| The work of AIDS prevention and treatment can be separated to three parts:AIDS prevention, AIDS probation and treatment, and AIDS aid. At this moment, vaccine and medicine for treating are not available, and the prospect for technology becomes far from optimistic. In such a case, both behavioral prevention and social prevention for AIDS are especially significant. AIDS Prevention, as the study of this dissertation, refers to the behavioral prevention and social prevention, that is to say, AIDS Publicity and education, behavioral intervention. In china, both aspects of the work have witnessed obvious fruits, which is the important reason why in 2008 Chinese AIDS epidemic first got moderated. However, unavoidably, currently Chinese AIDS prevention is still confronted with a Series of ethical, legal and social problems, which become the restricted factors of AIDS prevention.In the event of many interview Surveys for more than two years, there are still some problems crying out for solutions in the sphere of Chinese AIDS prevention.Firstly, in the process of publicity and education of AIDS prevention, the news that curative effect of AIDS treatment has been greatly ameliorated is not well-known. This objectively continued public on extreme fear to AIDS, is psychological roots that a lot of masses abandoned checking, is also the underlying factors that the social discrimination against AIDS "solid ice" is difficult to break.Secondly, the growing pluralistic and open of the sexual behavior increased risk of AIDS spread through sexual behavior, while China is currently limited to the superficial content and unitary form of sex education in school, or even that exists in name only, those two factors composed high risk of AIDS infection.Thirdly, whether the Legalization of Prostitution can become a medicine of anti-AIDS has become a controversial topic, our government should how to respond for it, which need an answer based on bioethics sight.Fourthly, popularized condom-using in public places of entertainment has achieved remarkable results, but put free condoms in places of public accommodation are generally faced with poor enforce. Who should pay for condoms is the main crux.Fifthly, the methadone maintenance treatment has proved to be effective in prevent AIDS spread through intravenous drug use by domestic and international experience, but nearly 600 methadone clinics of our country have suffered the trouble of a low maintenance of the patients, which is the reason and how to solve it has become an urgent problems.Those problems are mostly rooted in the concept conflict of ethical dimensions, so only adjust it at the operational level can not be a permanent cure, to really resolve problems, we should identify the right and wrong in the thinking, and so can clear the policy adjust direction. Therefore, bioethical research is an important basis for solving the above difficult problems.Through further in-depth research and surveys and bioethical analysis, we found that: the "scare tactic" and paternalism is the root cause of the public's unknown to the good effect of today's AIDS treatment. To clear the bad impact, we should make the messenger known to public while advocating the new concept of common prevention in AIDS prevention.The main course of sex education hard to regulate people's sexual behavior is that the single sexual healthy education introduced from abroad is still facing the challenges of traditional sexual ethics. Therefore, we should rebuild a bottom morality which adapted the needs of the times, and also build a sex education system in which moral and health education and bitterly merged.The simple thinking of one-sided way is the source result in the false consciousness of that Legalization of Prostitution can prevent AIDS. In bioethical analysis we will find it undesirable for its bad consequence will resulted and also for its unethical.To make the undesired decision of Star Hotels'boss pay for the public condoms itself is partly because of the underestimated to the urgency of prevention AIDS in highly endemic areas, but mostly because of the lack of government's liable ethic, to follow its guide, we should make the decision of that the government pay for the condoms put in all the hotels in the highly endemic areas.The main reason of the low maintenance of the methadone outpatients is that a large number of outpatients are to be receive the compulsory treatment for its occasionally behavior of Heroin taking. It seems that this punish is too large and go against with the principle of tolerance, lesser deposit should be applied.Bioethics, as an application of normative ethics, not only probes the "what" question (substantial ethics), but also touches on "how"——the operational level (procedure ethics). This article is not therefore satisfied with real issue on the basis of the social investigation, but also is not concluded with identifying right and wrong under the guidance of moral theory and principles, but further inquires how the "good" kind of thing can be done to actually implement and ensure that it is the ultimate good. For example, advocating publicity of the cursive effectiveness of AIDS prevention, while the propaganda based on the mass media-based public, the application of clear language to public advocacy, the cautious use of professional terminology. In advocating that sexual health education should be compatible with the nature of moral education at the same time, further proposing to establish the concept of universal access to prevention in masses," "to reduce sexual partners," "to help and encourage the MSM by a single same-sex partnerships "and other specific code of ethics. After the denial of the "legalization of prostitution," this article also makes a distinction between prostitution, prostitution of moral liability to the specific approach, namely, to take prostitutes to accept education, employment assistance and reduce the HIV harm-based behavioral intervention to guide the program, while their clients are made heavier penalties to curb the illicit nature of demand and other tough measures. |
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