Maximizing the impact of HIV prevention efforts: Interventions for couples
Maximizing the impact of HIV prevention efforts: Interventions for couples
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DOI：
10.1080/09540121.2013.793269
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发表时间：
2013-05-07
影响因子：
1.7
通讯作者：
Lo, Ying-Ru
中科院分区：
文献类型：
--
作者：
Medley, Amy;Baggaley, Rachel;Lo, Ying-Ru
尽管努力增加获得艾滋病毒检测和咨询服务的机会，但人口覆盖率仍然很低。因此，撒哈拉以南非洲的许多人不知道自己的艾滋病毒状况或性伴侣的状况。然而，最近的证据表明，在持续的性关系中，多达一半的艾滋病毒阳性个体有一个艾滋病毒阴性的伴侣，而且在普遍流行的艾滋病毒新感染中，很大一部分发生在血清不一致的夫妇中。将夫妻艾滋病毒检测和咨询（CHTC）纳入常规诊所和社区服务，可以显著增加夫妻双方都知道状况的夫妇数量。一旦确定夫妇的艾滋病毒状况，向他们提供一套基于证据的干预措施，可以显著降低夫妇之间的艾滋病毒发病率，如果实施的规模和覆盖面足够，也有可能降低人口水平的艾滋病毒发病率。本文描述了这些干预措施及其潜在益处。
Despite efforts to increase access to HIV testing and counseling services, population coverage remains low. As a result, many people in sub-Saharan Africa do not know their own HIV status or the status of their sex partner(s). Recent evidence, however, indicates that as many as half of HIV-positive individuals in ongoing sexual relationships have an HIV-negative partner and that a significant proportion of new HIV infections in generalized epidemics occur within serodiscordant couples. Integrating couples HIV testing and counseling (CHTC) into routine clinic- and community-based services can significantly increase the number of couples where the status of both partners is known. Offering couples a set of evidence-based interventions once their HIV status has been determined can significantly reduce HIV incidence within couples and if implemented with sufficient scale and coverage, potentially reduce population-level HIV incidence as well. This article describes these interventions and their potential benefits.