National policies for HIV control and the evolution of the epidemic in Mexico: an analysis from 1990 to 2017

被引：0

作者：

Shiba-Matsumoto, Andrey Ryo ^{[1
]}

Bravo-Garcia, Enrique ^{[2
]}

Sanchez-Dominguez, Mario Salvador ^{[3
]}

Magis-Rodriguez, Carlos ^{[4
]}

Gomez-Dantes, Hector ^{[3
]}

机构：

[1] Inst Nacl Salud Publ, Cuernavaca, Morelos, Mexico

[2] Ctr Nacl Prevenc & Control delVIH Sida, Mexico City, DF, Mexico

[3] Inst Nacl Salud Publ, Ctr Invest Sistemas Salud, Cuernavaca, Morelos, Mexico

[4] Univ Nacl Autonoma Mexico, Fac Med, Mexico City, DF, Mexico

来源：

SALUD PUBLICA DE MEXICO | 2023年 / 65卷 / 03期

关键词：

HIV; AIDS; global burden of disease; health systems; health policy; AIDS; LESSONS;

D O I：

10.21149/14441

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective. To analyze the changes in the burden of HIV disease in the period 1990-2017, in contrast to the intervention policies and programs implemented for its prevention and control. Materials and methods. A timeline of policies and interventions in Mexico was developed and with JoinPoint regression models, we analyzed their possible relationship with significant changes in trends in the burden of HIV disease. Results. Changes in the burden of disease are related to the universalization of access to antiretroviral drugs (ARV), comprehensive care programs, and the fight against stigma and discrimination. In the period analyzed, there is a decrease in mortality related to universal and free access to ARVs.The magnitude of the changes tends to be greater in men than in women. Conclusions. The policies and programs implemented to treat people with HIV/AIDS in Mexico were integrated into increasingly cohesive and effective strategies.

引用

页码：285 / 296

页数：12

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