中欧和东欧地区的艾滋病毒
Françoise F Hamers1, Angela M Downs
1EuroHIV, Department of Infectious Diseases, Institut de Veille Sanitaire, 94415 Cedex, Saint-Maurice, France. f.hamers@invs.sante.fr
Lancet (London, England)
|March 28, 2003
概括
东欧正面临着日益严重的人类免疫缺陷病毒 (HIV) 流行病,主要是由注射毒品使用和新兴异性传播驱动的. 需要采取紧急的预防措施来制进一步的传播.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 人类免疫缺陷病毒 (HIV) 流行病在全球范围内继续演变.
- 东欧和中欧国家表现出明显的流行病学趋势.
- 注射药物使用一直是前苏联国家艾滋病毒传播的主要驱动因素.
研究的目的:
- 分析东欧和中欧地区艾滋病毒流行病的最新趋势.
- 为了确定这些地区之间艾滋病毒传播模式的差异.
- 强调迫切需要加强艾滋病毒预防战略.
主要方法:
- 对监控数据的审查.
- 分析关于艾滋病毒/艾滋病的已出版和未出版的报告.
- 艾滋病毒流行率和传播途径的流行病学评估.
主要成果:
- 东欧,特别是前苏联国家,正在经历严重的艾滋病毒流行,估计有100万例感染,主要是注射毒品使用者.
- 梅毒发病率显著上升表明大规模性传播艾滋病毒感染的可能性.
- 注意到新兴的异性恋艾滋病毒传播,其扩张取决于"桥梁"种群. 社会脆弱性可能掩盖了同性恋传播的真实速度.
- 目前,中欧的艾滋病毒感染率较低,但风险行为仍然存在.
结论:
- 东欧正处于一种重大获得性免疫缺陷综合征 (艾滋病) 流行病的边缘.
- 虽然中欧的艾滋病毒发病率很低,但传播促进行为的存在需要积极预防.
- 迫切需要改善整个地区的艾滋病毒预防措施,以减轻未来的传播.
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