...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Developing world bioethics >CULTURAL CONUNDRUMS: THE ETHICS OF EPIDEMIOLOGY AND THE PROBLEMS OF POPULATION IN IMPLEMENTING PRE-EXPOSURE PROPHYLAXIS
【24h】

CULTURAL CONUNDRUMS: THE ETHICS OF EPIDEMIOLOGY AND THE PROBLEMS OF POPULATION IN IMPLEMENTING PRE-EXPOSURE PROPHYLAXIS

机译：文化难题：流行病学的伦理学和实施预暴露预防措施中的人口问题

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The impending implementation of pre-exposure prophylaxis (PrEP) has prompted complicated bioethical and public health ethics concerns regarding the moral distribution of antiretroviral medications (ARVs) to ostensibly healthy populations as a form of HIV prevention when millions of HIV-positive people still lack access to ARVs globally. This manuscript argues that these questions are, in part, concerns over the ethics of the knowledge production practices of epidemiology. Questions of distribution, and their attendant cost-benefit calculations, will rely on a number of presupposed, and therefore, normatively cultural assumptions within the science of epidemiology specifically regarding the ability of epidemiologic surveillance to produce accurate maps of HIV throughout national populations. Specifically, ethical questions around PrEP will focus on who should receive ARVs given the fact that global demand will far exceed supply. Given that sexual transmission is one of the main modes of HIV transmission, these questions of who' are inextricably linked to knowledge about sexual personhood. As a result, the ethics of epidemiology, and how the epidemiology of HIV in particular conceives, classifies and constructs sexual populations will become a critical point of reflection and contestation for bioethicists, health activists, physicians, nurses, and researchers in the multi-disciplinary field of global health. This paper examines how cultural conundrums within the fields of bioethics and public health ethics are directly implicated within the ethics of PrEP, by analyzing the problems of population inaugurated by the construction of the men who have sex with men (MSM) epidemiologic category in the specific national context of South Africa.
机译：即将实施的暴露前预防（PrEP）引发了复杂的生物伦理学和公共卫生伦理学问题，涉及当表面上健康的人群将抗逆转录病毒药物（ARVs）的道德分布作为一种预防艾滋病毒的形式时，数百万艾滋病毒抗体阳性的人仍缺乏治疗全球范围内的ARV。该手稿认为，这些问题部分是关于流行病学知识生产实践的伦理学的问题。分配问题及其伴随的成本效益计算将依赖于流行病学中的许多预设假设，因此也要依据流行文化学中的规范性文化假设，尤其是有关流行病学监测在全国人群中绘制准确的艾滋病毒图谱的能力。具体而言，鉴于全球需求将远远超过供应，因此围绕PrEP的道德问题将集中于谁应接受ARV。鉴于性传播是艾滋病毒传播的主要方式之一，这些有关“谁”的问题与有关性人格的知识密不可分。结果，流行病学的伦理学，以及艾滋病毒的流行病学如何特别地构想，分类和构建性人群，将成为生物伦理学家，健康活动家，医生，护士和多学科研究人员的反思和竞争的关键点。全球卫生领域。本文通过分析特定人群中男性与男性之间（MSM）流行病学类别的构建所引发的人口问题，研究了生物伦理学和公共卫生伦理学领域的文化难题如何直接与PrEP伦理学有关。南非的国情。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号