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The 'condom lady' speaks: Female sexuality discourses and HIV prevention in community-based organizations.

机译:“避孕套女士”说:社区组织中的女性性行为和艾滋病毒预防。

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After 25 years of growing awareness about the ADDS crisis in the United States, there continues to be 40,000 new infections each year. While this is a preventable disease, the complexity of the intersection between the salient characteristics of gender, race, class, sexuality, and culture has led to its threatening presence in many communities. One response to this disease has been the growth of community-based organizations (CBOs) to offer prevention education and services to their racial minority communities deemed at-risk for HIV/AIDS.; Through educator interviews and HIV prevention workshop observations, this research study explores the sexuality and gender discourses within CBOs offering HIV prevention programming for women. Although the educators interviewed represent quite diverse racial/ethnic backgrounds and cultural upbringings, and work in CBOs targeting racially diverse clientele, there were many common underlying themes related to sexuality, gender, culture, and sexual health that guided their programming. However, how they specifically put this knowledge into practice and confronted the barriers to sexual health for the women in their communities varied significantly.; A feminist constructionist framework provides the structure for this sexuality discourse analysis. Dominant female sexuality discourses and responses to HIV/AIDS, shaped through mainstream media and biomedical perspectives, have not facilitated sexually healthy decision-making for many women. The prevention programs of these educators were much broader and more comprehensive than the path that biomedical research has taken, which has often isolated HIV prevention and individuals from many relevant social and cultural factors. Educators were much more likely to incorporate the context of a woman's life, including gender, culture, sexuality, abusive relationships, drug use, networks, children, schedules, and self-worth. And for educators who perceived their audiences to be more open to frank sexual discussions (specifically African American women), they often incorporated dialogue about sexual pleasure, masturbation, and sex toys. All educators encouraged empowerment for women in their sexual health choices through education, communication, and self-respect. These HIV prevention programs offer sexuality and gender discourses for women that both build on existing dominant understandings of sexuality and gender, and also provide alternative perspectives that potentially allow for greater female sexual empowerment and health.
机译:在对美国的ADDS危机有了25年的增长意识之后,每年继续有40,000新感染。尽管这是一种可预防的疾病,但性别,种族,阶级,性别和文化的显着特征之间交集的复杂性导致其在许多社区中的生存受到威胁。对这种疾病的一种应对是社区组织(CBO)的发展,它们向被认为有感染艾滋病毒/艾滋病危险的少数民族社区提供预防教育和服务。通过教育者访谈和艾滋病预防研讨会的观察,本研究研究了为妇女提供艾滋病预防规划的社区组织内部的性和性别话语。尽管接受采访的教育者代表了非常不同的种族/族裔背景和文化背景,并且在针对种族差异客户群的CBO中开展工作,但指导他们编程的方案却涉及许多与性,性别,文化和性健康相关的基本主题。但是,他们如何具体地将这一知识付诸实践,以及如何面对社区中妇女的性健康障碍,差异很大。女权主义的建构主义框架为这种性话语分析提供了结构。通过主流媒体和生物医学观点形成的占主导地位的女性性话题和对艾滋病毒/艾滋病的反应,并未促进许多妇女的性健康决策。这些教育者的预防计划比生物医学研究所采取的途径更为广泛和全面,后者通常将艾滋病毒预防和个人与许多相关的社会和文化因素隔离开来。教育者更有可能融入妇女的生活背景,包括性别,文化,性,性虐待,吸毒,网络,孩子,日程安排和自我价值。对于认为自己的听众更愿意坦率地进行性讨论的教育工作者(尤其是非裔美国女性),他们经常加入有关性快感,手淫和性玩具的对话。所有教育者都通过教育,沟通和自尊来鼓励妇女在性健康选择中赋权。这些艾滋病毒预防方案为妇女提供了关于性和性别的论述,既基于对性和性别的现有主流理解,又提供了可能有助于增强女性性能力和健康的替代观点。

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