气候变化和极端天气事件以及与艾滋病毒结果的联系:最近的进展和前进的途径
Carmen H Logie1,2,3, Andie MacNeil1
1Factor-Inwentash Faculty of Social Work, University of Toronto.
Current opinion in infectious diseases
|December 6, 2024
概括
极端天气事件 (EWE) 对艾滋病毒预防和护理结果产生重大影响. 建议采取多层次战略来应对这些挑战,并整合气候信息化的方法来改善公共卫生.
科学领域:
- 气候变化对公共卫生的影响.
- 环境健康和传染病研究.
背景情况:
- 由于气候变化,极端天气事件 (EWE) 正在增加.
- 这些事件对公众健康构成重大风险,包括传染病后果.
研究的目的:
- 审查最近关于气候变化的证据,EWE,以及它们与艾滋病毒预防和护理的联系.
- 确定EWE影响艾滋病毒结果的途径,并提出缓解策略.
主要方法:
- 在EWE的背景下,对22项关于艾滋病毒预防和护理的研究进行了系统审查.
- 对检查性行为,艾滋病毒检测,治疗坚持和患者福祉的研究进行分析.
主要成果:
- EWE通过改变性行为和减少对测试的准入,影响艾滋病毒预防.
- 艾滋病毒治疗受到EWE的影响,包括基础设施损坏,资源不安全,流离失所和心理健康挑战.
- 关键途径包括结构性,与资源相关的,移民和心理社会影响.
结论:
- 需要多层次的战略,解决结构性 (粮食安全),卫生系统 (ART接入),社区和个人 (应对技能) 层面的问题.
- 以气候为基础的艾滋病毒预防研究和将EWE准备与艾滋病毒服务的整合至关重要.
- 优化艾滋病毒预防和护理需要解决气候变化和健康结果之间的复杂相互作用.
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