Jenkins Richard A
National Institute on Drug Abuse, Bethesda, Maryland.
AIDS Educ Prev. 2018 Jun;30(3):225-231. doi: 10.1521/aeap.2018.30.3.225.
HIV elimination by 2030 cannot occur without attention to substance use. It cuts across risk groups and affects sexual risk behavior, treatment adherence, and systemic processes such as immunity and inflammation. There continues to be often limited attention to non-injection drug use and the syndemic character of HIV and substance use. There is a need for a more comprehensive approach that addresses the multiple influences of substance use on HIV prevention and care, integrating this into evidence-based services and building on the successes of comprehensive Seek, Test, Treat, and Retain approaches to substantially reducing new HIV cases among drug users.
如果不关注物质使用问题，到2030年消除艾滋病毒的目标就无法实现。物质使用问题贯穿于各个风险群体，影响性风险行为、治疗依从性以及免疫和炎症等系统过程。对于非注射吸毒以及艾滋病毒与物质使用的共病特征，人们的关注往往仍然有限。需要一种更全面的方法来应对物质使用对艾滋病毒预防和护理的多重影响，将其纳入循证服务，并借鉴全面的“寻找、检测、治疗和留住”方法在大幅减少吸毒者中新发艾滋病毒病例方面取得的成功经验。
