Course 4
Cultural
National
Ethnic
Religious
Subcultural
Subcultural Problems
 性傳播疾病的預防:行為的改變   STD Prevention: Behavior Change
 安全性行為-推行安全性行為所面臨的問題
文化方面的問題-亞文化方面的問題
除了少數民族,許多主流文化中也含有自身的亞文化。亞文化可以是地域性的、年齡特殊性的、職業性的和機構團體性的。例如:在城市與鄉村之間、在一些職業群體之間、在民間與軍隊之間、在年輕一代與年老一代之間、在教育程度高的群體與低教育程度群體之間等等,可能就有生活方式不同的問題。許多現代社會也已經演變出了非常特殊的各種性亞文化。它們可能有自己的組織、聚會地點、行話和出版物。典型的例子是男女同性戀者、易裝癖者、施虐受虐狂者、某些物神崇拜者、“性開放者”和性工作者等等。此外,還有常常較為含混和組織程度較低的、卻仍有區別的吸毒者亞文化。

在多樣化的社會裏,預防AIDS除了針對一般人群以外,只有將非性的亞文化和性亞文化也作為其目標,才能夠正常運轉。這確實需要他們的全面合作,需要他們在宣傳運動的每一步驟裏的積極參與才能夠獲得成功。

許多西方工業化國家已經積累了這方面的經驗,由此制定了多種多樣的預防宣傳策略和針對各種亞文化的特殊需要發行了大量的宣傳材料。那些面對預防AIDS需要而又剛剛起步的國家可以從這些經驗中獲得極大的收益。

針對特殊亞文化的預防指南
從左至右:針對靜脈吸毒者的兩種預防AIDS小冊子(美國);針對女性性工作者的小冊子(荷蘭);德國針對男性性工作者的4種袖珍小冊子。許多女性性工作者和男性性工作者正在從東歐來到西歐國家,其中的大多數人缺乏AIDS及其預防知識。所以,德國衛生當局以數種語言在這些群體中散發這些小冊子。這些顯示的是波蘭語、塞爾維亞-克羅地亞語、羅馬尼亞語和保加利亞語的譯本。(點擊圖片)

Guidelines for specific subcultures
From left to right: Two AIDS prevention brochures for intravenous drug users (USA), one brochure for female sex workers (Netherlands), and four pocket-size booklets for male sex workers in Germany. Many of the latter are arriving from the counties of Eastern Europe, and most of them are uninformed about AIDS and its prevention. The German health authorities therefore distribute these booklets in several languages. Shown here are the Polish, Serbo-Croatian, Romanian, and Hungarian versions. (Click on pictures.)

 Safer Sex - Problems of Safer Sex Promotion

Cultural Problems - Subcultural Problems
In addition to ethnic minorities, many majority cultures also contain subcultures of their own. These may be regional, age-specific, professional or organizational. For example: Life styles may differ between city and countryside, between certain professions, civilians and the military, the young and the old, the well-educated and the poorly educated, etc. Many modern societies have also developed very specific sexual subcultures. These may have their own organizations, meeting places, jargons, and journals. Examples are gay men and lesbians, transvestites, sadomasochists, certain fetishists, “swingers”, and sex workers. In addition, there is often also a more diffuse and less organized, but still distinct subculture of drug users.

AIDS prevention in multi-faceted societies can work only if, in addition to the general population, both the non-sexual and the sexual subcultures are targeted as well. This requires their full cooperation, indeed, their active involvement at every stage of the campaign.

Many Western industrialized countries have learned this lesson and thus have produced a great variety of strategies and materials aimed specifically at their various subcultures. Countries that are just beginning to face these issues may very well profit from the experience.

 
 
 

[Course 4] [Description] [How to use it] [Introduction] [Curable STDs] [Incurable STDs] [STD Prevention] [Abstinence] [Safer Sex] [Additional Reading] [Examination]