Messaging matters: achieving equity in the HIV response through public health communication.

Messaging matters: achieving equity in the HIV response through public health communication.
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信息传递很重要:通过公共卫生宣传实现艾滋病毒应对工作的公平。

DOI:
10.1016/s2352-3018(21)00078-3
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发表时间:
2021-06
期刊:
The lancet. HIV
影响因子:
--
通讯作者:
Ransome Y
Ransome Y
中科院分区:
其他
文献类型:
--
作者:
Taggart T;Ritchwood TD;Nyhan K;Ransome Y

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公共卫生信息影响着世界对艾滋病毒流行病的理解。按亚人群和地理区域分列的艾滋病毒护理连续性指标仍存在相当大的不平等(例如,男男性行为者和生活在撒哈拉以南非洲的人的感染和死亡负担最高)。在下一个十年中,必须采取注重卫生公平的办法,以缩小艾滋病毒流行方面的差距。1981年至1989年期间,艾滋病毒的信息引发了恐惧和受害者的指责,并强调了少数边缘化群体的行为是不正常的。1990年至1999年期间,各种信息表明,艾滋病毒是世界面临的一个日益严重的挑战,需要采取多部门办法,解决不平等的结构性驱动因素。2000年至2009年期间,宣传重点是普及检测,而艾滋病毒检测的进步使个人比前几十年更容易对这些宣传作出反应。目前的信息表明,消除艾滋病毒是可能的,艾滋病毒感染者可以过上富有成效的生活,可以消除向未感染艾滋病毒者的传播。在过去40年中,有关艾滋病毒流行病的公共卫生信息有了很大的发展。未来的艾滋病毒宣传应遵循卫生公平原则,包括在信息设计和传播中增加关键人群的代表性,资金的透明度,以及宣传运动对消除卫生不平等的任何影响。
Public health messages shape how the world understands the HIV epidemic. Considerable inequalities remain in HIV care continuum indicators by subpopulation and geography (eg, highest infection and mortality burden among men who have sex with men and people who live in sub-Saharan Africa). Health equity-focused approaches are necessary in this next decade to close gaps in the HIV epidemic. Between 1981 and 1989, HIV messages triggered fear and victim blaming, and highlighted behaviours of a few marginalised groups as deviant. Between 1990 and 1999, messages signalled that HIV was a growing challenge for the world and required multisector approaches that addressed structural drivers of inequality. Between 2000 and 2009, messages highlighted universal testing, while advances in HIV testing made these messages easier for individuals to respond to than in previous decades. Currently, messages signal that ending HIV is possible, people can live productive lives with HIV, and transmission to people without HIV can be eliminated. Public health messaging about the HIV epidemic has evolved substantially over the past 40 years. Future HIV messaging should be driven by health equity principles that include an increased representation of key populations in message design and dissemination, transparency of funding, and communicating any impact that campaigns have had on closing health inequalities.
DOI: 10.1371/journal.pmed.1000309
发表时间: 2010-07-20
期刊: PLoS medicine
影响因子: 15.8
作者:
Lissouba P;Taljaard D;Rech D;Doyle S;Shabangu D;Nhlapo C;Otchere-Darko J;Mashigo T;Matson C;Lewis D;Billy S;Auvert B
通讯作者: Auvert B
DOI: 10.1007/s11904-013-0155-y
发表时间: 2013-06
影响因子: 4.6
作者:
Vermund, Sten H.;Hayes, Richard J.
通讯作者: Hayes, Richard J.