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2023 年“立即行动,实现全球艾滋病毒移民、流动与健康公平”社区论坛的主要发现。

Key findings from the 2023 'ACT NOW on Global HIV Migration, Mobility and Health Equity' community forum.

机构信息

Kirby Institute, UNSW, Kensington, NSW, Australia.

Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia; and Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic, Australia.

出版信息

Sex Health. 2024 Aug;21. doi: 10.1071/SH24006.


DOI:10.1071/SH24006
PMID:39137293
Abstract

Background People living with HIV continue to face laws, policies, and practices that impact their potential for travel and migration. These laws include: mandatory HIV testing and involuntary disclosure of HIV; lack of access to affordable HIV-related health care, treatment and counselling during the migration process; deportation of foreign nationals living with HIV; and restrictions on the length of stays. Methods HIV migration laws were the topic of a half-day community forum held as part of the 12th International AIDS Society Conference on HIV Science held in Brisbane, Australia, in July 2023. Over 150 delegates attended and, after a series of presentations, delegates were invited to participate in structured, facilitated conversations about issues related to policy, health and law concerning migration of people living with HIV. In this paper, we report on key themes from those discussions and identify areas for ongoing investigation. Results Advocates recommended the removal of unfair and unjust migration laws and policies that contribute to HIV stigma and discrimination; updated migration policies that reflect the current context and cost of biomedical approaches to HIV management and prevention; expanded and equitable access to HIV-related care regardless of migration or residency status; and the development of advocacy networks to promote changes to migration policies. Conclusions Laws limiting the migration of people living with HIV actively discourage individuals from seeking HIV testing, treatment and care. Ultimately, restrictive migration laws and policies undermine global efforts to end AIDS as a public health concern and to virtually eliminate HIV transmission by 2030.

摘要

背景:艾滋病毒感染者继续面临影响其旅行和移民潜力的法律、政策和惯例。这些法律包括:强制性艾滋病毒检测和艾滋病毒的非自愿披露;在移民过程中无法获得负担得起的艾滋病毒相关医疗保健、治疗和咨询;驱逐艾滋病毒感染者的外国国民;以及对逗留时间的限制。

方法:艾滋病毒移民法律是 2023 年 7 月在澳大利亚布里斯班举行的第十二届国际艾滋病协会艾滋病毒科学会议的半天社区论坛的主题。超过 150 名代表出席了会议,在一系列演讲之后,代表们被邀请参加关于与艾滋病毒感染者移民有关的政策、健康和法律问题的结构化、有组织的对话。在本文中,我们报告了这些讨论的主要主题,并确定了需要继续调查的领域。

结果:倡导者建议取消造成艾滋病毒污名化和歧视的不公平和不公正的移民法律和政策;更新移民政策,反映当前艾滋病毒管理和预防的生物医学方法的背景和成本;扩大和公平地获得艾滋病毒相关护理,无论移民或居住身份如何;并发展倡导网络,以促进对移民政策的改革。

结论:限制艾滋病毒感染者移民的法律积极阻止个人寻求艾滋病毒检测、治疗和护理。最终,限制性移民法律和政策破坏了全球终结艾滋病作为公共卫生问题的努力,并破坏了到 2030 年几乎消除艾滋病毒传播的目标。

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