Department of Psychiatry, John Stroger Hospital of Cook County, 1900 W. Polk Street, Ste. 854, Chicago, IL, 60612, USA.
Department of Epidemiology, Gillings School of Public Health, University of North Carolina, Chapel Hill, Chapel Hill, NC, USA.
Curr HIV/AIDS Rep. 2019 Feb;16(1):120-128. doi: 10.1007/s11904-019-00431-y.
The goal of this paper is to review recent data on biomedical, behavioral, and structural HIV prevention interventions for adolescents and young adults.
While it is accepted that HIV prevention interventions must take an integrated approach to achieve maximum effectiveness, to date, there have been limited, rigorously evaluated combination prevention interventions for adolescents. There are currently a range of effective biomedical, behavioral, and structural approaches that can be integrated into prevention packages to address the prevention needs of adolescents, including oral PrEP, male circumcision, rapid HIV testing, numerous behavioral interventions, and structural interventions such as cash transfers and community mobilization to address gender-based violence. There is still a need for rigorously evaluated, innovative combination prevention packages for adolescents. Prevention approaches must take into account the context of young people's lives and address the multiple levels of influence on their lives including parents, partners, and communities.
本文旨在综述近期针对青少年和青年人群的生物医学、行为和结构性 HIV 预防干预措施的相关数据。
虽然人们普遍认为 HIV 预防干预措施必须采取综合方法才能达到最大效果，但迄今为止，针对青少年人群的综合预防干预措施数量有限且经过严格评估。目前有一系列有效的生物医学、行为和结构性方法可整合到预防方案中，以满足青少年的预防需求，包括口服 PrEP、男性包皮环切术、快速 HIV 检测、多种行为干预措施，以及现金转移和社区动员等结构性干预措施，以解决基于性别的暴力问题。仍需要针对青少年人群进行严格评估和创新的综合预防措施。预防方法必须考虑到年轻人生活的背景，并解决对其生活有多重影响的因素，包括父母、伴侣和社区。
