Omare Danvas, Kanekar Amar
Department of Health Studies, East Stroudsburg University of Pennsylvania, USA.
J Public Health Afr. 2011 Feb 11;2(1):e9. doi: 10.4081/jphia.2011.e9. eCollection 2011 Mar 1.
More than 40 million people worldwide have been infected with human immunodeficiency virus (HIV) since it was first reported in 1981. Over 25 million of these have lost their lives to the disease. Most of the studies related to HIV/AIDS have been conducted in stable populations across the globe. Few of these studies have been devoted to displaced populations, particularly those in areas of conflict. Displaced populations that are forced to leave their homes in most cases find themselves in unfamiliar territories, often poor and hungry. Many of them become refugees and internally displaced people (IDPs). The objective of this review was to address a number of different social determinants of HIV/AIDS in displaced populations in areas of conflict. A comprehensive review of peer reviewed literature published in English between 1990 and 2010 obtained through an open search of PUBMED database using key words such as , , was conducted. Twelve different studies that looked at the implications of HIV/AIDS in conflict or displaced populations were retrieved. The review revealed that there were various factors influencing conflict and HIV/AIDS such as forced population displacement, breakdown of traditional sexual norms, lack of health infrastructure, and poverty and powerlessness of women and children. Social determinants of increased HIV/AIDS prevalence in displaced populations are scarcity of food, poverty, insecurity of displaced populations and gender power differentials.
自1981年首次报告以来,全球已有超过4000万人感染了人类免疫缺陷病毒(HIV)。其中超过2500万人死于该疾病。大多数与HIV/AIDS相关的研究是在全球稳定人群中进行的。这些研究中很少有针对流离失所人群的,特别是冲突地区的人群。在大多数情况下,被迫离开家园的流离失所人群发现自己身处陌生的地区,往往贫困且饥饿。他们中的许多人成为难民和境内流离失所者(IDP)。本综述的目的是探讨冲突地区流离失所人群中HIV/AIDS的一些不同社会决定因素。通过使用诸如……等关键词对PUBMED数据库进行公开搜索,对1990年至2010年间以英文发表的同行评审文献进行了全面综述。检索到了12项不同的研究,这些研究探讨了HIV/AIDS在冲突或流离失所人群中的影响。综述显示,有多种因素影响冲突和HIV/AIDS,如被迫人口流离失所、传统性规范的瓦解、卫生基础设施的缺乏以及妇女和儿童的贫困与无助。流离失所人群中HIV/AIDS患病率增加的社会决定因素包括食物短缺、贫困、流离失所人群的不安全以及性别权力差异。