Klot Jennifer F, Auerbach Judith D, Veronese Fulvia, Brown Gina, Pei April, Wira Charles R, Hope Thomas J, M'boup Souleymane
Social Science Research Council , Brooklyn, New York 11201, USA.
AIDS Res Hum Retroviruses. 2012 Nov;28(11):1379-88. doi: 10.1089/AID.2012.0273.
The links between sexual violence, genitoanal injury, and HIV are understudied but potentially significant for understanding the epidemic's disproportionate impacts on young women and girls, particularly in sub-Saharan Africa, other hyperendemic areas, and conflict-affected regions. A Scientific Research Planning Meeting was convened by the Social Science Research Council at the Greentree Foundation in New York, March 19-20, 2012, bringing together an interdisciplinary group of researchers, clinicians, and policy makers to identify knowledge needs and gaps in three key areas: (1) the role of genitoanal injury on HIV transmission, acquisition, and pathogenesis; (2) the influence of sex and age-related anatomic characteristics on HIV transmission, acquisition, and pathogenesis; and (3) the role of heterosexual anal intercourse in HIV transmission. This article reflects the consensus that emerged from the Greentree Meeting regarding priority scientific research questions in these three areas, associated data collection and measurement challenges and opportunities, and implications for policy and practice.
性暴力、生殖器官肛门损伤与艾滋病毒之间的联系尚未得到充分研究，但对于理解该流行病对年轻妇女和女孩，尤其是撒哈拉以南非洲、其他高流行地区以及受冲突影响地区的不成比例影响可能具有重要意义。2012年3月19日至20日，社会科学研究理事会在纽约的绿树基金会召开了一次科学研究规划会议，召集了一个由研究人员、临床医生和政策制定者组成的跨学科小组，以确定三个关键领域的知识需求和差距：（1）生殖器官肛门损伤在艾滋病毒传播、感染和发病机制中的作用；（2）与性别和年龄相关的解剖特征对艾滋病毒传播、感染和发病机制的影响；（3）异性肛交在艾滋病毒传播中的作用。本文反映了绿树会议就这三个领域的优先科学研究问题、相关数据收集和测量挑战及机遇以及对政策和实践的影响所达成的共识。
