de Irala Estevez Jokin
Dpto. Medicina Preventiva y Salud Pública, Universidad de Navarra C/ Irunlarrea 1, 31080 Pamplona.
Cuad Bioet. 2008 Sep-Dec;19(67):557-62.
The widespread consequences of the HIV/AIDS pandemic are well known; besides the obvious reduction in life expectancy, the epidemic has caused a decrease in economic productivity that has in turn affected entire sectors of society, including agricultural and educational fields. There is a tendency to associate HIV/AIDS with poverty. In other words, an increase in the poverty rate correlates with an increase in the probability of HIV/AIDS. This would seem to suggest that if the conditions of society could be improved, the spread of new infections could be checked. Although this may sound attractive, and may even be thought necessary and just, it would be a mistake to consider that a reduction in poverty is sufficient to prevent HIV/AIDS. HIV/AIDS is not necessarily, nor exclusively, " an infection and a disease of the poor. " Indeed, people with high economic and educational status have also been linked with a higher risk of developing HIV/AIDS. Prevention should be emphasized, taking into consideration that if this approach is to work there should be a change in current sexual behaviour. In order of priority, teenagers should be recommended to delay having sex. Partners should form a relationship based on trust and faithfulness. Lastly, those who do not accept these preventive measures should be advised that the use of condoms may "reduce risks" but not eliminate completely the spread of the disease. All of these preventive measures have been demonstrated as key aspects in the fight against HIV/AIDS in several countries. No country has been able to reduce the prevalence of HIV/AIDS relying solely on the promotion of condoms.
艾滋病毒/艾滋病大流行产生的广泛影响是众所周知的;除了预期寿命明显缩短外,这一流行病还导致经济生产力下降,进而影响到社会的各个部门,包括农业和教育领域。人们往往将艾滋病毒/艾滋病与贫困联系在一起。换句话说,贫困率的上升与感染艾滋病毒/艾滋病的可能性增加相关。这似乎表明,如果社会状况能够得到改善,新感染的传播就可以得到控制。尽管这听起来很有吸引力,甚至可能被认为是必要和合理的,但认为减少贫困足以预防艾滋病毒/艾滋病是错误的。艾滋病毒/艾滋病不一定,也不仅仅是“穷人的感染和疾病”。事实上,经济和教育地位高的人感染艾滋病毒/艾滋病的风险也更高。应强调预防,同时考虑到如果这种方法要奏效,当前的性行为就应该改变。按优先顺序,应建议青少年推迟性行为。伴侣之间应建立基于信任和忠诚的关系。最后,对于那些不接受这些预防措施的人,应告知他们使用避孕套可能“降低风险”,但不能完全消除疾病的传播。在几个国家,所有这些预防措施都已被证明是抗击艾滋病毒/艾滋病的关键方面。没有一个国家仅靠推广避孕套就能降低艾滋病毒/艾滋病的流行率。