Miall Annie, McLellan Rio, Dong Krista, Ndung'u Thumbi, Saberi Parya, Sauceda John A, Dubé Karine
Harvard College, Cambridge, MA, USA.
Harvard Medical School, MA, USA.
J Virus Erad. 2021 Dec 28;8(1):100062. doi: 10.1016/j.jve.2021.100062. eCollection 2022 Mar.
Advances in science have ushered in a wave of new potential curative and control strategies for HIV that could eliminate the current requirement for life-long antiretroviral therapy (ART) for people living with HIV (PLWH). In this article, we argue that it is critical to consider social contexts in the development of HIV cure trial protocols. The biological and behavioral risk factors for HIV acquisition by study participants are inseparable from the social context in which these participants live. The article discusses an example of a cohort established to further HIV cure research that included social context, called the FRESH Acute HIV study, which combines a sociostructural intervention while conducting HIV prevention, treatment and cure-related research in Durban, South Africa. We make an urgent call to action to include sociobehavioral components as instrumental in future HIV cure trials in global context.
科学的进步带来了一波针对艾滋病毒的新的潜在治愈和控制策略,这可能消除目前艾滋病毒感染者(PLWH)终身接受抗逆转录病毒疗法(ART)的需求。在本文中,我们认为在制定艾滋病毒治愈试验方案时考虑社会背景至关重要。研究参与者感染艾滋病毒的生物学和行为风险因素与这些参与者所处的社会背景密不可分。本文讨论了一个为推进艾滋病毒治愈研究而设立的队列研究实例,该研究纳入了社会背景,即FRESH急性艾滋病毒研究,它在南非德班进行艾滋病毒预防、治疗和治愈相关研究的同时,结合了一种社会结构干预措施。我们紧急呼吁采取行动,将社会行为成分作为未来全球范围内艾滋病毒治愈试验的重要组成部分。