HIV prevention research: Accomplishments and challenges for the third decade of AIDS
HIV prevention research: Accomplishments and challenges for the third decade of AIDS
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DOI：
10.2105/ajph.90.7.1029
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发表时间：
2000-07-01
影响因子：
12.7
通讯作者：
Coates, TJ
中科院分区：
文献类型：
--
作者：
Auerbach, JD;Coates, TJ
过去20年告诉我们，艾滋病毒预防是可以奏效的。我们现在有来自塞内加尔、泰国、乌干达和澳大利亚等地的证据表明，国家一级的艾滋病毒预防工作协调一致，导致血清阳性率保持在低水平，否则血清阳性率预计会上升。我们开始观察到艾滋病毒流行率和酸发病率在历史上较高的地方和人口中的下降--例如，纽约市的注射吸毒者。这一趋势表明了这些社区预防工作的长期影响。(1，2)这些努力中最好的是建立在可靠的科学研究基础上的。随着我们进入艾滋病流行的第三个十年，重要的是重申原则，承认进展，并确定艾滋病毒预防研究的挑战和未来方向。
The past 2 decades have taught us that HIV prevention can work. We now have evidence from places as diverse as Senegal, Thailand, Uganda, and Australia that concerted HIV prevention efforts at the national level have resulted in the maintenance of low seroprevalence rates where they otherwise would have been expected to rise.We are beginning to Observe declining rates of HIV prevalence acid incidence in places and populations with historically high rates-for example, injection drug users in New York City. This trend points to the long-term impact of prevention efforts in those communities.(1,2) The best of these efforts have been based on sound scientific research.As we move into the third decade of the AIDS epidemic, it is important to restate principles, acknowledge advances, and identify challenges and future directions in HIV prevention research.