Smith Tara C
College of Public Health, Kent State University, Kent, USA, Ohio.
AIDS Behav. 2025 Jan;29(1):309-316. doi: 10.1007/s10461-024-04528-3. Epub 2024 Oct 12.
Though scientific consensus regarding HIV causation of AIDS was reached decades ago, denial of this conclusion remains. The popularity of such denial has waxed and waned over the years, ebbing as evidence supporting HIV causation mounted, building again as the internet facilitated connection between denial groups and the general public, and waning following media attention to the death of a prominent denier and her child and data showing the cost of human life in South Africa. Decades removed from these phenomena, HIV denial is experiencing another resurgence, coupled to mounting distrust of public health, pharmaceutical companies, and mainstream medicine. This paper examines the history and current state of HIV denial in the context of the COVID pandemic and its consequences. An understanding of the effect of this phenomenon and evidence-based ways to counter it are lacking. Community-based interventions and motivational interviewing may serve to contain such misinformation in high-risk communities.
尽管几十年前就已达成关于艾滋病由艾滋病毒引起的科学共识,但对这一结论的否认依然存在。多年来,这种否认的流行程度有起有落,随着支持艾滋病毒致病的证据增多而消退,随着互联网促进否认群体与公众之间的联系而再度兴起,又随着媒体对一位著名否认者及其孩子死亡事件的关注以及显示南非生命代价的数据而减弱。这些现象已过去几十年,艾滋病毒否认论正在再次抬头,同时对公共卫生、制药公司和主流医学的不信任也在加剧。本文在新冠疫情背景下审视艾滋病毒否认论的历史和现状及其后果。目前缺乏对这一现象的影响以及基于证据的应对方法的理解。基于社区的干预措施和动机性访谈可能有助于在高危社区遏制此类错误信息。