呼吁采取行动,为与男性发生性关系的男性提供全面的艾滋病毒服务
Chris Beyrer1, Patrick S Sullivan, Jorge Sanchez
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, 2012
概括
与男性发生性关系的男性 (MSM) 不成比例地承担着艾滋病毒的负担,并面临从服务中被排除在外. 扩大对MSM的HIV预防,治疗和护理对于全球流行病控制至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人权 人权 人权 人权 人权.
背景情况:
- 在全球范围内,与男性发生性关系的男性 (MSM) 承受着不成比例的艾滋病毒负担.
- 由于耻辱,歧视和刑事犯罪,系统地排除艾滋病毒服务,阻碍了疫情控制.
- 在MSM中解决艾滋病毒问题对于实现全球艾滋病毒流行病控制至关重要.
研究的目的:
- 强调迫切需要扩大对MSM的HIV预防,治疗和护理服务.
- 强调为MSM提供包容性HIV服务的公共卫生和人权的必要性.
- 倡导将MSM纳入全球艾滋病毒战略.
主要方法:
- 审查关于MSM中艾滋病毒负担的监测数据.
- 对MSM艾滋病毒服务的障碍分析,包括耻辱,歧视和犯罪.
- 对MSM的联合预防和治疗方法的可行性和成本效益的评估.
主要成果:
- MSM 经历了不成比例的艾滋病毒负担,并面临着获得基本服务的重大障碍.
- 有效的联合预防和治疗策略,包括避孕套和滑剂的获取,是可行的和具有成本效益的.
- 基于抗逆转录病毒的预防和治疗MSM具有成本效益,但可能需要降低药物成本.
结论:
- 扩大艾滋病毒预防,治疗和对MSM的护理是紧急的公共卫生和人权要求.
- 即使在具有挑战性的环境中,也可以开发出具有文化能力的护理模式.
- 在MSM中解决艾滋病毒需要持续的研究,政治意愿,结构改革,社区参与和战略规划.
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