Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA; Ponce de Leon Center, Grady Health System, Atlanta, GA, USA.
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA; Ponce de Leon Center, Grady Health System, Atlanta, GA, USA.
Infect Dis Clin North Am. 2024 Sep;38(3):581-598. doi: 10.1016/j.idc.2024.06.002. Epub 2024 Jul 8.
The authors examine the HIV epidemic in the Southern United States, emphasizing its severe impact on minority and young populations. The authors highlight challenges including limited health care access, systemic racism influencing social determinants of health, and lesbian, gay, bisexual, transgender, and queer+ stigma. The South faces a critical human immunodeficiency virus (HIV) workforce shortage, especially in rural areas, and struggles with coexisting syndemics like other sexually transmitted infections and substance-use disorders. The authors describe comprehensive strategies such as Medicaid expansion, workforce enhancement, stigma reduction, and policy reforms to improve HIV prevention and treatment, emphasizing the need for a multifaceted approach to improve health outcomes for those living with HIV in the South.
作者研究了美国南部的艾滋病毒流行情况，强调了其对少数族裔和年轻人的严重影响。作者强调了一些挑战，包括医疗保健获取受限、影响健康决定因素的系统性种族主义，以及女同性恋、男同性恋、双性恋、跨性别和 queer+（性少数群体）污名化。南部地区面临着严重的人类免疫缺陷病毒（HIV）劳动力短缺问题，尤其是在农村地区，并且还面临着其他性传播感染和药物使用障碍等并发综合征的困扰。作者描述了一些综合策略，如扩大医疗补助计划、增强劳动力、减少污名化以及政策改革，以改善 HIV 的预防和治疗，强调需要采取多方面的方法来改善南部地区 HIV 感染者的健康结果。
