a Faculty of Science, Department of Biological Sciences , Bindura University Science Education , Bindura , Zimbabwe.
b Research and Development Department , Institute Ceres/Zavod Ceres , Lahovna, Celje , Slovenia.
Glob Public Health. 2018 Feb;13(2):249-264. doi: 10.1080/17441692.2016.1215485. Epub 2016 Aug 11.
Zimbabwe is going through a generalised acquired immunodeficiency syndrome (AIDS) epidemic. The first five years of the epidemic (1985-1990) were characterised by lack of medicines against human immunodeficiency virus (HIV), and an exponential increase in prevalence (65-fold) and incidence (13-fold), which were fuelled by high-risk sexual behaviour. The high HIV prevalence, mortality and stigma yielded great fear and panic in the population, which are thought to have led to confusion and hopelessness, and, in turn, increased risky sexual behaviour. The country's government and civil society embarked on HIV awareness campaigns that are claimed to have played a central role in slowing down the epidemic since the mid-2000s. HIV-related mortality then fell by 70% between 2003 and 2013, which is attributed to high uptake of antiretroviral therapy (ART) and prevention of mother-to-child transmission (95%) prophylaxis. However, the epidemic has been characterised by a low paediatric ART coverage (35% in 2011 to 46.12% in 2013). Year 2014 saw an increase in adolescent and young adult HIV prevalence, which may be signalling a rebound of the epidemic. A more holistic approach which deals with the epidemic in its socio-political context is required to effectively lower the country's HIV burden.
津巴布韦正经历一场普遍的后天免疫机能丧失综合征(艾滋病)疫情。疫情的头五年(1985-1990 年)缺乏抗人体免疫缺陷病毒(HIV)的药物,流行率(增长 65 倍)和发病率(增长 13 倍)呈指数级增长,这是高风险性行为推动的。高 HIV 流行率、死亡率和耻辱感在民众中引发了极大的恐惧和恐慌,据认为这导致了混乱和绝望,并反过来增加了高风险性行为。该国政府和民间社会开展了艾滋病毒宣传运动,据称自 21 世纪 00 年代中期以来,这些运动在减缓疫情方面发挥了核心作用。因此,艾滋病毒相关死亡率在 2003 年至 2013 年间下降了 70%,这归因于抗逆转录病毒疗法(ART)的高吸收率和母婴传播(95%)预防。然而,疫情的特点是儿科 ART 覆盖率低(2011 年为 35%,2013 年为 46.12%)。2014 年,青少年和年轻成年人的 HIV 流行率有所上升,这可能预示着疫情的反弹。需要采取更全面的方法来应对疫情的社会政治背景,以有效降低该国的 HIV 负担。