行動への呼びかけ:米国がHIV流行の終結イニシアチブを成功させるには?
Chris Beyrer1, Adaora A Adimora2, Sally L Hodder3
1Center for Public Health and Human Rights, Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Lancet (London, England)
|February 22, 2021
まとめ
科学の進歩にも関わらず HIVの流行はアメリカでは続いています 少数派コミュニティに不釣り合いな影響を及ぼしています 国家目標を達成するには 制度的な障壁を取り除き 公平な対応のための研究を継続する必要があります
科学分野:
- 公衆衛生
- 流行病学について
- 感染症
背景:
- 米国でのHIV流行は,120万人以上の被災者を抱える重大な公衆衛生上の課題であり続けています.
- 予防と治療の科学的な進歩にもかかわらず,特に人種,民族,性/ジェンダーのマイノリティーコミュニティでは,流行が続いている.
- 拡大する健康格差と 分断された医療制度は 疫病の複雑さを悪化させています
研究 の 目的:
- 米国におけるHIV流行の根本的な原因を調べる
- アメリカでHIVに対する より活発で持続的な 公平な対応を提案する
- HIV 流行の終結イニシアチブの目標の達成可能性を評価する.
主な方法:
- HIV監視データの分析
- HIVの予防と治療における科学的進歩の見直し
- HIVケアにおける実施科学の検討
- 米国におけるHIV流行の背景における健康格差の評価
主要な成果:
- 米国でのHIV流行は持続しており,発生率は特定のマイノリティーコミュニティに集中しています.
- 新しい感染,罹病率,および汚名を減らすための国家目標は2021年までに達成される可能性は低い.
- 科学と公衆衛生の取り組みは大きくても 根本的な障壁を克服するには不十分です
結論:
- HIV流行の終結イニシアチブの 遠見的な目標を達成することは可能ですが 根本的な障壁に対処する必要があります
- 持続的な科学研究と公衆衛生の配慮は,米国のHIV流行に対する公平で効果的な対応に不可欠です.
- 課題を克服し,米国におけるHIVの負担を減らすために,強化され,持続的なアプローチが必要である.
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