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Reducing social vulnerability to HIV/AIDS: models of care and their impact in resource-poor settings.

机译：减少对艾滋病毒/艾滋病的社会脆弱性：护理模式及其对资源匮乏地区的影响。

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摘要

There has been an increasing understanding of the social, economic, cultural and political factors that have shaped the HIV/AIDS epidemic. It has been widely recognized that in order to have effective prevention programmes for HIV/AIDS, the broader determinants of health must be addressed. Concurrently, a deeper understanding of personal and societal vulnerability to HIV/AIDS has emerged. Some prevention efforts have expanded their focus, addressing not only individual risk factors and behaviour, but also social justice and including community mobilization activities to address the wider context of the disease. However, the transition to an expanded approach to mitigating the effects of the HIV/AIDS epidemic has not been complete. There is little evidence that care and support strategies have systematically tried to address these concepts. While the role care plays in prevention is considered vital, viewing models of care in terms of their impact on the social vulnerability of certain groups to HIV/AIDS has been largely neglected. Yet appropriate care programmes that help reduce vulnerability will arguably also make the greatest contribution for prevention. Drawing on examples of the role social vulnerability has played in prevention efforts, this paper evaluates the impact of HIV/AIDS care models on socially vulnerable groups, such as women and children.
机译：人们对构成艾滋病毒/艾滋病流行的社会，经济，文化和政治因素有了越来越多的了解。众所周知，为了制定有效的艾滋病毒/艾滋病预防方案，必须解决更广泛的健康决定因素。同时，人们对艾滋病毒/艾滋病的个人和社会脆弱性有了更深入的了解。一些预防工作扩大了重点，不仅针对个人危险因素和行为，而且针对社会正义，并包括社区动员活动，以应对更广泛的疾病背景。但是，向减轻艾滋病毒/艾滋病流行影响的扩大方法的过渡尚未完成。几乎没有证据表明护理和支持策略已系统地尝试解决这些概念。尽管人们认为护理在预防中所起的作用至关重要，但在很大程度上忽略了以护理模式对某些群体对艾滋病毒/艾滋病的社会脆弱性的影响为视角。毫无疑问，有助于减少脆弱性的适当护理计划也将为预防做出最大贡献。本文以社会脆弱性在预防工作中所发挥的作用为例，评估了艾滋病毒/艾滋病护理模式对社会弱势群体（如妇女和儿童）的影响。

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