Gutman L T, Herman-Giddens M E, McKinney R E
Department of Pediatrics, Duke University Medical Center, Durham, NC.
Am J Dis Child. 1993 Jul;147(7):775-80. doi: 10.1001/archpedi.1993.02160310077023.
The only reportable exposure categories for human immunodeficiency virus (HIV) infection of children are vertical transmission from an HIV-infected mother or receipt of infected blood or blood products. Although sexual transmission of HIV among adults is the subject of intense concern, sexual transmission of HIV to children during child sexual abuse has received almost no investigative attention. This review discusses factors contributing to the exclusion of sexual transmission of HIV to children from studies of the epidemiology of HIV infection. Difficulties occur in screening and confirming abuse in nonselected populations of children, perceived and real barriers exist to the evaluation for HIV of sexually abused children, and problems occur in the assessment for child sexual abuse of HIV-infected children. Impediments to the understanding of the relationship between sexual abuse and HIV infection in sexually abused, HIV-infected children are considered, and measures that can allow these barriers to be overcome are discussed.
儿童感染人类免疫缺陷病毒（HIV）唯一可报告的暴露类别是来自感染HIV的母亲的垂直传播，或接受受感染的血液或血液制品。虽然成人之间HIV的性传播备受关注，但在儿童性虐待期间HIV向儿童的性传播几乎未受到调查关注。本综述讨论了在HIV感染流行病学研究中导致排除HIV向儿童性传播的因素。在对未选定的儿童群体进行虐待筛查和确认时存在困难，对性虐待儿童进行HIV评估存在认知和实际障碍，对感染HIV儿童的性虐待评估也存在问题。我们考虑了理解性虐待且感染HIV儿童中性虐待与HIV感染之间关系的障碍，并讨论了可以克服这些障碍的措施。
