美国是否在结束艾滋病毒流行病的轨道上?
Vincent Guilamo-Ramos1, Marco Thimm-Kaiser2, Adam Benzekri2
1Center for Latino Adolescent and Family Health and School of Nursing, Duke University, Durham, NC, USA; Department of Family Medicine and Community Health and Department of Infectious Diseases, School of Medicine, Duke University, Durham, NC, USA; Presidential Advisory Council on HIV/AIDS, US Department of Health and Human Services, Washington, DC, USA; CDC/HRSA Advisory Committee on HIV, Viral Hepatitis and STD Prevention and Treatment, US Department of Health and Human Services, Atlanta, GA, USA; Panel on Antiretroviral Guidelines for Adults and Adolescents, Office of AIDS Research Advisory Council, National Institutes of Health, US Department of Health and Human Services, Bethesda, MD, USA.
尽管有进展,但美国的新艾滋病毒感染率仍然很高. 目前的策略可能无法实现结束艾滋病毒流行病 (EHE) 的目标,需要系统改进和有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生系统研究 卫生系统研究
背景情况:
- 尽管有进展,但新的艾滋病毒感染在美国仍然存在.
- 现有的艾滋病毒预防和治疗系统经常出现失败.
- 这些失败不成比例地影响了结束艾滋病毒流行病 (EHE) 倡议中的优先人群.
研究的目的:
- 评估当前美国艾滋病毒预防战略的有效性.
- 识别艾滋病毒护理提供中的系统性失败和不平等.
- 提出未来的方向,以实现EHE倡议的2030年目标.
主要方法:
- 对公开可用的艾滋病毒监测数据的分析.
- 审查美国现有的艾滋病毒预防和治疗交付系统.
- 对系统故障及其对优先群体的影响进行定性评估.
主要成果:
- 公共数据显示,新的艾滋病毒感染率令人担忧.
- 目前的EHE努力可能不足以实现2030年3000例新感染的目标.
- 在EHE优先人口中,艾滋病毒护理的系统不平等是显而易见的.
结论:
- 美国在减少新的艾滋病毒感染方面面临重大挑战.
- 实现EHE 2030目标需要解决系统性失败和不平等问题.
- 未来的努力必须集中在减少耻辱,扩大艾滋病毒工作人员,减轻健康的社会决定因素和更广泛的健康再投资上.
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