Grillo Michael P, Sloan Margo, Wankie Che, Woodland Kelly, Reader Elizabeth, Porter Bruce, Shaffer Richard, Macera Caroline A, Bulterys Marc
Department of Defense HIV/AIDS Program, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106. United States.
Curr HIV Res. 2017;15(2):95-101. doi: 10.2174/1570162X15666170516170412.
Compared with the general population in low- and middle-income countries, military members tend to be male, young, travel more frequently away from their main sexual partners, drink more alcohol and have a consistent source of income. All of these factors may lead to an increased risk of contracting HIV.
In response, the Department of Defense HIV/AIDS Prevention Program advocates for the integration of HIV prevention "building blocks" into military health services to reduce the risk of acquiring HIV among foreign uniformed services.
The building blocks include basic HIV education including outreach, condom promotion, enabling HIV policies, HIV testing services, screening for sexually transmitted infections, voluntary medical male circumcision where appropriate, prevention of mother-to-child transmission, and other supportive services.
The Department of Defense HIV/AIDS Prevention Programs supports implementation of these building blocks though partnerships with foreign militaries. This comprehensive prevention package, when closely linked with HIV treatment services, is the cornerstone of creating an HIVfree generation in military and surrounding communities worldwide.
与低收入和中等收入国家的普通人群相比,军人往往为男性、较为年轻,更频繁地离开其主要性伴侣出行,饮酒量更大且有稳定收入来源。所有这些因素都可能导致感染艾滋病毒的风险增加。
作为应对措施,国防部艾滋病毒/艾滋病预防计划倡导将艾滋病毒预防“基本要素”纳入军事卫生服务,以降低外国军队中感染艾滋病毒的风险。
这些基本要素包括基本的艾滋病毒教育,包括外展服务、推广使用避孕套、制定有利的艾滋病毒政策、艾滋病毒检测服务、性传播感染筛查、在适当情况下实施自愿男性包皮环切术、预防母婴传播以及其他支持性服务。
国防部艾滋病毒/艾滋病预防计划通过与外国军队建立伙伴关系来支持实施这些基本要素。这一全面的预防方案与艾滋病毒治疗服务紧密结合时,是在全球军事及周边社区造就无艾滋病毒一代的基石。