Mills Edward J, Singh Sonal, Nelson Brett D, Nachega Jean B
Centre for International Health and Human Rights Studies, Toronto, Canada.
Int J STD AIDS. 2006 Nov;17(11):713-7. doi: 10.1258/095646206778691077.
Sub-Saharan Africa disproportionately represents the largest incidence of both HIV/AIDS and internal conflicts. The impact of conflict on HIV incidence is largely unknown. Current epidemiological evidence paradoxically suggests that in most populations affected by conflict, HIV prevalence is lower than surrounding communities. However, in situations of conflict, the most vulnerable populations, such as women and children, are at increased risk for HIV through sexual violence, forced occupational exposure and an absence of access to health care or testing. Together, these dimensions of conflict create a complex and challenging situation for prevention of HIV/AIDS and delivery of care to conflict-affected populations. We examine the complexity of monitoring HIV/AIDS in conflict settings. We argue that increased efforts are needed to protect vulnerable populations and design health-delivery systems that are sustainable in settings of conflict.
撒哈拉以南非洲地区在艾滋病毒/艾滋病发病率和内部冲突发生率方面均占比极高。冲突对艾滋病毒发病率的影响在很大程度上尚不清楚。当前的流行病学证据却自相矛盾地表明，在大多数受冲突影响的人群中，艾滋病毒感染率低于周边社区。然而，在冲突局势下，最脆弱的人群，如妇女和儿童，由于性暴力、被迫职业暴露以及无法获得医疗保健或检测服务，感染艾滋病毒的风险增加。冲突的这些方面共同为预防艾滋病毒/艾滋病以及为受冲突影响人群提供护理带来了复杂且具有挑战性的局面。我们研究了在冲突环境中监测艾滋病毒/艾滋病的复杂性。我们认为需要加大力度保护弱势群体，并设计在冲突环境中可持续的医疗服务体系。
