对艾滋病毒和性工作者采取行动议程
Chris Beyrer1, Anna-Louise Crago2, Linda-Gail Bekker3
1Center for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
Lancet (London, England)
|July 26, 2014
概括
在全球范围内,性工作者面临着严重的艾滋病毒风险,并减少了获得预防和治疗服务的机会. 解决这些差异需要社区参与,政策改革和人权保护,以控制艾滋病毒大流行.
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:
- 全球性工作者,特别是非洲的性工作者,承受着不成比例的艾滋病毒负担.
- 全球性工作者对基本的艾滋病毒预防,治疗和护理服务的获取仍然有限.
- 法律,政策和社会因素,包括耻辱和歧视,阻碍了性工作者有效控制艾滋病毒.
研究的目的:
- 突出全球不同性工作者群体面临的关键艾滋病风险和服务获取挑战.
- 倡导法律环境,政策和实践的变化,以改善性工作者艾滋病毒的结果.
- 强调需要针对性,基于权利的方法来预防和治疗性工作者社区的艾滋病毒.
主要方法:
- 这项研究综合了全球数据和专家分析艾滋病毒流行率和性工作者服务获取情况.
- 它回顾了法律和政策环境,侵犯人权和污名对艾滋病毒预防和护理的影响.
- 该分析考虑了各种流行病背景 (集中和普遍) 和收入水平 (低,中,高).
主要成果:
- 在全球范围内,性工作者经历了不成比例的高艾滋病毒负担,对非洲女性性工作者影响最大.
- 在获得艾滋病毒预防,治疗和护理服务方面,仍然存在重大障碍.
- 法律限制,警察的不当行为,缺乏资金,侵犯人权和耻辱是主要的挑战.
结论:
- 实现全球艾滋病毒控制需要解决性工作者的独特需求和权利.
- 有效,文化上有能力,节省成本的联合预防和治疗策略是可行的.
- 持续的社区参与,政治意愿,政策改革和创新计划对于改善性工作者健康和人权至关重要.
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