U=U,PrEP以及结束与艾滋病毒相关的耻辱的未实现的承诺
1Kirby Institute, University of New South Wales, Kensington, NSW, Australia.
Sexual health
|June 21, 2023
概括
艾滋病毒治疗有效地通过将病毒载量降低到无法检测到的水平来防止性传播. 尽管有了这一科学突破,污名依然存在,HIV阴性个体必须积极帮助对抗污名.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 社会科学 社会科学 社会科学
背景情况:
- 科学共识证实,当病毒载量无法检测时,艾滋病毒治疗消除了性传播风险.
- 尽管如此,艾滋病毒感染者 (PLWH) 仍然面临着严重的耻辱和性拒绝.
- 应对艾滋病毒污名的责任已不成比例地负担PLWH.
研究的目的:
- 突出科学对艾滋病毒传播的理解与生活中的耻辱经验之间的持续差距.
- 倡导在挑战与艾滋病毒相关的耻辱感方面共同承担责任.
- 鼓励艾滋病毒阴性个体积极参与减少耻辱的努力.
主要方法:
- 关于艾滋病毒传播和污名的文献综述.
- 对患者报告的关于耻辱和拒绝的结果的分析.
- 关于减轻耻辱的责任分配的社会评论.
主要成果:
- 无法检测的HIV病毒载量有效地防止性传播,这一事实在科学界被广泛接受.
- 耻辱和性拒绝仍然是PLWH的普遍体验,尽管治疗方面取得了进展.
- 解决艾滋病毒污名的负担在很大程度上仍然在PLWH.
结论:
- 通过治疗消除艾滋病毒传播风险并没有自动减少与艾滋病毒相关的耻辱感.
- 需要一个范式的转变,超越PLWH,包括艾滋病毒阴性个体,积极挑战耻辱.
- 分享责任对于消除持续的与艾滋病毒相关的耻辱和促进社会包容至关重要.
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