HIV and women in the USA: what we know and where to go from here

被引：52

作者：

Adimora, Adaora A. ^{[1
,3
,4
]}

Ramirez, Catalina ^{[1
]}

Poteat, Tonia ^{[2
]}

Archin, Nancie M. ^{[1
]}

Averitt, Dawn ^{[4
]}

Auerbach, Judith D. ^{[4
,5
]}

Agwu, Allison L. ^{[6
,7
]}

Currier, Judith ^{[8
]}

Gandhi, Monica ^{[5
]}

机构：

[1] Univ N Carolina, Sch Med, Dept Med, Chapel Hill, NC 27515 USA

[2] Univ N Carolina, Sch Med, Dept Social Med, Chapel Hill, NC 27515 USA

[3] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Epidemiol, Chapel Hill, NC 27515 USA

[4] Well Project, Res Initiat HIV AIDS, New York, NY USA

[5] Univ Calif San Francisco, Sch Med, Dept Med, San Francisco, CA USA

[6] Johns Hopkins Univ, Sch Med, Dept Med, Div Infect Dis, Baltimore, MD 21205 USA

[7] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD 21205 USA

[8] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div Infect Dis, Los Angeles, CA 90095 USA

来源：

LANCET | 2021年 / 397卷 / 10279期

关键词：

UNITED-STATES; PREEXPOSURE PROPHYLAXIS; ANTIRETROVIRAL THERAPY; TRANSGENDER WOMEN; FELON DISFRANCHISEMENT; SEX-DIFFERENCES; INFECTED WOMEN; BLACK-WOMEN; DISPARITIES; PREVALENCE;

D O I：

10.1016/S0140-6736(21)00396-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

New diagnoses of HIV infection have decreased among women in the USA overall, but marked racial and geographical disparities persist. The federal government has announced an initiative that aims to decrease the number of new infections in the nation by 90% within the next 10 years. With this in mind, we highlight important recent developments concerning HIV epidemiology, comorbidities, treatment, and prevention among women in the USA. We conclude that, to end the US HIV epidemic, substantially greater inclusion of US women in clinical research will be required, as will better prevention and treatment efforts, with universal access to health care and other supportive services that enable women to exercise agency in their own HIV prevention and care. Ending the epidemic will also require eliminating the race, class, and gender inequities, as well as the discrimination and structural violence, that have promoted and maintained the distribution of HIV in the USA, and that will, if unchecked, continue to fuel the epidemic in the future.

引用

页码：1107 / 1115

页数：9

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