Partnership and Pragmatism: The German Response to AIDS Prevention and Care (Social Aspects of Aids Series)

273 Pages·2000·1.33 MB·English

by  Rolf Rosenbrock

Partnership and Pragmatism
Partnership and Pragmatism: Germany’s response to AIDS prevention and care
provides a comprehensive overview of the most important themes in German
HIV/AIDS prevention and care from the beginning of the epidemic to the
present. Multidisciplinary in approach, this book highlights the unique contribu-
tions of Germany to AIDS work, making available for the first time knowledge
which can be applied to other countries as well as to other fields of public health
practice. The innovative contributions included in this volume describe:
• structural prevention, a concept which unites political and behavioural change
(cid:127) the synchronistic relationship between AIDS policy and gay politics
(cid:127) the dominance of love and intimacy over other ‘risk factors’
(cid:127) an approach to prevention among drug users which emphasizes human rights
and accepts the using behaviour
(cid:127) a unique partnership between public authorities and the voluntary sector
(cid:127) services for women working in cross-national border prostitution
(cid:127) an AIDS survivor syndrome among gay men
(cid:127) HIV in the context of emotional risks taken by women in relationships.
In addition, specifically German themes are described in detail, including the
special needs of gay men from the former East Germany, the difficulties of
providing adequate outpatient care for people with HIV/AIDS and the history of
the AIDS prevention debate in Germany.
Offering medical, nursing, public health, sociological, psychological and
social work perspectives on the German response to AIDS, this book provides a
valuable source of reference for researchers, teachers and professionals working
in AIDS prevention and care.
Rolf Rosenbrock is Professor of Public Health Policy at the Technical
University of Berlin and Head of the Research Unit ‘Public Health’ at the Social
Science Research Centre, Berlin. Michael T. Wrighthas been involved in HIV
prevention since 1984 in the US and Germany and recently published New
International Directions in HIV Prevention for Gay and Bisexual Menwith B. R.
Simon Rosser and Onno de Zwart.
Social aspects of AIDS
Series editor: Peter Aggleton
Institute of Education, University of London
Editorial Advisory Board:
Dominic Abrams, University of Kent at Canterbury, UK
Dennis Altman, La Trobe University, Australia
Maxine Ankrah, Makerere University, Uganda
Mildred Blaxter, University of East Anglia, UK
Manuel Carballo, Geneva, Switzerland
Judith Cohen, University of California, San Francisco, USA
Anthony Coxon, University of Essex, UK
Peter Davies, London, UK
Gary Dowsett, La Trobe University, Australia
Jan Grover, St Paul, Minnesota, USA
Graham Hart, MRC Social and Public Health Sciences Unit, Glasgow, UK
Mukesh Kapila, Department of International Development, UK
Hans Moerkerk, Ministry of Foreign Affairs, The Hague, Netherlands
Cindy Patton, Temple University, USA
Diane Richardson, University of Newcastle, UK
Werasit Sittirai, UNAIDS, Geneva, Switzerland
Ron Stall, University of California, San Francisco, USA
Robert Tielman, Utrecht, Netherlands
Simon Watney, London, UK
Jeffrey Weeks, South Bank University, UK
AIDS is not simply a concern for scientists, doctors and medical researchers, it
has important social dimensions as well. These include individual, cultural and
media responses to the epidemic, stigmatisation and discrimination, counselling,
care and health promotion. This series of books brings together work from many
disciplines including psychology, sociology, cultural and media studies, anthro-
pology, education and history. The titles will be of interest to the general reader,
those involved in education and social research, and scientific researchers who
want to examine the social aspects of AIDS.
Recent titles include:
Imagine Hope
Simon Watney
AIDS in Europe
New challenges for the social sciences
Edited by Jean-Paul Moatti, Yves Souteyrand, Annick Prieur, Theo Sandfort and
Peter Aggleton
Social aspects of AIDS iii
Dying to Care?
Work, stress and burnout in HIV/AIDS
David Miller
Mental Health and HIV Infection
Edited by José Catálan
The Dutch Response to HIV
Pragmatism and consensus
Edited by Theo Sandfort
Families and Communities Responding to AIDS
Edited by Peter Aggleton, Graham Hart and Peter Davies
Men Who Sell Sex
International perspectives on male prostitution and AIDS
Edited by Peter Aggleton
Sexual Behaviour and HIV/AIDS in Europe
Comparisons of national surveys
Edited by Michel Hubert, Nathalie Bajos and Theo Sandfort
Drug Injecting and HIV Infection
Global dimensions and local responses
Edited by Gerry Stimson, Don C. Des Jarlais and Andrew Ball
AIDS as a Gender Issue
Edited by Lorraine Sherr, Catherine Hankins and Lydia Bennett
AIDS
Activism and alliances
Edited by Peter Aggleton, Peter Davies and Graham Hart
Sexual Interactions and HIV Risk
New conceptual perspectives in European research
Edited by Luc van Campenhoudt, Mitchell Cohen, Gustavo Guizzardi and
Dominique Hausser
Bisexualities and AIDS
International perspectives
Edited by Peter Aggleton
Crossing Borders
Migration, ethnicities and AIDS
Edited by Mary Haour-Knipe
iv Social aspects of AIDS
Last Served?
Gendering the HIV pandemic
Cindy Patton
Moral Threats and Dangerous Desires
AIDS in the news media
Deborah Lupton
Power and Community
Organizational and cultural responses to AIDS
Dennis Altman
Partnership and Pragmatism
Germany’s response to
AIDS prevention and care
Edited by Rolf Rosenbrock and
Michael T. Wright
London and New York
First published 2000
by Routledge
11 New Fetter Lane, London EC4P 4EE
Simultaneously published in the USA and Canada
by Routledge
29 West 35th Street, New York, NY 10001
Routledge is an imprint of the Taylor & Francis Group
This edition published in the Taylor & Francis e-Library, 2001.
© 2000 selection and editorial matter, Rolf Rosenbrock and Michael T.
Wright; individual chapters, the contributors.
All rights reserved. No part of this book may be reprinted or reproduced
or utilised in any form or by any electronic, mechanical, or other means,
now known or hereafter invented, including photocopying and recording,
or in any information storage or retrieval system, without permission in
writing from the publishers.
British Library Cataloguing in Publication Data
A catalogue record for this book is available
from the British Library.
Library of Congress Cataloging in Publication Data
Partnership and Pragmatism: Germany’s response to AIDS prevention
and care/[edited by] Rolf Rosenbrock and Michael T. Wright
272 pp. 15.6 x 23.4 cm
Includes bibliographical references and index
1. AIDS (Disease) – Germany. I. Rosenbrock, Rolf. II. Wright, Michael T.
RA644.A25 P3724 2000
362.1’969792’00943—dc 21 00-031133
ISBN 0-203-47048-6 Master e-book ISBN
ISBN 0-203-77872-3 (Adobe eReader Format)
ISBN 0-415-24106-5 (pbk)
ISBN 0-415-24105-7 (hbk)
Contents
List of figures x
List of tables xi
List of contributors xiii
Acknowledgement xvii
PART I
Introduction 1
1 Pragmatism and partnership: an overview of this volume 3
ROLF ROSENBROCK AND MICHAEL T. WRIGHT
2 AIDS in a German context: a primer 7
MICHAEL T. WRIGHT
PART II
History, policy, and epidemiology 13
3 The epidemiology of HIV and AIDS in Germany 15
ULRICH MARCUS
4 From hysteria to banality: an overview of the political response
to AIDS in Germany 35
GÜNTER FRANKENBERG AND ALEXANDER HANEBECK
5 The role of the German Federal Government in fighting the
epidemic 48
DORLE MIESALA-EDEL AND MARTINA SCHÖPS-POTTHOFF
viii Contents
6 AIDS prevention campaigns for the general public: the work
of the Federal Centre for Health Education 61
ELISABETH POTT
7 Structural prevention: the basis for a critical approach to
health promotion 73
STEFAN ETGETON
8 The German AIDS self-help movement: the history and
ongoing role of AIDS-Hilfe 82
RAINER SCHILLING
PART III
Risk perception and decision making in safer sex 91
9 Reactions of the general population to AIDS: the relationship
between sociodemographic variables and lay concepts of
disease aetiology 93
RÜDIGER JACOB, WILLY H. EIRMBTER AND ALOIS HAHN
10 AIDS prevention as a social systems intervention: risk taking
in the context of different types of heterosexual partnerships 106
HEINRICH W. AHLEMEYER
11 The ‘risk factor love’ 119
MARTIN DANNECKER
PART IV
Responding to specific target groups 127
12 The response of gay German men to HIV: the national gay
press surveys 1987–96 129
MICHAEL BOCHOW
13 Western-style prevention for eastern gay men? AIDS prevention
in the former East Germany 143
RAINER HERRN
Contents ix
14 The accepting approach to working with drug users in Germany:
an overview of principles, goals and methods 160
GUNDULA BARSCH
15 The meaning of HIV prevention in the context of heterosexual
relationships: what are women protecting themselves from? 171
CORNELIA HELFFERICH
16 The Umbrella Network: AIDS, STD prevention, and prostitution
on the eastern border of Germany 182
ELFRIEDE STEFFAN AND MICHAEL F. KRAUS
17 Innovation versus normalisation: the reaction of Germany’s
home care system to HIV and AIDS 193
DORIS SCHAEFFER
18 Defining the AIDS Survivor Syndrome and testing for
symptoms in an exploratory study of gay German men 207
MICHAEL T. WRIGHT
19 AIDS policy, health policy, and gay politics 216
ROLF ROSENBROCK
PART V
The future of AIDS policy and practice 229
20 The normalisation of AIDS in Germany 231
ROLF ROSENBROCK, DORIS SCHAEFFER AND MARTIN MOERS
Index 249