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由女性控制的预防艾滋病毒/艾滋病的杀微生物剂方法。

Microbicidas Metodo de Prevencion en VIH/SIDA Controlado por Mujeres.

作者信息

Ruiz Cindy, Torres Viviana, Cianelli Rosina, Ferrer Lilian

机构信息

Pontificia Universidad Católica de Chile, Escuela de Enfermería.

University of Miami School of Nursing and Health Studies.

出版信息

Hisp Health Care Int. 2009 Mar;7(1):35-48. doi: 10.1891/1540-4153.7.1.35.

Abstract

HIV/AIDS continues to expand throughout the world, and in recent times has had a severe impact on the number of women living with HIV. Access to methods of prevention for HIV/AIDS around the world is limited and for many women may not be feasible. Examples of such methods are sexual abstinence, which though recognized as an effective method of prevention is difficult for many women to achieve. Mutual fidelity is another option, but many women cannot control the sexual behavior of their partners. Finally, the male condom continues to be an available method of HIV prevention for sexually active people. However, in many places, gender inequality, social norms, and economic disparities severely limit women's capacity to negotiate the use of a condom with their partner. For this reason, an urgent need exists to develop a product for the prevention of HIV/AIDS that can be handled by women. Microbicides, products that can reduce HIV risk when applied intravaginally, hold promise for stopping the advance of HIV/AIDS, especially when considering that women can make their own decisions about whether to use them when other methods of prevention are not available. The objective of the current literature review was to understand the scientific advances related to microbicides in the prevention of HIV/AIDS in women through the analysis of available literature in this area. Interest in this topic emerged from the need to contribute to women's health and HIV/AIDS prevention. To achieve this review's objective, a search was carried out in multiple databases, including OVID, PUBMED, PROQUEST, and CINAHL, as well as published materials from organizations related to this area such as UNAIDS and CONASIDA, and literature available from the Internet. Upon completion of the literature review, it was concluded that microbicides are an effective method for preventing HIV/AIDS for women as well as their partners. Although they have a high level of acceptance among the female population, the majority of microbicides are still in clinical studies, requiring further evaluation for their safe use in humans. There are 3 microbicides in the final phases of clinical studies that will soon be available on the market. One of these was found to be 60% effective in protecting against the transmission of HIV and was used by women in 50% of their sexual activity, which resulted in avoiding approximately 2.5 million new HIV infections in men, women, and children over a 3-year period.

摘要

艾滋病毒/艾滋病在全球范围内持续蔓延,近年来对感染艾滋病毒的女性人数产生了严重影响。世界各地获得艾滋病毒/艾滋病预防方法的机会有限,对许多女性来说可能并不可行。此类方法包括性禁欲,尽管它被认为是一种有效的预防方法,但许多女性难以做到。相互忠诚是另一种选择,但许多女性无法控制其伴侣的性行为。最后,男用避孕套仍然是性活跃人群预防艾滋病毒的一种可用方法。然而,在许多地方,性别不平等、社会规范和经济差距严重限制了女性与伴侣协商使用避孕套的能力。因此,迫切需要开发一种可供女性使用的预防艾滋病毒/艾滋病的产品。杀微生物剂,即阴道内使用时可降低感染艾滋病毒风险的产品,有望阻止艾滋病毒/艾滋病的蔓延,尤其是考虑到当其他预防方法不可用时,女性可以自行决定是否使用它们。本次文献综述的目的是通过分析该领域的现有文献,了解与杀微生物剂预防女性艾滋病毒/艾滋病相关的科学进展。对这一主题的兴趣源于为女性健康和艾滋病毒/艾滋病预防做出贡献的需求。为实现本次综述的目标,我们在多个数据库中进行了检索,包括OVID、PUBMED、PROQUEST和CINAHL,以及来自诸如联合国艾滋病规划署和国家艾滋病委员会等该领域相关组织的已发表材料,还有互联网上可得的文献。文献综述完成后得出的结论是,杀微生物剂是预防女性及其伴侣感染艾滋病毒/艾滋病的有效方法。尽管它们在女性群体中接受度很高,但大多数杀微生物剂仍处于临床研究阶段,需要对其在人体中的安全使用进行进一步评估。有3种杀微生物剂处于临床研究的最后阶段,很快将投放市场。其中一种被发现预防艾滋病毒传播的有效率为60%,女性在50%的性行为中使用了该产品,这在3年时间里避免了约250万男性、女性和儿童感染新的艾滋病毒。

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