School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA.
AIDS Behav. 2019 Jun;23(6):1586-1589. doi: 10.1007/s10461-018-2284-1.
We examined three waves of National HIV Behavioral Surveillance surveys of persons who inject drugs (PWID) in San Francisco to assess meeting UNAIDS 90-90-90 targets. Diagnosis of PWID living with HIV increased from 64.4% in 2009 to 80.5% in 2015. Antiretroviral treatment among those diagnosed did not improve (63.8% in 2009, 62.9% in 2015). Programs in San Francisco have not achieved the first two UNAIDS targets for PWID by 2015. In a context of a rising opioid epidemic, there is urgent need for increased case finding of PWID living with HIV who are undiagnosed with rapid linkage to treatment.
我们分析了三波在旧金山进行的针对注射吸毒者(PWID)的全国艾滋病毒行为监测调查,以评估实现联合国艾滋病规划署的 90-90-90 目标的情况。诊断出患有 HIV 的 PWID 的比例从 2009 年的 64.4%上升到 2015 年的 80.5%。但被诊断出患有 HIV 的人中接受抗逆转录病毒治疗的比例并未提高(2009 年为 63.8%,2015 年为 62.9%)。到 2015 年,旧金山的项目并未实现联合国艾滋病规划署针对 PWID 的前两个目标。在阿片类药物泛滥的背景下,迫切需要加大对未确诊的 HIV 感染者的发现力度,并迅速将其与治疗联系起来。