Lyles Cynthia M, Crepaz Nicole, Herbst Jeffrey H, Kay Linda S
Division of HIV/AIDS Prevention, National Center for HIV, STD, & TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
AIDS Educ Prev. 2006 Aug;18(4 Suppl A):21-31. doi: 10.1521/aeap.2006.18.supp.21.
The evidence-based approach to health promotion and disease prevention is growing in many public health sectors, including HIV behavioral prevention. This approach is based on utilizing relevant and rigorous scientific evidence, most appropriately identified through a systematic research synthesis process. With regard to HIV behavioral prevention, this research synthesis process provides decision makers and prevention planners with the evidence base and recommendations they need to translate proven scientific research into practice. The Center for Disease Control and Prevention's HIV/AIDS Prevention Research Synthesis Team conducts such research synthesis activities to help improve HIV behavioral prevention efforts. The team's recent systematic review of the literature during 2000 to 2004 identified HIV behavioral interventions with the best scientific evidence of efficacy, called best-evidence behavioral interventions. Challenges still exist, however, for determining which of these interventions should be disseminated and implemented. Once translated into practice, if these best-evidence behavioral interventions are further evaluated for effectiveness, these findings and, perhaps, the synthesis of such findings can be used to further improve HIV behavioral prevention in the field.
在包括艾滋病病毒行为预防在内的许多公共卫生领域，基于证据的健康促进和疾病预防方法正在不断发展。这种方法基于利用相关且严谨的科学证据，而这些证据最适宜通过系统的研究综合过程来确定。对于艾滋病病毒行为预防而言，这一研究综合过程为决策者和预防规划者提供了将已证实的科学研究转化为实践所需的证据基础和建议。疾病控制与预防中心的艾滋病病毒/艾滋病预防研究综合团队开展此类研究综合活动，以帮助改进艾滋病病毒行为预防工作。该团队近期对2000年至2004年期间的文献进行的系统评价确定了具有最佳科学疗效证据的艾滋病病毒行为干预措施，即最佳证据行为干预措施。然而，在确定应传播和实施哪些干预措施方面仍然存在挑战。一旦转化为实践，如果对这些最佳证据行为干预措施的有效性进行进一步评估，这些研究结果以及或许此类结果的综合可用于进一步改进该领域的艾滋病病毒行为预防工作。
