The time has come for common ground on preventing sexual transmission of HIV

Autor: Norman Hearst, Helene D Gayle, Willard Cates, Edward C. Green, Michael M Cassell, Daniel T. Halperin, Douglas Kirby, Markus J. Steiner
Rok vydání: 2004
Předmět:
Zdroj: The Lancet. 364:1913-1915
ISSN: 0140-6736
DOI: 10.1016/s0140-6736(04)17487-4
Popis: The HIV/AIDS pandemic is an urgent health and growing humanitarian crisis especially in the high-prevalence regions of sub-Saharan Africa where most new infections continue to occur. On World AIDS Day (Dec 1) two decades after the discovery of the virus that causes AIDS and after many millions of deaths we believe it is critical to reach consensus on a sound public-health approach to the prevention of sexually transmitted HIV. Although transmission from injecting drug use is a serious and increasing problem in some regions here we focus on sexual transmission which continues to account for most infections globally. Sexual behaviour is influenced by many factors not always under an individual’s control including gender norms and social and economic conditions. However the public-health community has an obligation to offer people the most accurate information available on how to avoid HIV and to encourage changes in societal norms to reduce the spread of the virus. Although prevention should encompass multiple integrated elements including links to expanded treatment access changing or maintaining of behaviours aimed at risk avoidance and risk reduction must remain the cornerstone of HIV prevention. We call for an end to polarising debate and urge the international community to unite around an inclusive evidence-based approach to slow the spread of sexually transmitted HIV on the basis of the following key principles. (excerpt)
Databáze: OpenAIRE