为有选择自由者提供预防——或在无选择能力者中提供预防：应对艾滋病流行中的公平问题。
Prevention for those who have freedom of choice--or among the choice-disabled: confronting equity in the AIDS epidemic.
作者信息
Andersson Neil
机构信息
Centro de Investigación de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Apartado 2-25, Acapulco, Mexico.
出版信息
AIDS Res Ther. 2006 Sep 25;3:23. doi: 10.1186/1742-6405-3-23.
Abstract
With the exception of post-exposure prophylaxis for reported rape, no preventive strategy addresses the choice disabled - those who might like to benefit from AIDS prevention but who are unable to do so because they do not have the power to make and to act on prevention decisions. In southern African countries, where one in every three has been forced to have sex by the age of 18 years, a very large proportion of the population is choice disabled. This group is at higher risk of HIV infection and unable to respond to AIDS prevention programmes; they represent a reservoir of infection. Reduction of sexual violence would probably decrease HIV transmission directly, but also indirectly as more people can respond to existing AIDS prevention programmes.
摘要
除了针对报告的强奸案进行暴露后预防外，没有任何预防策略涉及到那些没有选择能力的人——即那些可能希望从艾滋病预防中受益，但由于没有权力做出预防决定并采取行动而无法做到的人。在南部非洲国家，每三人中就有一人在18岁之前被迫发生性行为，很大一部分人口没有选择能力。这一群体感染艾滋病毒的风险更高，并且无法对艾滋病预防方案做出反应；他们是一个感染源。减少性暴力可能会直接降低艾滋病毒的传播，也会间接降低传播，因为更多的人能够对现有的艾滋病预防方案做出反应。
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