将跨性别人口纳入HIV治疗和预防的数学模型:当前的障碍和政策影响
Diana M Tordoff1,2, Arjee Restar1, Brian Minalga3
1Department of Epidemiology, University of Washington, Seattle, Washington, USA.
Journal of the International AIDS Society
|June 13, 2024
概括
数学模型对于艾滋病毒政策至关重要,但目前的艾滋病毒传播模型排除了跨性别和非二进制个体. 开发包容性模型需要更好的数据和社区参与,以解决健康差异.
科学领域:
- 流行病学 流行病学
- 数学建模的数学建模
- 公共卫生 公共卫生
背景情况:
- 数学模型对于艾滋病毒政策和干预评估至关重要.
- 跨性别者和非二进制人口面临着不成比例的HIV负担.
- 现有的艾滋病毒传播模式缺乏对跨性别和非二进制个体的包容性.
研究的目的:
- 讨论开发跨包容性艾滋病毒传播模型的挑战.
- 确定研究和政策改进的机会.
- 提出一个新的建模框架,解决现有的局限性.
主要方法:
- 对现有的艾滋病毒传播模型的文献综述.
- 在跨包容性建模中分析结构性挑战.
- 开发一个社区参与的建模框架.
主要成果:
- 只有七个已发表的模型包括跨性别人士,但存在重大限制.
- 目前没有模特包括跨性别男性或非二进制个体.
- 现有的模型不准确地代表跨性别性网络;数据缺口是主要障碍.
结论:
- 准确,跨包容的数据收集对于有效的艾滋病毒建模和政策至关重要.
- 从研究开始就需要包括性别在内的方法.
- 纵向数据系统和社区参与对于促进跨性别人口的艾滋病毒预防至关重要.
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