Wilson Tracey E, Vlahov David, Crystal Stephen, Absalon Judith, Klein Susan J, Remien Robert H, Agins Bruce
HIV Center for Women and Children, Department of Preventive Medicine and Community Health, State University of New York, Downstate Medical Center, NY 11203, USA.
J Urban Health. 2006 Jan;83(1):18-30. doi: 10.1007/s11524-005-9004-7.
With the maturing of the HIV epidemic and availability of potent antiretroviral therapies in the US, priorities for HIV prevention have shifted from general population approaches to case finding, treatment, risk reduction and relapse prevention activities among those at greatest risk for acquiring or transmitting HIV infection. The challenges of this approach include ensuring access and adherence to HIV care and treatment and appropriate prevention activities to ensure adequate and sustained sexual and drug use risk reduction across diverse populations. Experience with approaches to address these issues, particularly in the context of primary care, has been limited. An agenda for future research and practice includes continued development and evaluation of interventions that can address this next generation of health care issues.
随着美国艾滋病疫情的成熟以及强效抗逆转录病毒疗法的出现，艾滋病预防工作的重点已从针对普通人群的方法转向在感染或传播艾滋病病毒风险最高的人群中开展病例发现、治疗、降低风险和预防复发活动。这种方法面临的挑战包括确保获得并坚持艾滋病护理和治疗，以及开展适当的预防活动，以确保不同人群在性和药物使用方面充分且持续地降低风险。解决这些问题的方法，尤其是在初级保健背景下的经验有限。未来研究和实践的议程包括继续开发和评估能够解决这一代医疗保健问题的干预措施。
