全球对艾滋病毒和性工作者的反应和未完成的行动
Kate Shannon1, Anna-Louise Crago2, Stefan D Baral3
1Gender and Sexual Health Initiative, University of British Columbia, Vancouver, BC, Canada.
Lancet (London, England)
|July 25, 2018
概括
艾滋病毒在全球性工作者中仍然很高,自2014年以来基本没有变化. 需要立即采取非刑事化和社区支持措施,
科学领域:
- 公共卫生
- 流行病学
- 全球健康
背景情况:
- 女性,男性和跨性别性工作者在全球面临着不成比例的艾滋病毒负担.
- 女性性工作者感染艾滋病毒的比例仍然高达10.4%,自2014年以来几乎没有变化.
- 关于艾滋病毒和抗逆转录病毒治疗 (ART) 覆盖范围的流行病学数据很少,特别是在跨性别女性.
研究的目的:
- 提供全球性工作者艾滋病毒负担的最新分析.
- 突出艾滋病毒预防和治疗覆盖性工作者的持续挑战.
- 强调社区和结构性干预的必要性以及生物医学方法.
主要方法:
- 全球性工作者艾滋病毒负担的最新分析.
- 对抗逆转录病毒治疗 (ART) 覆盖范围及其挑战的审查.
- 评估性工作者合法化和人权方面的进展.
主要成果:
- 全球性工作者艾滋病毒感染率为10.4% (95% CI为9.5-11.5),基本没有变化.
- 医疗覆盖率不均, 污名化,犯罪化和侵犯人权的行为阻碍了这一点.
- 一些国家正在放弃这些权利.
结论:
- 持续投资社区和结构性干预对于性工作者从预防和治疗中获益至关重要.
- 性工作的非刑事化,加上政治和财政支持,
- 解决法律障碍,耻辱和侵犯人权问题是扭转性工作者艾滋病发展轨迹的关键.
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