关键词: Antiretroviral therapy China Continuum of care HIV Testing Viral suppression

Mesh : Adult Anti-Retroviral Agents / therapeutic use Antiretroviral Therapy, Highly Active China / epidemiology Continuity of Patient Care / statistics & numerical data Epidemics Female HIV Infections / drug therapy epidemiology prevention & control Heterosexuality / statistics & numerical data Homosexuality, Male / statistics & numerical data Humans Male Mass Screening / statistics & numerical data Risk Factors Sexual and Gender Minorities / statistics & numerical data

来  源:   DOI:10.1007/s11904-019-00469-y   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
To describe HIV epidemic and interventions for improving HIV continuum of care in China.
The reported HIV epidemic has been continuously increasing, partially due to the expansion of active HIV testing campaign. Public health intervention programs have been effective in containing HIV spread among former plasma donors and people who inject drugs (PWID), but more infections occur among heterosexual men and women and young men who have sex with men. Of 1.25 million Chinese people are living with HIV, one-third do not know their status. About two-thirds of diagnosed individuals have used antiretroviral therapy (ART) and two-thirds of those on ART have achieved viral suppression, but some risk groups such as PWID have lower rates. The national free ART program has reduced adult and pediatric mortality and reduced heterosexual transmission. China faces great challenges to reduce HIV sexual transmission, improve the HIV continuum of care, and close the gaps to the UNAIDS Three \"90\" Targets.
摘要:
描述中国的HIV流行和改善HIV持续护理的干预措施。
据报道,艾滋病疫情持续增加,部分原因是积极的艾滋病毒检测活动的扩大。公共卫生干预计划有效地遏制了艾滋病毒在前血浆捐赠者和注射毒品(PWID)人群中的传播。但更多的感染发生在异性恋男性和女性以及与男性发生性关系的年轻男性中。中国有125万艾滋病病毒感染者,三分之一的人不知道自己的身份。大约三分之二的确诊患者使用了抗逆转录病毒疗法(ART),三分之二的接受ART的患者已经实现了病毒抑制,但是一些风险群体,如PWID,发病率较低。国家免费ART计划降低了成人和儿童的死亡率,并减少了异性传播。中国在减少艾滋病毒性传播方面面临巨大挑战,改善艾滋病毒持续的护理,并缩小与联合国艾滋病规划署三个“90”目标的差距。
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