全球艾滋病毒控制:玻璃杯是半空还是半满?
Jean B Nachega1, Philippa Musoke2, Peter H Kilmarx3
1Department of Epidemiology, Department of Infectious Diseases, Department of Microbiology, and Center for Global Health, University of Pittsburgh School of Public Health, Pittsburgh, PA, USA; Department of Epidemiology and Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University of Baltimore, MD, USA; Department of Medicine, Division of Infectious Diseases, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.
全球艾滋病毒治疗规模扩大减少了感染,但进展不平等. 对于关键人群和扩大流行病,迫切需要基于证据的战略,以实现无艾滋病的一代.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 艾滋病毒治疗和预防的大规模扩大在全球范围内减少了新的感染和死亡率.
- 艾滋病毒发病率的减少一直是不平等的,在特定地区的流行病恶化.
研究的目的:
- 突出全球艾滋病毒控制努力的差异.
- 通过改进的艾滋病毒战略,为实现无艾滋病的一代提供路线图.
主要方法:
- 全球艾滋病毒治疗和预防计划扩大规模的分析.
- 确定艾滋病毒控制不足的地区和关键人群.
主要成果:
- 由于治疗规模扩大,全球艾滋病毒发病率和死亡率显著降低.
- 东欧,中亚,中东,北非和拉丁美洲的艾滋病毒流行病恶化.
- 艾滋病毒控制的差异集中在关键人群中.
结论:
- 现有的和新的艾滋病毒预防和治疗策略需要紧急,基于证据的规模实施.
- 加强投资和更快,更高效,更具成本效益的方法至关重要,特别是对于关键人群和不断扩大的流行病.
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