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2006年至2016年罗德岛州新增艾滋病病毒诊断病例数下降近50%:对政策制定和预防工作的启示

A Nearly 50% Decrease in New HIV Diagnoses in Rhode Island from 2006-2016: Implications for Policy Development and Prevention.

作者信息

Chan Philip A, Montgomery Madeline, Marak Theodore, Bertrand Thomas, Flanigan Timothy P, Fernández Antonio Junco, Alexander-Scott Nicole, Garland Joseph M, Nunn Amy S

机构信息

Assistant Professor, Department of Medicine, The Miriam Hospital, Brown University; Assistant Professor, Department of Behavioral and Social Sciences, Brown University School of Public Health; Consultant Medical Director, Center of HIV, STDs, Viral Hepatitis, and TB at the Rhode Island Department of Health, Providence, RI.

Project Director, Division of Infectious Diseases, Department of Medicine, The Miriam Hospital, Brown University, Providence, RI.

出版信息

R I Med J (2013). 2018 Oct 1;101(8):41-45.

Abstract

In the last decade, reductions in HIV incidence have been observed across the United States. However, HIV continues to disproportionately impact gay, bisexual, and other men who have sex with men (MSM). In Rhode Island, rates of HIV diagnoses have decreased by 44% across all groups over the last decade. This success has been the result of close collaboration across multiple sectors. Different prevention approaches, including syringe exchange programs, community-based HIV testing, condom distribution, HIV care and treatment, and pre-exposure prophylaxis (PrEP) have all contributed to the decline in HIV diagnoses across the state. In 2015, Rhode Island became one of the first states to sign on to the Joint United Nations Programme on HIV/AIDS "90-90-90" campaign to end the HIV epidemic by 2030. Intensified and innovative initiatives are needed to improve progress in HIV prevention and treatment, especially in populations who are most at risk.

摘要

在过去十年中,美国各地的艾滋病毒感染率都有所下降。然而,艾滋病毒继续对男同性恋者、双性恋者和其他与男性发生性关系的男性(MSM)产生不成比例的影响。在罗德岛州,过去十年中所有群体的艾滋病毒诊断率下降了44%。这一成功是多个部门密切合作的结果。不同的预防方法,包括注射器交换计划、基于社区的艾滋病毒检测、避孕套分发、艾滋病毒护理和治疗以及暴露前预防(PrEP),都促使该州艾滋病毒诊断率下降。2015年,罗德岛州成为首批签署联合国艾滋病规划署“90-90-90”运动的州之一,该运动旨在到2030年结束艾滋病毒流行。需要加强和创新举措,以改善艾滋病毒预防和治疗方面的进展,特别是在风险最高的人群中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14a9/6477915/4fb59682d902/nihms-1012031-f0001.jpg

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Lifetime risk of a diagnosis of HIV infection in the United States.美国艾滋病毒感染诊断的终生风险。
Ann Epidemiol. 2017 Apr;27(4):238-243. doi: 10.1016/j.annepidem.2017.02.003. Epub 2017 Feb 21.
3
Antiretroviral Therapy for the Prevention of HIV-1 Transmission.抗逆转录病毒疗法预防HIV-1传播
N Engl J Med. 2016 Sep 1;375(9):830-9. doi: 10.1056/NEJMoa1600693. Epub 2016 Jul 18.

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