无家可归和住房不安全对艾滋病毒的影响
Julia C Dombrowski1, Maria A Corcorran2, Tara Carney3
1Department of Medicine, University of Washington, Seattle, WA, USA; Department of Epidemiology, University of Washington, Seattle, WA, USA; Public Health-Seattle & King County HIV/STD Program, Seattle, WA, USA.
The lancet. HIV
|April 28, 2025
概括
无家可归和住房不稳定的人面临着艾滋病毒护理和治疗的重大障碍. 量身定制的低障碍干预措施对于改善这一脆弱人群的健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
- 健康 公平 卫生 公平
背景情况:
- 无家可归和不稳定的住房 (HUH) 是一个全球性问题.
- 经历HUH的人不成比例地受到HIV的影响,并面临更糟糕的治疗结果.
- 护理障碍,包括卫生系统的分散和虐待,限制了对艾滋病毒服务的参与.
研究的目的:
- 审查对艾滋病毒预防和治疗的障碍,对那些经历HUH的人来说.
- 确定有前途的量身定制的服务交付模式.
- 建议未来的研究方向.
主要方法:
- 文献综述和现有关于艾滋病毒护理的现有研究的综合.
- 分析影响医疗保健获取的卫生系统和社会决定因素.
- 评估创新的服务提供模式.
主要成果:
- 分碎的卫生系统和不当的待遇为患有HUH的人提供艾滋病毒护理造成了重大障碍.
- 低障碍护理,移动/街头服务和长效抗逆转录病毒药物显示出有前途.
- 现有的服务是不够的,即使在普遍的医疗覆盖率.
结论:
- 量身定制的,差异化的服务提供模式对于改善患有HUH的人的HIV结果至关重要.
- 需要实施科学来优化各种环境中的程序.
- 扩大长期预防和治疗的机会至关重要,特别是在低收入和中等收入国家.
相关概念视频
Sexually Transmitted Infections
176
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
176
Pulmonary Tuberculosis I
198
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
198
Retrovirus Life Cycles
45.3K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
45.3K
Immunodeficiency Diseases
824
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
824
Factors Affecting the Risk of Infection
10.5K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
10.5K
Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K


