Center for Latino Adolescent and Family Health and School of Nursing, Duke University, Durham, NC, USA; Department of Family Medicine and Community Health and Department of Infectious Diseases, School of Medicine, Duke University, Durham, NC, USA; Presidential Advisory Council on HIV/AIDS, US Department of Health and Human Services, Washington, DC, USA; CDC/HRSA Advisory Committee on HIV, Viral Hepatitis and STD Prevention and Treatment, US Department of Health and Human Services, Atlanta, GA, USA; Panel on Antiretroviral Guidelines for Adults and Adolescents, Office of AIDS Research Advisory Council, National Institutes of Health, US Department of Health and Human Services, Bethesda, MD, USA.
Center for Latino Adolescent and Family Health and School of Nursing, Duke University, Durham, NC, USA.
Lancet HIV. 2023 Aug;10(8):e552-e556. doi: 10.1016/S2352-3018(23)00142-X.
Despite progress in reducing new HIV infections in the USA, publicly available data suggest that new HIV infections continue to occur at an alarming rate. In this Viewpoint, we highlight the regularity with which the existing systems for HIV prevention and treatment delivery in the USA fail and the clearly inequitable effect of the systems' failure among several priority populations of the Ending the HIV Epidemic (EHE) initiative. Existing data cast doubt on whether the current EHE efforts will suffice to achieve its 2030 goal of reducing annual new HIV infections to fewer than 3000. We outline future directions in four priority areas to regain lost ground in pursuit of the 2030 EHE goals: reducing the stigma affecting people living with and most at risk of HIV; broadening the HIV workforce; mitigating harmful social determinants of health; and recommitting and reinvesting in health in the USA more broadly.
尽管美国在减少新的 HIV 感染方面取得了进展，但公开数据显示，新的 HIV 感染仍以惊人的速度持续发生。在本观点文章中，我们强调了美国现有的 HIV 预防和治疗提供系统经常失效的规律，以及该系统失效对终结艾滋病毒流行倡议（EHE）几个优先人群产生的明显不公平影响。现有数据对当前 EHE 努力是否足以实现其 2030 年将每年新的 HIV 感染减少到少于 3000 例的目标提出了质疑。我们在四个优先领域概述了未来的方向，以夺回在追求 2030 年 EHE 目标方面失去的阵地：减少影响 HIV 感染者和最易感染 HIV 人群的污名化；扩大 HIV 工作队伍；减轻有害的健康社会决定因素；以及更广泛地重新致力于和投资美国的健康。
