The Warren Alpert Medical School, Brown University, and The Miriam Hospital, Providence, Rhode Island 02906, USA.
Clin Infect Dis. 2011 Jan 15;52 Suppl 2:S205-7. doi: 10.1093/cid/ciq043.
Engagement in medical care after a diagnosis of human immunodeficiency virus (HIV) infection is essential to initiate lifesaving antiretroviral therapy and facilitate the delivery of important prevention messages for reducing HIV transmission. Failure to engage and be retained in HIV care can be associated with negative outcomes for both the individual and the community. However, many Americans living with HIV infection are, for a variety of reasons, undiagnosed, not in medical care, or not receiving HIV treatment. The articles in this supplement describe the barriers, challenges, and successes in linking HIV-infected patients to expert care in the United States, with a focus on the unique issues faced by specific populations of men who have sex with men, heterosexual men, and women, and the role of the health care system and other structural factors in facilitating or impeding engagement in care.
诊断出人类免疫缺陷病毒（HIV）感染后，参与医疗保健对于启动救命的抗逆转录病毒治疗以及传播减少 HIV 传播的重要预防信息至关重要。未能参与并保持 HIV 护理可能会对个人和社区都产生负面影响。然而，许多感染 HIV 的美国人由于各种原因未被诊断出、未接受医疗护理或未接受 HIV 治疗。本增刊中的文章描述了在美国将 HIV 感染患者与专家护理联系起来的障碍、挑战和成功，重点介绍了男男性行为者、异性恋男性和女性等特定人群所面临的独特问题，以及医疗保健系统和其他结构因素在促进或阻碍护理参与方面的作用。
