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减少污名化:到 2030 年终结艾滋病的必要因素。

Stigma reduction: an essential ingredient to ending AIDS by 2030.

机构信息

Global Health Division, International Development Group, Research Triangle Institute, Washington, DC, USA.

Global Health Division, International Development Group, Research Triangle Institute, Washington, DC, USA.

出版信息

Lancet HIV. 2021 Feb;8(2):e106-e113. doi: 10.1016/S2352-3018(20)30309-X.

Abstract

Ending the AIDS epidemic by 2030 will require addressing stigma more systematically and at a larger scale than current efforts. Existing global evidence shows that stigma is a barrier to achieving each of the 90-90-90 targets; it undermines HIV testing, linkage to care, treatment adherence, and viral load suppression. However, findings from both research studies and programmatic experience have helped to inform the growing body of knowledge regarding how to reduce stigma, leading to key principles for HIV stigma reduction. These principles include immediately addressing actionable drivers of stigma, centring groups affected by stigma at the core of the response, and engaging opinion leaders and building partnerships between affected groups and opinion leaders. Although there is still room to strengthen research on stigma measurement and reduction, in particular for intersectional stigma, the proliferation of evidence over the past several decades on how to measure and address stigma provides a solid foundation for immediate and comprehensive action.

摘要

到 2030 年终结艾滋病流行需要比当前更大规模、更系统地解决污名问题。现有全球证据表明,污名是实现 90-90-90 各项目标面临的障碍;它会阻碍艾滋病毒检测、治疗衔接、治疗依从性和病毒载量抑制。但是,研究和方案经验的结果有助于为如何减少污名提供日益增长的知识体系,从而形成艾滋病毒污名减少的关键原则。这些原则包括立即处理可采取行动的污名驱动因素,将受污名影响的群体置于应对工作的核心,以及让意见领袖参与进来,并在受影响群体和意见领袖之间建立伙伴关系。虽然在污名的衡量和减少方面仍有空间加强研究,特别是针对交叉污名,但过去几十年间关于如何衡量和处理污名的证据大量增加,为立即采取全面行动奠定了坚实基础。

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