景的发展。近年来，艾滋病毒/艾滋病监测报告表明，化学性交者导致了 MSM 中的艾滋病毒感染率上升，而且由于前线工作人员的压力不断增加，政府最近承认这是一个新出现的问题。本文以新自由主义作为政策框架、意识形态和治理模式为线索，追溯了香港在艾滋病毒/艾滋病和毒品政策中采用减少伤害的新自由主义话语的过程。我们认为，这个新出现的问题是两种不同政策取向的结果，从而导致了关键的卫生服务差距。本文考察了特定文化背景下艾滋病毒/艾滋病和毒品政策之间的交叉点，强调了卫生政策差距，并将我们对健康政策中新自由主义主体构建的理解扩展到西方之外。
