Koenig Linda J, Hoyer Deborah, Purcell David W, Zaza Stephanie, Mermin Jonathan
Linda J. Koenig and David W. Purcell are with the Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Deborah Hoyer is with the Office of Disease Prevention and Health Promotion, US Department of Health and Human Services, Rockville, MD. Stephanie Zaza is with the Division of Adolescent and School Health, Centers for Disease Control and Prevention. Jonathan Mermin is with the National Center for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention.
Am J Public Health. 2016 Mar;106(3):402-5. doi: 10.2105/AJPH.2015.302979. Epub 2016 Jan 21.
HIV is having a significant impact on young people, among whom the rate of new diagnoses is high and health disparities are more pronounced. Incidence is increasing among young gay and bisexual men, and, among Black males, the largest percentage of new infections occur among those aged between 13 and 24 years. Youths are least likely to experience the health and prevention benefits of treatment. Nearly half of young people with HIV are not diagnosed; among those diagnosed, nearly a quarter are not linked to care, and three quarters are not virally suppressed. Addressing this burden will require renewed efforts to implement effective prevention strategies across multiple sectors, including educational, social, policy, and health care systems that influence prevention knowledge, service use, and treatment options for youths.
艾滋病毒对年轻人产生了重大影响,他们的新诊断率很高,健康差距也更为明显。年轻男同性恋者和双性恋男性中的发病率正在上升,在黑人男性中,新感染病例的最大比例发生在13至24岁的人群中。年轻人最不可能从治疗中获得健康和预防方面的益处。近一半感染艾滋病毒的年轻人未被诊断出来;在那些被诊断出来的人中,近四分之一没有接受治疗,四分之三的人病毒没有得到抑制。要应对这一负担,需要重新做出努力,在多个部门实施有效的预防策略,包括教育、社会、政策和医疗保健系统,这些系统会影响年轻人的预防知识、服务使用和治疗选择。