Wong Vincent J, Murray Kate R, Phelps B Ryan, Vermund Sten H, McCarraher Donna R
aUSAID, Office of HIV/AIDS, Arlington, Virginia bFHI 360, Durham, North Carolina cYale Schools of Public Health and Medicine, New Haven, Connecticut, USA.
AIDS. 2017 Jul 1;31 Suppl 3(Suppl 3):S191-S194. doi: 10.1097/QAD.0000000000001539.
: The current low rates of HIV diagnosis and treatment initiation among adolescents and young people ages 15-24 continues to present a significant challenge to the epidemic control of HIV. With a 'business as usual' approach to HIV testing and linkage to treatment, new infections among adolescents and youth will likely increase, with the burden compounded by the increasing number of youth in Africa, expected to reach 293 million by 2025. Recent studies reveal significant gaps in the HIV clinical cascade among young people as the global community pursues the Joint United Nations Programme on HIV and AIDS 90-90-90 targets. This AIDS supplement was commissioned with the goal of informing program planners, researchers, policymakers, and funding agencies about the development and design of effective adolescent and youth programs, policies, and strategies for improving the first two 90s among adolescents and youth: HIV testing and diagnosis and linkage to care and treatment. Emerging evidence should inform efforts to better target the youth and adolescents who are most at risk, aiming for early diagnosis and treatment initiation for those who are HIV positive, while also ensuring appropriate primary prevention so that those identified as HIV negative remain so.
15至24岁青少年和年轻人中目前较低的艾滋病毒诊断率和治疗启动率，仍然是艾滋病毒疫情控制面临的重大挑战。采用“照常营业”的艾滋病毒检测和治疗衔接方式，青少年和青年中的新感染病例可能会增加，而非洲青年人数不断增加，预计到2025年将达到2.93亿，这将使负担更加沉重。随着国际社会努力实现联合国艾滋病规划署提出的90-90-90目标，最近的研究揭示了年轻人在艾滋病毒临床诊疗流程方面存在重大差距。本艾滋病增刊的目的是让项目规划者、研究人员、政策制定者和资助机构了解有效的青少年项目、政策和战略的制定与设计，以改善青少年中的前两个90%目标：艾滋病毒检测与诊断以及与护理和治疗的衔接。新出现的证据应为更好地针对风险最高的青少年和年轻人的工作提供参考，目标是对艾滋病毒呈阳性者进行早期诊断和治疗启动，同时确保适当的一级预防，使被确定为艾滋病毒阴性者保持阴性。
