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The impact of social environments on the effectiveness of youth HIV prevention: A South African case study.

机译：社会环境对青年艾滋病毒预防有效性的影响：南非案例研究。

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Few would disagree that 'social context' shapes the effectiveness of HIV-prevention programmes. However much work remains to be done in developing systematic conceptualisations of HIV/AIDSrelevant aspects of social environments in vulnerable communities. This paper contributes to this challenge through a case study (44 interviews, 11 focus groups with 55 people and fieldworker diaries) of the impact of social context on a participatory peer education programme involving young people in a peri-urban community in South Africa. Three interacting dimensions of context undermine the likelihood of effective HIV-prevention. Symbolic context includes stigma, the pathologisation of youth sexuality (especially that of girls) and negative images of young people. Organisationaletwork context includes patchy networking amongst NGOs, health, welfare and education representatives and local community leaders and groups. This is exacerbated by different understandings of the causes of HIV/AIDS and how to manage it. These challenges are exacerbated in a material-political context of poverty, unemployment and crime, coupled with the exclusion of young people from local and national decision-making and politics. HIV-prevention initiatives seeking to promote healthsupporting social environments should work closely with social development programmes to promote young peoples' social and political participation, increase opportunities for their economic empowerment, challenge negative social representations of youth, and fight for greater recognition of their sexuality and their right to protect their sexual health.
机译：很少有人会不同意“社会背景”影响艾滋病毒预防计划的有效性。但是，在开发弱势社区中与艾滋病毒/艾滋病相关的社会环境方面的系统概念时，仍有许多工作要做。本文通过一个案例研究（44个访谈，11个焦点小组，有55人和田野工作者的日记）为这一挑战做出了贡献，该案例研究了社会背景对南非郊区社区中年轻人参与的参与式同伴教育计划的影响。背景的三个相互影响的维度破坏了有效预防艾滋病毒的可能性。象征性语境包括污名，青年性行为（特别是女孩的性行为）病态化和年轻人的负面形象。组织/网络环境包括非政府组织，卫生，福利和教育代表以及当地社区领导人和团体之间的零星网络。对艾滋病毒/艾滋病病因及其治疗方法的不同理解加剧了这一情况。在贫困，失业和犯罪的物质政治背景下，加上将青年排除在地方和国家决策和政治之外，这些挑战更加严峻。旨在促进支持健康的社会环境的预防艾滋病毒倡议应与社会发展计划紧密合作，以促进青年人的社会和政治参与，增加赋予青年人经济权能的机会，挑战青年人的负面社会代表性，并争取更大程度地承认青年人的性和他们保护自己性健康的权利。

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