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首页> 外文期刊>Annals of epidemiology >Data and methods to characterize the role of sex work and to inform sex work programs in generalized HIV epidemics: evidence to challenge assumptions
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Data and methods to characterize the role of sex work and to inform sex work programs in generalized HIV epidemics: evidence to challenge assumptions

机译：表征性工作作用的数据和方法，并在广义艾滋病毒流行病中提供性工作计划：挑战假设的证据

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In the context of generalized human immunodeficiency virus (HIV) epidemics, there has been limited recent investment in HIV surveillance and prevention programming for key populations including female sex workers. Often implicit in the decision to limit investment in these epidemic settings are assumptions including that commercial sex is not significant to the sustained transmission of HIV, and HIV interventions designed to reach "all segments of society" will reach female sex workers and clients. Emerging empiric and model-based evidence is challenging these assumptions. This article highlights the frameworks and estimates used to characterize the role of sex work in HIV epidemics as well as the relevant empiric data landscape on sex work in generalized HIV epidemics and their strengths and limitations. Traditional approaches to estimate the contribution of. sex work to HIV epidemics do not capture the potential for upstream and downstream sexual and vertical HIV transmission. Emerging approaches such as the transmission population attributable fraction from dynamic mathematical models can address this gap. To move forward, the HIV scientific community must begin by replacing assumptions about the epidemiology of generalized HIV epidemics with data and more appropriate methods of estimating the contribution of unprotected sex in the context of sex work. (C) 2016 Elsevier Inc. All rights reserved.
机译：在广义人类免疫缺陷病毒（艾滋病毒）流行病的背景下，最近近期对艾滋病毒监测和预防规划的投资有限，适用于包括女性性工作者的主要人群。通常隐含在决定这些疫情环境中的投资是假设，包括该商业性别对艾滋病毒的持续传播并不重要，艾滋病病毒干预旨在达到“社会的所有部分”将达到女性性工作者和客户。新兴的经验和基于模型的证据挑战了这些假设。本文突出了用于表征性别工作在艾滋病毒流行病中的作用的框架和估计，以及广义艾滋病毒流行病中性工作的相关实验数据景观及其优势和局限性。估计贡献的传统方法。对艾滋病毒流行病的性工作不会捕捉到性上游和下游性和垂直艾滋病毒传播的潜力。来自动态数学模型的传输人口归因于传输群体的新出现方法可以解决这个差距。向前发展，艾滋病毒科学界必须首先取代关于广义艾滋病毒流行病的流行病学的假设，并更适合估计在性工作背景下未受保护性行为的贡献。 （c）2016年Elsevier Inc.保留所有权利。

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