行动的时间:呼吁对吸毒者对艾滋病毒的全面反应
Chris Beyrer1, Kasia Malinowska-Sempruch, Adeeba Kamarulzaman
1Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. cbeyrer@jhsph.edu
Lancet (London, England)
|July 24, 2010
概括
减少使用毒品的人群艾滋病毒感染的全球负担需要采取综合行动. 证据支持具有成本效益的干预措施,但全球范围较低和惩罚性措施阻碍了进展.
科学领域:
- 公共卫生 公共卫生
- 人权 人权 人权 人权 人权.
- 传染性疾病 传染性疾病
背景情况:
- 艾滋病毒感染不成比例地影响全球吸毒者.
- 现有的干预措施显示出降低这一群体艾滋病毒负担的潜力.
- 基于证据的干预措施与其实施之间存在差距.
研究的目的:
- 审查减少使用毒品的人群艾滋病毒负担的证据.
- 确定生物医学科学,公共卫生和人权之间的协同作用.
- 倡导扩大干预和政策改革的机会.
主要方法:
- 关于艾滋病毒和药物使用的已发表工作的文献综述.
- 对预防和治疗艾滋病毒的成本有效干预措施的分析.
- 检查公共卫生和人权框架.
主要成果:
- 采取一致的行动可以显著降低使用毒品的人群的全球艾滋病毒负担.
- 关键干预措施包括针/注射器计划,阿片类药物替代疗法和艾滋病毒治疗的准入.
- 全球只有不到10%的吸毒者接受了这种干预.
- 包括监禁在内的惩罚性政策阻碍了获得护理的机会,并加剧了艾滋病毒的传播.
结论:
- 推进具有政治承诺的行动议程至关重要.
- 如果不采取行动,将加剧艾滋病毒的传播,并破坏治疗工作.
- 整合公共卫生,生物医学科学和人权对于有效控制吸毒者感染艾滋病毒至关重要.
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