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针对 2010-2014 年西班牙裔/拉丁裔男男性行为者中艾滋病毒诊断病例不断增加的问题,采用了一种计划性方法。

A programmatic approach to address increasing HIV diagnoses among Hispanic/Latino MSM, 2010-2014.

机构信息

National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Division of HIV/AIDS Prevention, United States of America.

National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Division of HIV/AIDS Prevention, United States of America.

出版信息

Prev Med. 2018 Sep;114:64-71. doi: 10.1016/j.ypmed.2018.06.007. Epub 2018 Jun 15.

Abstract

From 2010 to 2015, young (13-24 years) Hispanic/Latino gay, bisexual and other men who have sex with men (MSM) experienced the largest increase (18%) in numbers of HIV diagnoses among all racial/ethnic groups. In 2016, the Centers for Disease Control and Prevention (CDC) assembled a team of scientists and public health analysts to develop a programmatic approach for addressing the increasing HIV diagnosis among Hispanic/Latino MSM. The team used a data driven review process, i.e., comprehensive review of surveillance, epidemiologic, and programmatic data, to explore key questions from the literature on factors associated with HIV diagnoses among Hispanic/Latino MSM and to inform the approach. This paper describes key findings from the review and discusses the approach. The approach includes the following activities: increase awareness and support testing by expanding existing campaigns targeting Hispanic/Latino MSM to jurisdictions where diagnoses are increasing; strengthen existing efforts that support treatment as prevention and increase engagement in care and viral suppression among Hispanic/Latino MSM living with HIV and promote prevention, e.g., PrEP uptake and condom use, among Hispanic/Latino MSM who are at high-risk for HIV infection.

摘要

从 2010 年到 2015 年,年轻的(13-24 岁)西班牙裔/拉丁裔男同性恋、双性恋和其他与男性发生性关系的男性(MSM)在所有种族/族裔群体中,艾滋病毒诊断数量增幅最大(18%)。2016 年,疾病控制与预防中心(CDC)组建了一个由科学家和公共卫生分析师组成的团队,以制定一项针对西班牙裔/拉丁裔 MSM 艾滋病毒诊断不断增加的方案方法。该团队使用数据驱动的审查过程,即对监测、流行病学和规划数据进行全面审查,从文献中探讨与西班牙裔/拉丁裔 MSM 艾滋病毒诊断相关的因素的关键问题,并为该方法提供信息。本文介绍了审查的主要发现,并讨论了该方法。该方法包括以下活动:通过扩大针对艾滋病毒诊断不断增加的司法管辖区的现有针对西班牙裔/拉丁裔 MSM 的运动,提高认识和支持检测;加强现有的支持治疗即预防的工作,并增加艾滋病毒感染者中西班牙裔/拉丁裔 MSM 的治疗和病毒抑制的参与度,并促进预防,例如,艾滋病毒高风险的西班牙裔/拉丁裔 MSM 中 PrEP 的采用和 condom 的使用。

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