Spiegel Paul B
United Nations High Commissioner for Refugees, DOS-HCDS, Case Postale 2500, 1211 Geneva 2 Depot, Switzerland.
Disasters. 2004 Sep;28(3):322-39. doi: 10.1111/j.0361-3666.2004.00261.x.
Conflict, displacement, food insecurity and poverty make affected populations more vulnerable to HIV transmission. However, the common assumption that this vulnerability necessarily translates into more HIV infections and consequently fuels the HIV/AIDS epidemic is not supported by data. Whether or not conflict and displacement affect HIV transmission depends upon numerous competing and interacting factors. This paper explores and explains the epidemiology of HIV/AIDS in conflict and addresses the unique characteristics that must be addressed when planning and implementing HIV/AIDS interventions among populations affected by conflict as compared with those in resource-poor settings. These include targeting at-risk groups, protection, programming strategies, coordination and integration and monitoring and evaluation. Areas for future HIV/AIDS operational research in conflict are discussed.
冲突、流离失所、粮食不安全和贫困使受影响人群更容易感染艾滋病毒。然而，认为这种易感性必然会转化为更多的艾滋病毒感染，进而助长艾滋病毒/艾滋病流行的普遍假设并未得到数据支持。冲突和流离失所是否影响艾滋病毒传播取决于众多相互竞争和相互作用的因素。本文探讨并解释了冲突环境下艾滋病毒/艾滋病的流行病学情况，并阐述了在受冲突影响人群中规划和实施艾滋病毒/艾滋病干预措施时，与资源匮乏地区相比必须考虑的独特特征。这些特征包括针对高危人群、保护、规划策略、协调与整合以及监测与评估。文中还讨论了冲突环境下未来艾滋病毒/艾滋病业务研究的领域。
