ABSTRACT

In some Ugandan fishing communities, almost half the population lives with HIV. Researchers designate these communities “HIV hotspots” and attribute disproportionate disease burdens to “sex-for-fish” relationships endemic to the lakeshores. In this article, we trace the emergence of Uganda’s HIV hotspots to structural adjustment. We show how global economic policies negotiated in the 1990s precipitated the collapse of Uganda’s coffee sector, causing mass economic dislocation among women workers, who migrated to the lake. There, they entered overt forms of sex work or marriages they may have otherwise avoided, intimate economic arrangements that helped to “engineer the spread of HIV,” as one respondent recounted.

 抽象的

在乌干达的一些渔业社区，几乎一半的人口感染了艾滋病毒。研究人员将这些社区指定为“艾滋病毒热点”，并将不成比例的疾病负担归因于湖岸地区特有的“性换鱼”关系。在本文中，我们将乌干达艾滋病毒热点的出现追溯到结构调整。我们展示了 20 世纪 90 年代谈判的全球经济政策如何加速乌干达咖啡行业的崩溃，导致移居湖边的女工大规模经济混乱。在那里，他们进行了原本可以避免的公开形式的性工作或婚姻，亲密的经济安排有助于“策划艾滋病毒的传播”，正如一位受访者所述。