Drug use as a driver of HIV risks: re-emerging and emerging issues.
Drug use as a driver of HIV risks: re-emerging and emerging issues.
复制标题
DOI：
10.1097/coh.0000000000000035
复制
发表时间：
2014-03
影响因子：
4.1
通讯作者：
Strathdee SA
中科院分区：
文献类型：
--
作者：
El-Bassel N;Shaw SA;Dasgupta A;Strathdee SA
我们回顾了2012-2013年发表的论文，这些论文的重点是在世界某些地区重新出现和新出现的注射和非注射药物使用趋势，这些趋势推动了艾滋病毒风险行为和传播。虽然许多国家的艾滋病毒发病率有所下降，但在中亚、东欧、东南亚和非洲部分地区等一些低收入和中等收入国家，艾滋病毒在主要吸毒人群（包括女性注射吸毒者、从事性交易的女性注射吸毒者、注射吸毒者的性伴侣、年轻的注射吸毒者和使用非注射吸毒者）中的流行率仍处于令人不安的水平。艾滋病毒的流行是在全球经济和政治力量的背景下发生的，包括贫困、侵犯人权、歧视、毒品政策、贩运和其他多层次的风险环境。在中亚、东欧、东南亚和非洲部分地区，注射和非注射毒品使用的趋势以及推动艾滋病毒流行的风险环境要求有政治意愿来改善艾滋病毒和药物使用服务的提供，获得艾滋病毒预防和减少危害的综合方案。
We reviewed papers published in 2012–2013 that focused on re-emerging and emerging injection and non-injection drug use trends driving HIV risk behaviors and transmission in some parts of the world. While HIV incidence has declined in many countries, HIV epidemics remain at troubling levels among key drug using populations including females who inject drugs (FWID), FWID who trade sex, sex partners of people who inject drugs (SP-PWID), young PWID, and people who use non-injection drugs in a number of low- and middle- income countries such as in Central Asia, Eastern Europe, Southeast Asia, and parts of Africa. HIV epidemics occur within contexts of global economic and political forces, including poverty, human rights violations, discrimination, drug policies, trafficking, and other multi-level risk environments. Trends of injection and non-injection drug use and risk environments driving HIV epidemics in Central Asia, Eastern Europe, Southeast Asia, and parts of Africa call for political will to improve HIV and substance use service delivery, access to combination HIV prevention, and harm reduction programs.