Humanities and Social Sciences, New York University Shanghai, Shanghai, China.
Med Anthropol. 2023 Oct 3;42(7):667-681. doi: 10.1080/01459740.2023.2244650. Epub 2023 Aug 10.
The Chinese Center for Disease Control employs Community-Based Organizations (CBO) to conduct mass testing on "hidden" Men who have Sex with Men (MSM). Testing MSMs is intended to make risky bodies legible to the state and discipline the CBOs around narrow health goals. However, detailed ethnographic fieldwork with MSM CBOs in southwest China demonstrates that pressures to achieve HIV testing quotas produce the need to "water-down" or manipulate data. This distorts the identities and practices of MSMs from state surveillance and builds collusive partnerships between CBOs and low-level government officials to mitigate the disciplinary impacts of strict audits.
中国疾病预防控制中心利用社区组织（CBO）对“隐藏”的男男性行为者（MSM）进行大规模检测。对 MSM 进行检测旨在使高危人群的情况能被国家所掌握，并围绕狭隘的健康目标对 CBO 进行约束。然而，对中国西南部 MSM CBO 的详细民族志实地研究表明，为了达到 HIV 检测指标而产生的压力，导致了数据“稀释”或操纵的需要。这使得 MSM 从国家监测中失去了身份和行为特征，并在 CBO 与基层政府官员之间建立了共谋关系，以减轻严格审计的纪律影响。
