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首页> 外文期刊>JAIDS: Journal of acquired immune deficiency syndromes >Estimating the level of HIV prevention coverage, knowledge and protective behavior among injecting drug users: what does the 2008 UNGASS reporting round tell us?
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Estimating the level of HIV prevention coverage, knowledge and protective behavior among injecting drug users: what does the 2008 UNGASS reporting round tell us?

机译：估计注射吸毒者中HIV预防覆盖率，知识和保护行为的水平：2008年UNGASS报告回合告诉我们什么？

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OBJECTIVES: The 2001 Declaration of Commitment from the United Nations General Assembly Special Session on HIV/AIDS (UNGASS) set the prevention of HIV infection among injecting drug users (IDUs) as an important priority in the global fight against HIV/AIDS. This article examines data gathered to monitor the fulfillment of this commitment in low-income and middle-income countries (LMICs) where resources to develop an effective response to HIV are limited and where injecting drug use is reported to occur in 99 (of 147) countries, home to 75% of the estimated 15.9 million global IDU population. METHODS: Data relating to injecting drug use submitted by LMICs to the Joint United Nations Programme on HIV/AIDS (UNAIDS) in the 2008 reporting round for monitoring the Declaration of Commitment on HIV/AIDS were reviewed. The quality of the data reported was assessed and country data were aggregated and compared to determine progress in HIV prevention efforts. For each indicator, the mean value weighted for the size of each country's IDU population was determined; regional estimates were also made. RESULTS: Reporting was inconsistent between countries. Forty percent of LMIC (40/99), where injecting occurs, reported data for 1 or more of the 5 indicators pertinent to HIV prevention among IDUs. Many of the data reported were excluded from this analysis because the indicators used by countries were not consistent with those defined by UNAIDS Monitoring and Evaluation Reference Group and could not be compared. Data from 32 of 99 countries met our inclusion criteria. These 32 countries account for approximately two-thirds (68%) of the total estimated IDU population in all LMICs.The IDU population weighted means are as follows: 36% of IDUs tested for HIV in the last year; 26% of IDUs reached with HIV prevention programs in the last year; 45% of IDUs with correct HIV prevention knowledge; 37% of IDUs used a condom at last sexual intercourse; and 63% of IDUs used a clean syringe at last injection. Marked variance was observed in the data reported between different regions. CONCLUSIONS: Data from the 2008 United Nations General Assembly Special Session reporting round provide a baseline against which future progress might be measured. The data indicate a wide variation in HIV service coverage for IDUs and a wide divergence in HIV knowledge and risk behaviors among IDUs in different countries. Countries should be encouraged and assisted in monitoring and reporting on HIV prevention for IDUs.
机译：目标：联合国大会艾滋病毒/艾滋病特别会议（UNGASS）在2001年的《承诺宣言》将预防注射吸毒者（IDU）中的艾滋病毒感染定为全球抗击艾滋病毒/艾滋病的重要优先事项。本文研究了收集的数据以监测在低收入和中等收入国家（LMIC）中实现这一承诺的情况，在这些国家中，开发有效应对HIV的资源有限，并且据报告在99个国家中（147个）注射吸毒在全球1590万注射毒品使用者中，有75％位于这些国家。方法：审查了中低收入国家在2008年关于监测艾滋病毒/艾滋病承诺宣言的报告回合中向联合国艾滋病毒/艾滋病联合规划署（艾滋病规划署）提交的与注射毒品有关的数据。对报告数据的质量进行了评估，并对国家数据进行了汇总和比较，以确定在预防艾滋病毒方面的进展。对于每个指标，确定每个国家注射毒品者数量的加权平均值;还进行了区域估算。结果：国家之间的报告不一致。 LMIC（40/99）发生注射的40％报告了IDU中与HIV预防相关的5项指标中的一项或多项的数据。由于国家使用的指标与艾滋病规划署监测和评价参考小组所定义的指标不一致，并且无法进行比较，因此本报告将许多报告的数据排除在分析之外。来自99个国家/地区的32个国家/地区的数据符合我们的纳入标准。这32个国家约占所有低收入和中等收入国家估计IDU人口总数的三分之二（68％）。IDU人口加权平均值如下：去年有36％的IDU接受了艾滋病毒检测;去年有26％的注射毒品使用者接受了艾滋病毒预防计划; 45％的注射毒品使用者具有正确的艾滋病毒预防知识; 37％的注射毒品使用者在最后一次性交时使用了避孕套; 63％的注射毒品使用者在上次注射时使用了干净的注射器。在不同区域之间报告的数据中观察到明显的方差。结论：2008年联合国大会特别会议报告回合的数据提供了可用来衡量未来进展的基线。数据表明，不同国家的注射毒品使用者在艾滋病毒服务覆盖面方面存在很大差异，艾滋病知识和风险行为也存在很大差异。应鼓励和协助各国监测和报告注射毒品使用者的艾滋病毒预防情况。

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