Chandra-Mouli Venkatraman, Armstrong Alice, Amin Avni, Ferguson Jane
Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland;
Department of HIV/AIDS, World Health Organization, Geneva, Switzerland.
J Int AIDS Soc. 2015 Dec 1;18(Suppl 5):20297. doi: 10.7448/IAS.18.6.20297. eCollection 2015.
This commentary provides the rationale and makes a call for greater investment and effort to meet the sexual and reproductive health (SRH) problems of adolescent girls living with HIV in low- and middle-income countries (LMIC).
Adolescent girls in LMIC are at a greater risk of acquiring HIV infection than their male peers. They also face a number of other serious SRH problems--early pregnancy, pregnancy- and childbirth-related complications, unsafe abortions, sexual abuse and intimate partner violence and sexually transmitted infections. While many LMIC have made notable progress in preventing HIV in children and adults and in improving the access of these population groups to HIV treatment and care, adolescents in general and adolescent girls in particular have not received the same effort and investment.
Much more needs to be done to implement proven approaches to prevent new HIV infections in adolescent girls in LMIC and to meet the needs of those living with HIV.
本评论阐述了理由,并呼吁加大投入和努力,以应对低收入和中等收入国家(LMIC)感染艾滋病毒的少女所面临的性与生殖健康(SRH)问题。
与男性同龄人相比,LMIC的少女感染艾滋病毒的风险更高。她们还面临许多其他严重的性与生殖健康问题——早孕、与怀孕和分娩相关的并发症、不安全堕胎、性虐待、亲密伴侣暴力以及性传播感染。虽然许多LMIC在预防儿童和成人感染艾滋病毒以及改善这些人群获得艾滋病毒治疗和护理方面取得了显著进展,但总体而言,青少年,尤其是少女,并未得到同样的努力和投入。
需要做更多工作,以实施经证实的方法来预防LMIC少女感染新的艾滋病毒,并满足艾滋病毒感染者的需求。