Stein Z A
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, NY 10032.
Am J Public Health. 1990 Apr;80(4):460-2. doi: 10.2105/ajph.80.4.460.
Efforts to prevent heterosexual transmission of HIV (human immunodeficiency virus) infection have thus far focused on modifying sexual behaviors and the use of condoms. While the experience of family planners, particularly in those countries most threatened by heterosexual HIV transmission, has shown that the most effective measures of pregnancy prevention have relied on women, little attention has been given to barriers to HIV transmission that depend on the woman and are under her control. Tactics which interrupt transmission of the virus should be considered in their own right and separated from those that interrupt pregnancy, for insurance, the diaphragm. Greater emphasis is urged for research on preventive methods women could use, including the possibility of a topical virucide that might block transmission through the vaginal route.
迄今为止，预防艾滋病毒（人类免疫缺陷病毒）异性传播的努力主要集中在改变性行为和使用避孕套上。虽然计划生育工作者的经验表明，尤其是在那些受异性传播艾滋病毒威胁最大的国家，最有效的避孕措施依赖于女性，但对于依赖女性且受其控制的艾滋病毒传播障碍却很少有人关注。中断病毒传播的策略应独立加以考虑，并与那些中断怀孕的策略区分开来，比如保险套和子宫帽。迫切需要更加强调对女性可采用的预防方法的研究，包括使用局部杀病毒剂来阻断通过阴道途径传播的可能性。
