Subcultural Problems

 性传播疾病的预防:行为的改变   STD Prevention: Behavior Change

 安全性行为-推行安全性行为所面临的问题

文化方面的问题-亚文化方面的问题
除了少数民族,许多主流文化中也含有自身的亚文化。亚文化可以是地域性的、年龄特殊性的、职业性的和机构团体性的。例如:在城市与乡村之间、在一些职业群体之间、在民间与军队之间、在年轻一代与年老一代之间、在教育程度高的群体与低教育程度群体之间等等,可能就有生活方式不同的问题。许多现代社会也已经演变出了非常特殊的各种性亚文化。它们可能有自己的组织、聚会地点、行话和出版物。典型的例子是男女同性恋者、易装癖者、施虐受虐狂者、某些物神崇拜者、“性开放者”和性工作者等等。此外,还有常常较为含混和组织程度较低的、却仍有区别的吸毒者亚文化。

在多样化的社会里,预防AIDS除了针对一般人群以外,只有将非性的亚文化和性亚文化也作为其目标,才能够正常运转。这确实需要他们的全面合作,需要他们在宣传运动的每一步骤里的积极参与才能够获得成功。

许多西方工业化国家已经积累了这方面的经验,由此制定了多种多样的预防宣传策略和针对各种亚文化的特殊需要发行了大量的宣传材料。那些面对预防AIDS需要而又刚刚起步的国家可以从这些经验中获得极大的收益。

针对特殊亚文化的预防指南
从左至右:针对静脉吸毒者的两种预防AIDS小册子(美国);针对女性性工作者的小册子(荷兰);德国针对男性性工作者的4种袖珍小册子。许多女性性工作者和男性性工作者正在从东欧来到西欧国家,其中的大多数人缺乏AIDS及其预防知识。所以,德国卫生当局以数种语言在这些群体中散发这些小册子。这些显示的是波兰语、塞尔维亚-克罗地亚语、罗马尼亚语和保加利亚语的译本。(点击图片)

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]