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Maximizing the impact of HIV prevention efforts: Interventions for couples

机译：最大限度地提高艾滋病毒预防工作的影响：对夫妇的干预

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Despite efforts to increase access to HIV testing and counseling services, population coverage remains low. As a result, many people in sub-Saharan Africa do not know their own HIV status or the status of their sex partner(s). Recent evidence, however, indicates that as many as half of HIV-positive individuals in ongoing sexual relationships have an HIV-negative partner and that a significant proportion of new HIV infections in generalized epidemics occur within serodiscordant couples. Integrating couples HIV testing and counseling (CHTC) into routine clinic- and community-based services can significantly increase the number of couples where the status of both partners is known. Offering couples a set of evidence-based interventions once their HIV status has been determined can significantly reduce HIV incidence within couples and if implemented with sufficient scale and coverage, potentially reduce population-level HIV incidence as well. This article describes these interventions and their potential benefits.
机译：尽管努力增加获得艾滋病毒检测和咨询服务的机会，但人口覆盖率仍然很低。结果，撒哈拉以南非洲的许多人不知道自己的艾滋病毒状况或性伴侣的状况。但是，最近的证据表明，在持续性关系中，多达一半的HIV阳性个体具有HIV阴性伴侣，而且在普遍的流行病中，有很大比例的新HIV感染发生在血清抗体的夫妇中。将夫妇的艾滋病毒检测和咨询（CHTC）纳入常规的基于诊所和社区的服务可以显着增加夫妻双方都知道的夫妻数量。一旦确定了他们的艾滋病毒感染状况，就可以为夫妇提供一系列循证干预措施，可以显着降低夫妻之间的艾滋病毒感染率，如果以足够的规模和覆盖面加以实施，也有可能降低人群水平的艾滋病毒感染率。本文介绍了这些干预措施及其潜在的好处。

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