Luna G C, Rotheram-Borus M J
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia-Presbyterian Medical Center, Columbia University.
AIDS Educ Prev. 1992 Fall;Suppl:1-13.
Children responsible for their own survival exist in all countries. Despite social and cultural differences between street youth in developing countries versus homeless youth in developed countries, the predictors and correlates of homelessness are similar among youth. The AIDS pandemic is inextricably linked to homelessness and is a particularly devastating threat to the welfare of the world's disenfranchised youth, as they are continually forced into multiple HIV-related high risk situations and behaviors. Specific recommendations regarding clinical care, prevention programs, research, and the implications for policy and legislative action are discussed in relation to reducing the incidences and impact of HIV. For the world's populations of street children the issue of globally providing AIDS education and prevention within the context of health care services is emphasized, particularly by the promotion and training of physicians and other health professionals in street-based care.
在所有国家都存在需要自行求生的儿童。尽管发展中国家的街头青年与发达国家的无家可归青年存在社会和文化差异，但青年无家可归的预测因素和相关因素是相似的。艾滋病大流行与无家可归问题紧密相连，对世界上被剥夺权利的青年的福祉构成了特别严重的威胁，因为他们不断被迫陷入多种与艾滋病毒相关的高风险情况和行为。文中讨论了关于临床护理、预防项目、研究以及对政策和立法行动的影响的具体建议，以降低艾滋病毒的发病率和影响。对于全球街头儿童群体，强调了在医疗保健服务背景下提供艾滋病教育和预防的问题，特别是通过促进和培训从事街头护理工作的医生及其他卫生专业人员来实现。
