Brown University Medical School, Providence, RI, USA.
Curr HIV/AIDS Rep. 2011 Dec;8(4):288-96. doi: 10.1007/s11904-011-0095-3.
The incarcerated population has increased to unprecedented levels following the 1970 US declaration of war on illicit drug use. A substantial proportion of people with or at risk for HIV infection, including those with substance use and mental health disorders, have become incarcerated. The overlapping epidemics of incarceration and HIV present a need for academic medical centers to collaborate with the criminal justice system to improve the health of incarcerated populations. With coordinated collaboration and new programmatic initiatives it is possible to reduce HIV-associated risk behaviors and the likelihood of acquisition and transmission of HIV. Centers for AIDS Research (CFAR), funded by the National Institutes of Health, have proactively responded to this need through Collaboration on HIV in Corrections (CHIC) to improve the diagnosis, treatment, linkage to care, and prevention of HIV. This collaboration serves as a model for aligning academic expertise with criminal justice to confront this challenge to individual and public health. This is especially relevant given recent evidence of the effectiveness of antiretroviral therapy in reducing HIV transmission.
自 1970 年美国宣布对非法药物使用宣战以来,被监禁人口已增加到前所未有的水平。相当一部分艾滋病毒感染者或有感染风险的人,包括有药物滥用和精神健康障碍的人,都已被监禁。监禁和艾滋病毒重叠流行,需要学术医疗中心与刑事司法系统合作,改善被监禁人群的健康。通过协调合作和新的方案举措,有可能减少艾滋病毒相关的风险行为,以及艾滋病毒的获得和传播的可能性。国家卫生研究院资助的艾滋病研究中心(CFAR)通过合作改善监狱中的艾滋病毒防治(CHIC),积极应对这一需求,以改善艾滋病毒的诊断、治疗、护理衔接和预防。这种合作是将学术专业知识与刑事司法结合起来应对这一对个人和公共卫生的挑战的典范。鉴于最近抗逆转录病毒疗法在减少艾滋病毒传播方面的有效性的证据,这一点尤其重要。