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首页> 外文期刊>World Journal of AIDS >HIV and Other Sexual Transmitted Infections—Challenges for Liberal Prevention Strategies
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HIV and Other Sexual Transmitted Infections—Challenges for Liberal Prevention Strategies

机译：HIV和其他性传播感染-自由预防策略的挑战

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Many countries use similar strategies in prevention campaigns, but despite that the spread of HIV is unabated. The basic messages of the current liberal prevention strategies aim to promote changes in individual behaviour so as to prevent HIV transmission. The strategies avoid any kind of regulation, prescription and controls, and trust solely on the readiness of the sexually active part of the general population, and in particular the “at-risk populations” to cooperate with those messages. However, only a small number of people have cooperated. The increase in the incidence of HIV over the past decade in the countries listed discloses the failures of the current prevention strategies. With respect to the goal of trying to influence those people prone to high-risk sexual lifestyles, and the injecting drug users, the prevention strategies have not had a meaningful effect in the long term. This is also reflected in the increase of other STIs such as hepatitis C, syphilis, and the human papilloma virus, which are worse when there is co-infection with HIV. The liberal prevention strategies turned out to be inadequate for the goal, and must be adjusted to real life situations to counteract their misuse. Meanwhile there are ample evidence-based measures which must be implemented into concerted efforts by complementing the current strategies with respect to a person-to-person bound infection. Medical care policies have to consider the non-adherence behaviour of those in need.
机译：许多国家在预防运动中使用了类似的策略，但是尽管艾滋病毒的蔓延并没有减弱。当前的自由预防策略的基本信息旨在促进个人行为的改变，以防止艾滋病毒的传播。这些策略避免了任何形式的监管，处方和控制，而仅依靠普通人群中性活跃部分的准备情况，尤其是“高风险人群”与这些信息进行合作。但是，只有少数人进行了合作。所列国家在过去十年中艾滋病毒的发病率上升表明了当前预防策略的失败。关于试图影响那些容易发生高风险性生活方式的人群和注射吸毒者的目标，预防策略从长期来看并没有产生有意义的效果。这也反映在其他性传播感染的增加，例如丙型肝炎，梅毒和人乳头瘤病毒，当与HIV共同感染时情况更糟。事实证明，采取自由主义的预防策略不足以实现目标，必须针对现实生活情况进行调整，以防止滥用。同时，必须有足够的基于证据的措施，必须通过对当前针对人际感染的策略进行补充来共同努力。医疗政策必须考虑有需要者的不遵守行为。

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