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A Framework for Incorporating Dyads in Models of HIV-Prevention

机译:将双染纳入艾滋病毒预防模型的框架

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Although HIV is contracted by individuals, it is typically transmitted in dyads. Most efforts to promote safer sex practices, however, focus exclusively on individuals. The goal of this paper is to provide a theoretical framework that specifies how models of dyadic processes and relationships can inform models of HIV-prevention. At the center of the framework is the proposition that safer sex between two people requires a dyadic capacity for successful coordination. According to this framework, relational, individual, and structural variables that affect the enactment of safer sex do so through their direct and indirect effects on that dyadic capacity. This dyadic perspective does not require an ongoing relationship between two individuals; rather, it offers a way of distinguishing between dyads along a continuum from anonymous strangers (with minimal coordination of behavior) to long-term partners (with much greater coordination). Acknowledging the dyadic context of HIV-prevention offers new targets for interventions and suggests new approaches to tailoring interventions to specific populations.
机译:尽管艾滋病毒是由个体感染的,但通常是通过二联体传播的。但是,大多数促进安全性行为的努力都只针对个人。本文的目的是提供一个理论框架,以指定二进过程和关系模型如何为HIV预防模型提供信息。该框架的核心主张是,两个人之间更安全的性生活需要成功的协调能力。根据该框架,影响安全性行为制定的关系,个人和结构变量通过对二元能力的直接和间接影响来实现。这种二分法的观点不需要两个人之间持续的关系。相反,它提供了一种方法来区分连续体中的二元组,即从匿名陌生人(行为协调程度最低)到长期伴侣(协作程度更高)。认识到预防艾滋病的二元环境为干预提供了新的目标,并提出了针对特定人群量身定制干预措施的新方法。

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    《AIDS and Behavior》 |2010年第s2期|p.189-203|共15页
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