Meda N, Ndoye I, M'Boup S, Wade A, Ndiaye S, Niang C, Sarr F, Diop I, Caraël M
Centre MURAZ, Organisation de Coordination et de Coopération pour la lutte contre les Grandes Endémies, Bobo-Dioulasso, Burkina Faso, West Africa.
AIDS. 1999 Jul 30;13(11):1397-405. doi: 10.1097/00002030-199907300-00018.
To document the level of HIV infection in Senegal and also to review evidence of the impact of efforts in prevention, developed by the National AIDS Control Programme and the Civil Society, on the level of the HIV epidemic.
Research, compilation and critical review of all relevant data on HIV and sexually transmission diseases (STDs) epidemiology, sexual behaviour, and the efforts in prevention developed in Senegal.
From 1989 to 1996, the levels of HIV infection estimated in four sentinel urban regions remained stable at around 1.2% in the population of pregnant women, and at 3% in male STD patients. It had increased to 19% in female sex workers. A strong political and community commitment led to an early response to the HIV/AIDS epidemic that has been extended since 1986. Blood transfusion safety was established at the start of the HIV epidemic. The level of knowledge of preventive practices relating to HIV/AIDS among the general population exceeded 90% in the early 1990s. From 1991 to 1996, a 30% to 66% decrease of the STD prevalence rates was observed in pregnant women and sex workers in Dakar. In 1997, 33% of men aged 15-49 years in Dakar reported having had sex with non-regular partners. Among them 67% reported condom use.
It is not possible to know what the course of the HIV epidemic in Senegal would have taken in the absence of efforts at prevention. Certainly, several factors that pre-dated the occurrence of AIDS in Senegal laid the groundwork for a positive response. However, data from a number of sources do reveal the successfulness of efforts in prevention. From available data, Senegal can rightfully claim to have contained the spread of HIV by intervening early and comprehensively to increase knowledge and awareness of HIV/AIDS and to promote safe sexual behaviour.
记录塞内加尔的艾滋病毒感染水平，并审查国家艾滋病控制规划和民间社会所开展的预防工作对艾滋病毒流行程度的影响证据。
对塞内加尔有关艾滋病毒和性传播疾病（性病）流行病学、性行为及预防工作的所有相关数据进行研究、汇编和批判性审查。
1989年至1996年期间，四个城市哨点地区估计的艾滋病毒感染水平在孕妇群体中保持稳定，约为1.2%，在男性性病患者中为3%。在女性性工作者中则增至19%。强烈的政治和社区承诺促使对艾滋病毒/艾滋病疫情作出了早期反应，这种反应自1986年以来一直在扩大。在艾滋病毒疫情开始时就确立了输血安全。20世纪90年代初，普通民众对艾滋病毒/艾滋病预防措施的知晓率超过了90%。1991年至1996年期间，达喀尔孕妇和性工作者的性病患病率下降了30%至66%。1997年，达喀尔15至49岁的男性中有33%报告与非固定性伴侣发生过性行为。其中67%报告使用了避孕套。
如果没有预防措施，不可能知道塞内加尔的艾滋病毒疫情会如何发展。当然，在塞内加尔出现艾滋病之前就已存在的若干因素为积极应对奠定了基础。然而，来自多个来源的数据确实显示了预防工作的成效。从现有数据来看，塞内加尔有理由宣称，通过早期和全面的干预来增加对艾滋病毒/艾滋病的认识和了解，并促进安全性行为，已经遏制了艾滋病毒的传播。
