Vernon Irene S, Jumper-Thurman Pamela
Center for Applied Studies in Ethnicity, Colorado State University, Fort Collins, Colorado 80523, USA.
Public Health Rep. 2002;117 Suppl 1(Suppl 1):S96-103.
This article presents the latest data on trends in AIDS prevalence among Native American men and women and discusses problems of classification, data collection, factors that contribute to high risk, and factors that affect prevention and intervention. It presents a model for building effective prevention and intervention strategies.
The number of people in the United States diagnosed with AIDS has risen by less than 5% per year since 1992, and the slowdown is estimated to continue in coming years. Among Native Americans, however, the number of people diagnosed with AIDS rose 8% in 1997, and nonwhites accounted for more than one-half of all reported AIDS cases through December 2000. For Native Americans, the rate of growth in AIDS prevalence has been steadily increasing since the early 1980s, and AIDS is now the ninth leading killer of Native Americans between the ages of 15 and 44. Factors that contribute to high risk include poverty, homophobia, denial, and mistrust.
Effective strategies must include efforts to reduce the risk factors for AIDS. Future research should honor and celebrate diversity among people as an empowering force that facilitates collaboration and shared learning with tribes.
本文介绍了美国原住民男性和女性艾滋病流行趋势的最新数据，并讨论了分类、数据收集问题、导致高风险的因素以及影响预防和干预的因素。本文提出了一个构建有效预防和干预策略的模型。
自1992年以来，美国每年被诊断出患有艾滋病的人数增长不到5%，预计未来几年这种放缓趋势将持续。然而，在原住民中，1997年被诊断出患有艾滋病的人数增长了8%，截至2000年12月，非白人占所有报告艾滋病病例的一半以上。对于原住民来说，自20世纪80年代初以来，艾滋病流行率的增长率一直在稳步上升，艾滋病现在是15至44岁原住民的第九大主要死因。导致高风险的因素包括贫困、恐同症、否认和不信任。
有效的策略必须包括努力降低艾滋病的风险因素。未来的研究应该尊重和颂扬人们之间的多样性，将其作为一种促进与部落合作和共同学习的力量。
