关键人群中艾滋病毒预防工具的结构和社会文化障碍:范围审查
Myriam Dergham1,2,3, Angélique Savall1,3, Robin Chaux1
1Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, Saint Priest En Jarez, France.
Expert review of pharmacoeconomics & outcomes research
|November 25, 2025
概括
像耻辱,贫困和法律障碍等障碍阻碍了全球关键人口的艾滋病毒预防. 系统性变化和社会保护对于普遍获得预防工具至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 包括与男性发生性关系的男性 (MSM),跨性别者,吸毒者,性工作者和移民在内的关键人群受到艾滋病毒的影响不成比例.
- 尽管有可用的预防工具,但由于持续存在的结构性和社会文化障碍,全球艾滋病毒目标仍未实现.
研究的目的:
- 在五个主要人口和五大洲绘制艾滋病毒预防障碍的地图.
- 发现关键人群艾滋病毒预防方面的研究缺口.
主要方法:
- 2018年至2022年间发表的197项定量和定性研究的范围审查.
- 研究来源来自48个国家,使用Medline和Scopus数据库,遵循PRISMA-ScR方法.
主要成果:
- 发现了广泛的法律和制度障碍,包括缺乏医疗保险,犯罪,耻辱 (与艾滋病毒相关和内化),暴力,贫困,低健康素养和对医疗保健的不信任.
- 在全球范围内,研究覆盖率存在重大差距.
- 在五大洲和五个关键人口中,障碍是一致的.
结论:
- 普遍获得艾滋病毒预防工具,社会保护和减少污名的干预措施需要政府和机构协调努力.
- 对关键人群来说,解决重叠的脆弱性的交叉方法至关重要.
- 仅仅是生物医学进步是不够的;为了结束艾滋病毒流行病,需要进行系统性改变.
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