结构性不平等、艾滋病毒社区组织与终结艾滋病流行。
Structural Inequities, HIV Community-Based Organizations, and the End of the HIV Epidemic.
机构信息
At the time of the writing of this essay, Alyssa G. Robillard was with the Institute for Families in Society, University of South Carolina, and Palmetto AIDS Life Support Services, Columbia, SC. Carmen H. Julious is with Palmetto AIDS Life Support Services. Stacy W. Smallwood is with the Department of Health Policy & Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro. Mark Douglas was with My Brothaz HOME Inc, Savannah, GA. Bambi W. Gaddist was with South Carolina HIV Council doing business as Wright Wellness Center, Columbia. Tyler Singleton was with the University of South Carolina School of Medicine, Columbia.
出版信息
Am J Public Health. 2022 Mar;112(3):417-425. doi: 10.2105/AJPH.2021.306688.
Community-based organizations (CBOs) are integral to achieving the goal of Ending the HIV epidemic (EHE). Their familiarity with and proximity to communities position them to effectively implement strategies necessary to address determinants of health through their formal and informal medical and social services. However, structural inequities have contributed to the demise of many organizations that were instrumental in early responses to the HIV epidemic. We define structural inequities for HIV CBOs as systems in which policies, institutional practices, organizational (mis)representations, and other norms work to produce and maintain inequities that affect CBOs' ability to survive and thrive. In this discussion, we describe the organizational threats to grassroots HIV CBOs and the risks to livelihood and longevity, including examples. The invaluable role of HIV CBOs in EHE and their role in responding to existing and novel infectious diseases like COVID-19 should not be overlooked. Recommendations to promote structural equity are offered. (. 2022;112(3):417-425. https://doi.org/10.2105/AJPH.2021.306688).
社区组织（CBOs）是实现终结艾滋病毒流行（EHE）目标不可或缺的。它们对社区的熟悉和接近程度使它们能够通过正式和非正式的医疗和社会服务，有效地实施解决健康决定因素所需的战略。然而，结构性不平等导致许多在应对艾滋病毒流行早期发挥重要作用的组织消亡。我们将艾滋病毒 CBO 面临的结构性不平等定义为：政策、机构实践、组织（错误）陈述和其他规范体系，这些体系共同作用，造成并维持不平等，影响 CBO 生存和发展的能力。在本次讨论中，我们描述了基层艾滋病毒 CBO 面临的组织威胁，以及对生计和寿命的风险，包括相关实例。艾滋病毒 CBO 在 EHE 中的宝贵作用及其在应对现有和新型传染病（如 COVID-19）方面的作用不应被忽视。我们提出了促进结构性公平的建议。（2022；112（3）：417-425. https://doi.org/10.2105/AJPH.2021.306688）。
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