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在HIV治愈研究中整合社会行为学、伦理学、社区及转化科学考量因素。

Integrating socio-behavioral, ethics, community, and translational science considerations in HIV cure research.

作者信息

Dubé Karine, Ahmed Ali, Sauceda John A

机构信息

Division of Infectious Diseases and Global Public Health (IDGPH), Department of Medicine, University of California San Diego (UCSD), La Jolla.

Division of Prevention Science, Center for AIDS Prevention Studies (CAPS), University of California San Francisco (UCSF), San Francisco, California, USA.

出版信息

Curr Opin HIV AIDS. 2025 Jul 14. doi: 10.1097/COH.0000000000000955.

Abstract

PURPOSE OF REVIEW

HIV cure research efforts are expanding globally, yet several critical areas in the socio-behavioral, ethics, community engagement, and translational aspects remain underexplored. This article critically reviews the relevant literature from the past 5 years (2021-2025), highlights key gaps, and offers recommendations for future research.

RECENT FINDINGS

The multidisciplinary literature on HIV cure research is expanding, but urgent attention is required in several areas. These include the integration of socio-behavioral, ethics, and community engagement perspectives into HIV cure trials, with an increased emphasis on translation to resource-limited settings. The intersection of socio-behavioral sciences, ethics, and translational science requires more tailored research to ensure the deployment of socially impactful interventions.

SUMMARY

Critical areas for further research include: increased scholarship in socio-behavioral sciences and ethics alongside scientific advancements in HIV cure research; expanding formative research in resource-limited settings and enhancing integration within analytical treatment interruption (ATI)-inclusive trials; continued implementation of the behavioral and social sciences research functional framework and evidence-based approaches into trial designs; strengthening psychosocial support and ethical frameworks for trial participants; and redressing power imbalances between scientific disciplines, ensuring socio-behavioral, ethics and community considerations are central, not secondary, to HIV cure research efforts worldwide.

摘要

综述目的

全球范围内,艾滋病治愈研究工作正在不断拓展,但社会行为学、伦理学、社区参与及转化研究等几个关键领域仍未得到充分探索。本文对过去5年(2021 - 2025年)的相关文献进行批判性综述,突出关键差距,并为未来研究提供建议。

最新发现

关于艾滋病治愈研究的多学科文献正在不断扩充,但在几个领域仍需迫切关注。这些领域包括将社会行为学、伦理学和社区参与视角纳入艾滋病治愈试验,同时更加注重向资源有限环境的转化。社会行为科学、伦理学与转化科学的交叉领域需要开展更具针对性的研究,以确保实施具有社会影响力的干预措施。

总结

进一步研究的关键领域包括:在艾滋病治愈研究取得科学进展的同时,增加社会行为科学和伦理学方面的学术研究;在资源有限的环境中扩大形成性研究,并加强在包含分析性治疗中断(ATI)的试验中的整合;继续将行为和社会科学研究功能框架及循证方法应用于试验设计;加强对试验参与者的心理社会支持和伦理框架;纠正各学科之间的权力失衡,确保社会行为学、伦理学和社区因素在全球艾滋病治愈研究工作中处于核心而非次要地位。

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