MSMR. 2012 Aug;19(8):7-13.
During routine testing of civilian applicants for U.S. military service, the overall seroprevalence of antibodies to HIV-1 in 2011 was the second lowest of any year since 1990. Among members of the active components of the U.S. Army, HIV-1 seroprevalences were higher during 2008 to 2011 than in recent prior years. Among members of the active components of the U.S. Air Force, Navy and Marine Corps, the Marine Corps Reserve, and the Army National Guard, HIV-1 seroprevalences have slightly declined or remained relatively stable for at least ten years. In the reserve components of most service branches, it is difficult to discern long-term trends because of instability of seroprevalences in the relatively small numbers of reserve component members tested each year. Monitoring of HIV-1 seroprevalences can help target and focus prevention initiatives. The recent repeal of the Don't Ask Don't Tell policy has created opportunities for prevention messages targeted to men who have sex with men.
在对美国军事服役平民申请者进行的常规检测中,2011年HIV-1抗体的总体血清阳性率是1990年以来所有年份中第二低的。在美国陆军现役部队成员中,2008年至2011年期间HIV-1血清阳性率高于此前近年。在美国空军、海军和海军陆战队现役部队成员、海军陆战队后备队以及陆军国民警卫队中,HIV-1血清阳性率至少十年间略有下降或保持相对稳定。在大多数军种的后备部队中,由于每年接受检测的后备部队成员数量相对较少,血清阳性率不稳定,因此难以辨别长期趋势。监测HIV-1血清阳性率有助于确定预防举措的目标并集中力量。最近废除的“不问不说”政策为针对男男性行为者的预防信息创造了机会。